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Introduction to Biostatistics 6 year course Course for Medical English Language Students A Guide for Students Chair and Department of Computer Science and Statistics Karol Marcinkowski University of Medical Sciences in Poznań Course Coordinator: Professor Jerzy A. Moczko, PhD Welcome to the Chair and Department of Computer Science and Statistics at Karol Marcinkowski University of Medical Sciences in Poznań. The objective of our course is to provide a base of information concerning medical data gathering, verification and analysis. The program of the course covers the complete range of basic biostatistics that can be expected to appear on USMLE step 1. Thus it is imperative that your medical education includes problems specifically oriented towards both consuming of research (understanding statistical descriptors and rules of inference that occur in medical reports) or producing new knowledge (mathematical verification and confirming of constructed medical hypothesis). Your course on Introduction to Biostatistics will start on the begining of October and will last 30 hours according to schedule you obtain in the Dean’s Office. It will take place in the Computer Laboratory located at Department of Computer Science and Statistics at Dąbrowskiego 79 (second floor). During the course 17 computers with appropriate statistical programs will be at your disposal. The available statistical packages are: GraphPad INSTAT for Windows (ver. 3.05), GraphPad INSTAT DOS (ver. 2.05a), STATSOFT Inc., STATISTICA 5.0 . Student Responsibilities attendance: Attendance at all classes is compulsory. You are allowed not to attend only three hours throughout the whole course with no written excuse. If for any reason you will omit more than three hours but no more than eight hours because of serious illness or unexpected emergencies you will have to contact Dean’s Office in order to obtain an excuse note. If you miss more than eight hours regardless of the cause you will have to repeat the whole 30 hour course. Evaluation The Coordinator of the Course will make an evaluation of the student. The pass/fail test takes place during the last classes and it consists of three practical problems which you should resolve using statistical package INSTAT 3 for Windows ( or INSTAT 2 DOS version). Each task is scored from 0 to 3 (0.0, 0.5, 1.0,......,2.5, 3.0) so each evaluated student may obtain from 0 to 9 points. To pass the test one should obtain at least 5 points. Criteria: ability to resolve practical medical problems with GraphPad INSTAT for Windows or GraphPad INSTAT DOS statistical packages. LIST OF RECOMENDED TEXT BOOKS Anthony Glaser - " High-yield Biostatistics" Williams@Wilkins. A Waverly Company 1995, ISBN 0-683-03566-5 Aviva Petrie, Caroline Sabin - “Medical Statistics at a glance” Blackwell Publishing, 2001, ISBN 0-632-05075-6 REFERENCE BOOKS Bernard Rosner - "Fundamentals of Biostatistics" Harvard University, Duxbery Press 1986, ISBN 0-87150-981-4 SELF-INSTRUCTIONAL MATERIALS Teach/Me Data Analysis Intranet edition v.1.0 H.Lohningera wydanego przez Springer - electronic media 2002, ISBN 3-540-14763. STATISTICAL PROGRAMS 30 day trial version of GRAPHPAD for Windows statistical package is available to free downloading on the webpage http://www.graphpad.com CURRICULUM FOR BIOSTATISTICS I. BASIC CONCEPTS 1. 2. 3. 4. Population, samples and representative samples Elements of probability calculus (how to calculate probability, addition and multiplication rules). Measurement scales ( ratio, interval, ordinal, nominal). Raw data, grouped frequency distributions, relative frequency distributions, cumulative frequency distributions. II. DESCRIPTIVE STATISTICS 1. 2. 3. Measures of central tendency ( arithmetic mean, weighted aritmetic mean, median, mode) Measures of location – quantiles ( quartiles, deciles, centiles) Measures of variability ( variance, standard deviation, range, interquartile range, coefficient of variability) Graphical presentation of data distributions (histograms, bar graphs, frequency polygons, pie charts, special data presentations ( Chernoff faces) 4. III. STATISTICAL DISTRIBUTIONS 1. 2. 3. 4. Symmetrical, skewed, J-shaped and multimodal distributions Properties of normal ( Gaussian ) distribution, z-scores t-Student distribution Estimation of probability based on area under the normal distribution curve, significance level, critical values Sampling variation, standard error of the mean (SEM) Central limit theorem 5. 6. IV. INFERENTIAL STATISTICS – HYPOTHESIS TESTING 1. 2. 3. 4. 5. 6. 7. 8. 9. Null and alternative hypothesis, acception and rejection areas One- and two-sided hypothesis Confidence intervals Precision and accuracy of population mean value estimation The meaning of statistical significance Type I and type II errors Sensitivity and specificity Power of statistical tests Exemplary parametric and nonparametric (distribution-free) statistical tests a. b. c. d. e. f. g. h. i. j. k. t-Student test for paired data t-Student test for unpaired data Welch corrected test Ordinary and repeated measures ANOVA and multiple comparisons post-hoc tests Mann-Whitney test Wilcoxon test Kruskal-Wallis test Friedman test Chi2 test Fisher exact test McNemar test V. CORRELATION AND REGRESSION 1. 2. 3. 4. Univariate and multivariate models Pearson linear correlation coefficient Spearman rank-order correlation Linear regression, interpolation and extrapolation