Lecture 1_190605 Flashcards

1
Q

% Error

A

100%*(measured value – “true” value) / “true” value

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2
Q

Standard Deviation

A

= √((∑ (measurement – average)2) / (N – 1))
*Standard deviation is a measure of precision, not accuracy!
** One standard deviation includes 68% of the values in a sample population and two standard deviations include 95% of the values.
Ratio = yes
Interval = yes
Ordinal = maybe….
Nominal = no

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3
Q

peta = P

A

10^15 (Quadrillion)

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4
Q

tetra = T

A

10^12 (Trillion)

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5
Q

giga = G

A

10^9 (Billion)

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6
Q

mega = M

A

10^6 (Million)

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7
Q

kilo = k

A

10^3 (Thousand)

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8
Q

hecto = h

A

10^2 (Hundred)

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9
Q

deca = da

A

10^1 (Ten)

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10
Q

deci = d

A

10^-1 (Tenth)

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11
Q

centi = c

A

10^-2 (Hundredth)

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12
Q

milli = m

A

10^-3 (Thousandth)

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13
Q

micro = “m”

A

10^-6 (Millionth)

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14
Q

nano = n

A

10^-9 (Billionth)

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15
Q

Descriptive statistics

A

the methods to describe a data set (CASE REPORT)

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16
Q

Inferential statistics

A

used to draw conclusions about the data

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17
Q

Population

A

group from which data are to be collected

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18
Q

Sample

A

a subset of a population

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19
Q

Variable

A

a feature characteristic of any member of a population possibly differing in quality or quantity from one member to another

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20
Q

Categorical variables

A

Variables with discrete or qualitative values (names of labels). Example: blue, Ridge-back, whole number

  • Nominal – no intrinsic order (GofT Characters, shirt designs)
  • Ordinal – have order (Tofu 1-5, no measurement)
  • Dichotomous – only 2 values (gender)
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21
Q

Continuous variables

A

Variables that they can be measured along a continuum. Example: 1, 2, everything in-between, etc

  • Interval – numeric value & is measured (temperature….except kelvin)
  • Ratio – like interval, but value of 0 indicates there is nothing (cannot have “-“ value, most common; height, age, kelvin)
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22
Q

Mean

A
Average
disadvantage = outliers
Ratio = yes
Interval = yes
Ordinal = maybe....
Nominal = no
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23
Q

Median

A
Middle value
{13,23,11,16,15,10,26}->{10,11,13,15,16,23,26} = 15
{13,23,11,16,15,10,14,26}->{10,11,13,14,15,16,23,26} = 14.5
advantage = outlier insensitive
Ratio = yes
Interval = yes
Ordinal = yes
Nominal = no
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24
Q

Mode

A
Most common value
{1,2,2,3,4,4,4,5,5,6} = 4
{4,2,4,3,2,2} = 2 
Ratio = yes
Interval = yes
Ordinal = yes
Nominal = yes
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25
Q

Range

A
highest value to lowest value
disadvantage = outliers
Ratio = yes
Interval = yes
Ordinal = yes
Nominal = no
26
Q

Interquartile range

A
75th percentile – 25th percentile
advantage = outlier insensitive
Ratio = yes
Interval = yes
Ordinal = yes
Nominal = no
27
Q

Standard error of the Mean (SEM)

A
= standard deviation / √N
increased N = decreased SEM
increased SD = increased SEM
Ratio = yes
Interval = yes
Ordinal = maybe....
Nominal = no
28
Q

Null hypothesis

A

no difference (mean for some variable is NOT statistically different between the groups)

29
Q

Difference

A

The mean for some variable is “statistically” different between the groups

30
Q

T-test

A

simplest test for difference between 2 groups
t = (Mean1 – Mean2) / √(SEM1^2 + SEM2^2)

increased SEMs = decreased t = less likely different
*increased N = decreased SEM = increased t
*increased SD = increased SEM = decreased t
increased Mean delta = increased t = more likely diff

The greater the magnitude of “t”, the more likely the groups are different
If |t| > 2.0 then P < 0.05 ~5% - difference occurred by random chance
If |t| > 2.7 then P < 0.001 ~0.1%

31
Q

Chance

A

caused by random variations in subjects & measurements – bigger sample size will reduce chance errors (i.e. increased N = decreased SEM = increased t = more likely to be true difference vs. chance error)

32
Q

Bias

A

Bias is NOT caused by random variation or chance, but rather by systematic variation (a bigger sample size will NOT help with bias and statistical analysis often will not reveal bias)

1) Selection bias – biased sampling of population
2) Measurement bias – aka systematic bias – poor measurement technique
3) Analysis bias – using analysis that favors one conclusion over another

33
Q

Confounding

A

similar to bias, but involves mis-interpretation of accurate variables
* without adjusting for other factors that are known risk factors

34
Q

POEM

A

Patient Oriented Evidence that Matters (SLOW STUDY)

*What patients really care about: mortality and morbidity. Everything else is DOE.

35
Q

DOE

A

Disease Oriented Evidence (FASTER STUDY, CHEAPER)

  • The stuff that patients don’t care about, but is related to disease.
  • *The vast majority of articles in medical journals involve DOE. While suggestive, these studies can be misleading!
36
Q

Research classification

A

STUDY DIAGRAM FROM PDF’d PP!!!

37
Q

Clinical Trial

A

Experimental study in which the exposure status (e.g. assigned to active drug versus placebo) is determined by the investigator

38
Q

Randomized Controlled Trial

A

A special type of clinical trial in which assignment to an exposure is determined purely by chance

39
Q

Cohort Study

A

Observational study in which subjects with an exposure of interest (e.g. hypertension) and subjects without the exposure are identified and then followed forward in time to determine outcomes (e.g. stroke). [longitudinal study.]

40
Q

Case-Control Study

A

Observational study that first identifies a group of subjects with a certain disease and a control group without the disease, and then looks to back in time (e.g. chart review) to find exposure to risk factors for the disease. *rare diseases

41
Q

Cross-Sectional Study

A

Observational study that is done to examine presence or absence of a disease or presence or absence of an exposure at a particular time. Since exposure and outcome are ascertained at the same time, it is often unclear if the exposure preceded the outcome.
*good for question asking, bad for answers

42
Q

Case Report or Case Series

A

Descriptive study that reports on a single or a series of patients with a certain disease.
*generates a hypothesis but cannot test a hypothesis because it does NOT include an appropriate comparison group.
DESCRIPTIVE STUDY

43
Q

Incidence

A

number of new events

44
Q

Incidence Rate

A

incidence / sum of time individuals in the population were at risk for having the event (e.g. events/person-years)

45
Q

Prevalence

A

number of persons in the population affected by a disease at a specific time
*prevalence rate = prevalence / the number of persons in the population at the time

46
Q

Relative risk or Risk ratio (Cohort Studies)

A

the ratio of the incidence of disease in the exposed group divided by the corresponding incidence of disease in the unexposed group
YES NO
+ A B
- C D

RR = (A/(A+B))/(C/(C+D)) = X times greater risk

47
Q

Odds ratio (Case-Control Studies)

A

the odds of exposure in the group with disease divided by the odds of exposure in the control group
YES NO
+ A B
- C D

OR = (A/C)/(B/D) = AD/BC = X times greater odds

48
Q

Attributable risk or Risk difference

A

a measure of absolute risk

attributable risk = difference between the incidence rates in the exposed and non-exposed groups.

49
Q

Population Attributable Risk

A

= Attributable risk X proportion of exposed individuals in the population

50
Q

Number needed to treat (NNT)

A

= number of patients who would need to be treated to prevent one adverse outcome

51
Q

Sensitivity

A

is the ability of the test to identify correctly those who have the disease = A/(A+C)
YES NO
+ A B
- C D

52
Q

Specificity

A

is the ability of the test to identify correctly those who do not have the disease = D/(B+D)
YES NO
+ A B
- C D

53
Q

Positive predictive value

A
is the probability of disease in a patient with a positive
test = A/(A+B)
     YES      NO
\+     A         B
-      C         D
54
Q

Negative predictive value

A

is the probability that the patient does not have disease if he has a negative test result = D/(C+D)

55
Q

Confidence Intervals

A

a range of values within which there is a high probability (95% by convention) that the true population value can be found

increased N = decreased SD = CI narrows!

56
Q

Type I error (alpha)

A

the probability of incorrectly concluding there is a statistically significant difference in the population when none exists
*the number after a Pvalue. A P<0.05 means that there is a less than 5% chance that the difference could have occurred by chance

57
Q

Type II error (beta)

A

the probability of incorrectly concluding that there is no statistically significant difference in a population when one exists

58
Q

Power

A

measure of the ability of a study to detect a true difference = 1 - type II error rate or 1 - beta
* the smaller the difference, the greater the number of observations needed

59
Q

Survival Analysis

A

Kaplan-Meier analysis measures the ratio of surviving subjects (or those without an event) / total number of subjects at risk for the event.
*Every time a subject has an event, the ratio is recalculated. These ratios are then used to generate a curve to graphically depict the probability of survival.

60
Q

LR+

A

= Sensitivity / (1- Specificity)

61
Q

LR-

A

= (1- Sensitivity) / Specificity