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PostgraduatebooksrecommendedbyDegreeManagementandPostgraduateEducationBureau,MinistryofEducationMedicalStatistics(the2ndedition),Arrangement:total72classhours,twoclasseseachweek,chapter1IntroductionKeydefinitionsthestepsformedicalstatisticsBriefhistoryofStatistics,StatisticsThesciencefordatacollection,sorting,andanalysis.,Definition:thesciencethatstudythecollection,sortingandanalysisofmedicaldata.Characteristics:1、Usingthequantitytoreflectthequality2、Usingchanceevents(uncertainty)toreflecttheinevitability(rules),MedicalStatistics,Learningobjectives:1、BasicprinciplesandmethodsofStatistics(LearningEmphasis)2、ApplicationStatistics(ClinicalMedicine,PreventiveMedicine,andHealthCareManagement),MedicalStatistics,Purpose:atoolformedicalresearchEmphasis:statisticalindicatorsusedforcalculatingorcomparingthequantitativecharacteristicsofpopulationExample:healthexpectationinfantmortality,MedicalStatistics,Section1.Keydefinitions,variable,individual,sampleandpopulation,individual(observatoryunit):thebasicunitinstatisticalresearch,itdependsonthepurpose.variable(indicator):individualcharacteristicsexamples:height、weight、gender、bloodtype、treatmenteffectetc.,Variablevalue:thevalueofvariablesExamples:height1.65metersweight52kggenderfemalebloodtype“O”laboratorytestnegativetreatmenteffectbetterData:composedofalotofvariablevalues.Example:Dataforbloodglucose,homogeneity:commoncharacteristicsforthegivenindividualsexample:theheightsoftheboyswiththeageof7livinginChangsha2004variation:differenceexistingamongthevariablevaluesofhomogeneityindividualsexample:thedifferentheightsoftheboyswiththeageof7livinginChangsha2004,Definition:thewholehomogeneityindividualsdeterminedbyspecificpurpose.example:alltheheightsofboysat7thatlivedinChangsha2004finitepopulation:thespace,timeandpopulationforaspecificpopulationhavebeenlimited.infinitepopulation:notimeandspacelimitsforthepopulation.Suchpopulationsonlyexistinimagination,soitiscalledinfinitepopulation.,population,definition:thesetofvariablevaluesofsomeindividualssampledfromthepopulationatrandom.Example:theheightsof200boysat7fromChangsha.,sample,Samplingstudy,Sampleinformation(statistic),Populationcharacteristics(parameter),inference,note:samplingisonlythewaytogetinformation,inferringthepopulationisourpurpose,、variableanddata,measurementdata:itisalsocalledasquantitativeornumericaldata.Itsvalueisquantitative.Measurementdataalwayshasmeasurementunits.example:heightdata,weightdata,enumerationdata:qualitativeorcountdata.Forsuchdata,itneedstoclassifytheobservationunitsbeforeandcountthem.Itsvalueappeardifferentcharacteristicsandsorts.,Binomial:gender,liveordeath,yesorno.Multiple:bloodtype,A、B、O、AB.,rankeddata:ordinalorsemi-quantitativedata.Itneedtoclassifyobservatoryunitsintodifferentclassesaccordingtheextentbeforecalculatethefrequenciesofeachgroups.Thereexistsobviousdifferencesamongdifferentclasses.example:toevaluatethetreatmenteffectofonedrugonheartfailure,weusetheindicator(cured,better,worsen,dead)toassessthetreatmenteffect.Choosingofstatisticalmethodsdependsonthedatatypetoagreatextent。,Datatransformation,example:WBC(1/m3)countoffivepersons:300060005000800012000quantitativevariablelowernormalnormalnormalhigherqualitativevariableBinomialdata:normal3persons;abnormal2personsMultiplecategorydata:lower1person;normal;3persons;higher1person,error,definition:thedifferencebetweenmeasurementvalueandtruevalue.1、randerror:unstableandchangingatrandomerrorsthatcausedbyuncontrolledfactors.Commonly,randerrorsarereferredtothoseerrorsappearingduringrepeatedmeasurementsandsampling.Often,measurementerrorisextremelylowerthansamplingerror.InStatistics,samplingerroristhemainstudycontents.,2.Nonrandomerrorisdividedintosystematicerrorandnonsystematicerror:Systematicerror:itisproducedinexperimentandkeepsconstantorchangesaccordingcertainrules.Usually,itsreasonsareknownandcontrollable.Nonsystematicerror(grosserror):itisalwayscausedbyobviousgrosses.,、frequencyandprobability,1FrequencyGiventhesamecondition,repeatatrialforntimesindependently.Amongntrials,Aappearsformtimes,sotheratioofm/niscalledthefrequencyofrandomeventAamongntrials.,2probability:thelikelihoodofrandomevents.Giventhesamecondition,repeatatrialforntimesindependently.Amongntrials,Aappearsfortimes,sotheratioofiscalledthefrequencyofrandomeventA.Asnincreasesgradually,thefrequencywillapproachaconstant.TheconstantiscalledtheprobabilityofrandomeventAandexpressedin.Incommon,itisabbreviatedas.,Range:,Frequencyisusedtodescribethesample,whiletheprobabilityforthepopulation.m/nistheestimationof.Astrialsincreases,theestimationvalueismorereliable.,smallprobabilityevent:Becausetheconclusionsaremadebasedonacertainsignificancelevel,statisticiansalwaysselectasjudgecriterion.Sosucheventswitharecalledsmallprobabilityevents.Itmeansthatsucheventshappenrarelyandcanberegardedasnonoccurrence.,Section2thestepsforstatisticalwork,Here,itmeansstatisticaldesign,themostimportantfactorforasuccessfulresearch.Itinvolvesthearrangementsfortheprocessofdatacollection,sortingandanalysis.,design,3control,Threeprinciplesforexperimentdesign,1randomization,2.Replication,objective:togatheraccurateandreliablerawdatadatasources:statisticalreportingroutinerecordspurposivesurveysorexperimentsstatisticalyearbookandspecialdatabookrequirements:1、randomization2、sufficientsamplesize,Datacollection,Datasorting,Itistheprocessthatcleansandsystematizesrawdata.Datasortingpreparestherequireddatafornextstep,dataanalysis.,Data/statisticalanalysis,objective:toillustratetheruleshiddeninthedata.Itincludestwoaspe

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