David Machin - Medical Statistics

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Medical Statistics: краткое содержание, описание и аннотация

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The 5th edition of this popular introduction to statistics for the medical and health sciences has undergone a significant revision, with several new chapters added and examples refreshed throughout the book. Yet it retains its central philosophy to explain medical statistics with as little technical detail as possible, making it accessible to a wide audience. 
Helpful multi-choice exercises are included at the end of each chapter, with answers provided at the end of the book. Each analysis technique is carefully explained and the mathematics kept to minimum. Written in a style suitable for statisticians and clinicians alike, this edition features many real and original examples, taken from the authors' combined many years' experience of designing and analysing clinical trials and teaching statistics.
Students of the health sciences, such as medicine, nursing, dentistry, physiotherapy, occupational therapy, and radiography should find the book useful, with examples relevant to their disciplines. The aim of training courses in medical statistics pertinent to these areas is not to turn the students into medical statisticians but rather to help them interpret the published scientific literature and appreciate how to design studies and analyse data arising from their own projects. However, the reader who is about to design their own study and collect, analyse and report on their own data will benefit from a clearly written book on the subject which provides practical guidance to such issues.
The practical guidance provided by this book will be of use to professionals working in and/or managing clinical trials, in academic, public health, government and industry settings, particularly medical statisticians, clinicians, trial co-ordinators. Its practical approach will appeal to applied statisticians and biomedical researchers, in particular those in the biopharmaceutical industry, medical and public health organisations.

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Poisson Distribution

Suppose events happen randomly and independently in time at a constant rate. If the events happen with a rate of λ events per unit time, the probability of r events happening in unit time is

(4.2) where exp λ is a convenient way of writing the exponential constant e - фото 71

where exp( −λ ) is a convenient way of writing the exponential constant e raised to the power − λ . The constant e being the base of natural logarithms which is 2.718281…

The mean of the Poisson distribution for the number of events per unit time is simply the rate, λ. The variance of the Poisson distribution is also equal to λ, and so the SD = √ λ .

Normal Distribution

The probability density, f ( x ), or the height of the curve above the x axis (see Figures 4.7and 4.9) of a Normally distributed random variable x , is given by the expression,

(4.3) where μ is the mean value of x and σ is the standard deviation of x Note that - фото 72

where μ is the mean value of x and σ is the standard deviation of x . Note that for the Normal distribution π , is the mathematical constant 3.14159… and not the parameter of a Binomial distribution.

The probability density simplifies for the Standard Normal distribution, since μ = 0 and σ = 1, then the probability density, f ( x ), of a Normally distributed random variable x , is

(4.4) 410 Exercises 1 41 Which ONE of the following statements about probability - фото 73

4.10 Exercises

1 4.1 Which ONE of the following statements about probability is INCORRECT?If two binary outcomes (X and Y) are mutually exclusive the probability that either X or Y occurs is the sum of the probability that X occurs and the probability that Y occurs.If two binary outcomes (X and Y) are independent, then the probability that both outcomes X and Y occur is the probability that X occurs multiplied by the probability that Y occurs.When the outcome will definitely happen the probability of it happening is 1.When an outcome can never happen, the probability of it happening is 1.All probabilities range between 0 to 1.

2 4.2 Suppose we toss a single unbiased two‐sided coin three times in a row and record the number of heads. What is the probability of observing a head on three successive tosses?0.5000.2500.7500.1250.050

3 4.3 Suppose we roll a 10‐sided die (numbered 1 to 10) once.What is the probability of observing a score of 6 or more on this roll?0.40.50.60.70.08

4 4.4 Which ONE of the following statements about the Normal distribution is INCORRECT?The Normal distribution is symmetrical.The peak of the curve lies above the mean.The total area under the Normal distribution curve is 1.The mean and median will coincide.The bigger the variance the taller the peak.

5 4.5 Which (if any) of the following statements about the Normal distribution is CORRECT?Approximately 1% of the observations from a Normal distribution lie outside the mean ± 2SD. Approximately 2% of the observations from a Normal distribution lie outside the mean ± 2SD.Approximately 3% of the observations from a Normal distribution lie outside the mean ± 2SD.Approximately 5% of the observations from a Normal distribution lie outside the mean ± 2SD.Approximately 10% of the observations from a Normal distribution lie outside the mean ± 2SD

6 4.6 Which (if any) of the following statements about the Normal distribution is CORRECT?Approximately 1% of the observations from a Normal distribution lie outside the mean ± 1SD.Approximately 5% of the observations from a Normal distribution lie outside the mean ± 1SD.Approximately 10% of the observations from a Normal distribution lie outside the mean ± 1SD.Approximately 32% of the observations from a Normal distribution lie outside the mean ± 1SD.Approximately 95% of the observations from a Normal distribution lie outside the mean ± 1SD

7 4.7 The systolic blood pressure in the population of middle‐aged people is Normally distributed with a mean of 140 mmHg and a standard deviation of 10.What is the approximate probability of having a systolic blood pressure of 120 mmHg or less?0.0250.050.160.320.95What proportion of the population of middle‐aged people have a systolic blood pressure between 130 and 150 mmHg?0.950.680.320.160.90

8 4.8 The birthweight of babies in the population is Normally distributed with a mean of 3.5 kg and a standard deviation of 0.5 kg.What is the probability of giving birth to a baby weighing more than 3.5 kg?0.0250.050.50.750.95What is the approximate probability of giving birth to a baby weighing more than 4.0 kg?0.0250.050.160.320.95What is the approximate probability of giving birth to a baby weighing more than 4.5 kg?0.0250.05 0.160.32 0.95

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