METHODICAL INSTRUCTION FOR STUDENTS OF THE __IV__ COURSE

____Medical____ Faculty

 

LESSON ¹ _1_ (PRACTICAL – 6 HOURS)

 

Theme: 1. Biostatistics and its value for the estimation of population’s health and activity of organs and establishments of health protection – 2 hours.

2. Organization of statistical researches in the health protection system – 2 hours.

3. Relative values – 2 hours.

Aim: 1. To capture the knowledge about the basic concepts of biostatistics, factors which influence on a health of population.

2. To master the maintenance of stages of statistical research, conditionality of their sequence and method of drafting of the programs and plan, the method of groupment and report of statistical material.

3. To define of procedure of calculation and assessment of relative values.

 

Professional orientation of students:In the activity of a doctor the ability of the independent conducting of research work and knowledge of bases of its organization is an inalienable element. Objective estimation of the phenomenon, that is studied, depends on the select rational groupment, which must unite heterogeneous signs with unit of supervision from basic directions of research. Wrong development of material is one of errors of statistical research that negatively influences on an eventual result at the calculation of indexes.

For determination of a level of the phenomenon, for comparison of a parameter in dynamics or with a parameter of other territory it is necessary to calculate relative values (parameters, factors), which represent result of a ratio of statistical numbers between itself.

 

Methodology of Practical Class (900-1200)

         Theme ¹ 1 for Practical Class on Biostatistics and its value for the estimation of population’s health and activity of organs and establishments of health protection”

Work 1.

Determination of the health indexes and the factors, which influence on them.

a) To define the indexes of health.

b) To select and group factors which predetermine the state of health of population.

c) On the example of indexes of health to define the unit of supervision, its registration signs and to draw them as a chart.

 

         Theme ¹ 2 for Practical Class on Organization of statistical researches in the health protection system

Work 2.

Organization of the statistical research.

à) from a set of registration and current medical documentation to take away a document which is used as a program of statistical supervision;

b) to formulate the purpose of statistical supervision;

c) to formulate the task of statistical supervision;

d) to form a selective statistical aggregate: method of selection, object, volume, kind, time and place of conducting of research;

e) to make the program of collection of material.

f) By International statistical classification to cipher a diagnosis (class, number).

g) To fill the models of tables.

 

         Theme ¹ 3 for Practical Class onRelative values

Work 3.

Calculation the relative values.

a)     Technique of calculation of intensive parameters.

b) Technique of calculation of extensive parameters.

c) Technique of calculation of correlation parameters.

d) Technique of calculation of visualization parameters.

The absolute value of phenomenon
× 100
The same phenomenon (by the character) from the line of the comparised, taken for 1 or 100

 

 

Individual Students Program.

         Theme ¹ 1 for the Practical Class on Biostatistics and its value for the estimation of population’s health and activity of organs and establishments of health protection”

1. Object and maintenance of medical statistics.

2. Criteria and predetermining factors of population’s health.

3. Statistical aggregate and its properties, criteria.

4. General and selective aggregate, ways of forming.

5. Unit of supervision and its registration signs, its groupment.

6. Use of statistical aggregate for the description of health of population.

         Theme ¹ 2 for the Practical Class on Organization of statistical researches in the health protection system

1. The stages of statistical research.

2. The subsections of the program and plan of statistical research.

3. The concept about a statistical aggregate.

4. The organization of selective research.

5. Special and official program of statistical supervision.

6. Contents of the development and report of statistical material.

7. Concept about International classification of diseases, traumas and reasons of death.

8. Types of tables, their structure, requirements to their construction and fillings.

9. Application of computer technique in development and report of statistical material.

         Theme ¹ 3 for the Practical Class onRelative values

1. Sorts and characteristic of relative values, common procedure of their calculation.

2. Usage of relative values in practice of public health services.

3. Definition of intensive parameters, procedure of their calculation.

4. Definition of extensive parameters, procedure of their calculation.

5. Definition of parameters of correlation.

6. Definition of parameters of visualization.

Seminar discussion of theoretical issues (1230-1400)

 

Test evaluation and situational tasks:

a) For the Practical Class on Biostatistics and its value for the estimation of population’s health and activity of organs and establishments of health protection”

1. Give the determination of selective statistical aggregate

A. Aggregate which includes all units of supervision

Â. Every special case of the studied phenomenon

Ñ. Criterion, that characterizes unit of supervision

D. Common number of supervision’ units .

Å. Aggregate which includes certain part of units of supervision on condition that this part is able to represent or represent all general aggregate

2. Specify the criteria of fourth property of statistical aggregate

À. Error of middle and relative quantity

B. Mode, median, middle arithmetic

Ñ. Common quantity

D. Coefficient of correlation

Å. Limit, amplitude, standard deviation, coefficient of variation

3. What specific particle of persons, which behave to the second group of health (D2)?

A. 1 %

B. 40 %

Ñ. 20 %

D. 35 %

Å.  4 %

4. What property of statistical aggregate characterizes the intercommunication between the signs?

À. The first

Â. The second

Ñ. The third

D. The fourth

Å. The fifth

5. Specify the specific particle of influencing of socio-economic factors on a health of man

A. 5 %

B. 40 %

Ñ. 30 %

D. 50 %

Å. 10 %

 

b) For the Practical Class on Organization of statistical researches in the health protection system

1. Specify the third stage of statistical research

À. Collection of material

Â. Analysis of results of research

Ñ. Composition of the plan and research program of research

D. Conclusions, suggestions and introductions in practice

Å. Elaboration of statistical information and report of material

2. What is the most responsible stages of statistical research    ?

À. Collection of the material

Â. Composition of the program and plan

Ñ. Analysis of results

D. Development and report of material

Å. Conclusions and suggestions

3. Name the types of programs of statistical research

A. Simple, difficult, combination

Â. Programs of collection and development of material

Ñ. Programs of logical and technical test

D. Programs of collection, development and analysis

Å. State, branch

4. How many classes does International statistical classification of illnesses of 10th revision consist of (in 1996)?

A. 10

B. 15

Ñ. 17

D. 21

Å. 25

5. What from the resulted documents can serve as the program of statistical research, the purpose of which is the study of primary morbidity?

À. List of disability

Â. History of development of the child /f. 112/r /

Ñ. Statistical card of drop-out from the permanent establishment /f.066/r/

D. Magazine of the account of patients motion and bed fund of the permanent establishment /f.007/r/

Å. Coupon of ambulatory patient /f.025-7/r/

 

c) For the Practical Class on Relative values

1. What values in medical statistics give the extending characteristic of an appearance behind a qualitative character?

À. Average  

Â. Relative, average

Ñ. Relative   

D. Absolute              

E. Standardized

2. Which one of reduced parameters are extensive?

À. Decline of a hospitalized case rate on 5 %

Â. Mortality rate of children from traumas

Ñ. Level of a children's traumatism

D. Turnover of a bed

E. Frame of a hospitalized case rate

3. Sorts of relative values:

À. Intensity, extensiveness, physical inability, mortality

Â. Case rate, birth-rate, mortality, visualization

Ñ. Intensity, extensiveness, interrelation, visualization

D. Relative intensity, extensiveness, birth-rate, mortality

E. Case rate, physical inabilities, interrelation, visualization

4. Which one are sorts of allocation of appearances?

À. Relative, absolute

Â. Straight line, indirect

Ñ. Statistical, alternative

D. Alternate, alternative

E. Intensive, extensive

5. To give an example of an appearance for calculation of an extensive parameter

À. Number of death cases

 Â. Annual  parameter

Ñ. Total of all  diseases

D. Number of the doctors

E. Total members of patients with respiration       

Initial level of knowledge and skills is tested by solving situational problems from each topic, tests’ answers and structural questions.

(the teacher has sets of tests and situational problems)

 

Student’s independent work is checked by solving situational tasks for each topic, answers in test evaluations and constructive questions. (the instructor has tests & situational tasks) (1415-1500)

 

Students should know:

         Theme ¹ 1 for Practical Class on Biostatistics and its value for the estimation of population’s health and activity of organs and establishments of health protection”

1. Criteria and stipulating factors, which influence on a health of population.

2. Determination of statistics as a science.

3. The concept about the unit of supervision and registration signs, their groupment.

4. The use of statistical aggregate for the description of the health of population.

         Theme ¹ 2 for Practical Class on Organization of statistical researches in the health protection system

1. Stages of statistical research.

2. Subsections of the program of statistical supervision.

3. The elements, which form the plan of statistical research is from.

4. Contents of development of material.

5. Purpose and order of enciphering of diagnoses of diseases,

6. International classification of diseases, traumas and reasons of death.

7. Order of conducting of groupment of material.

8. Structure of table, types of tables, the basic requirements to construction and fillings of tables.

         Theme ¹ 3 for Practical Class on Relative values

1. Sorts and characteristic of relative values

2. Definition and calculation of intensive parameters.

3. Definition and procedure of calculation of extensive parameters.

4. Definition and procedure of calculation of parameters an interrelation.

5. Definition and procedure of calculation of parameters of visualization.

6. Graphic representation of relative values.

 

Students should be able to:

         Theme ¹ 1 for Practical Class on Biostatistics and its value for the estimation of population’s health and activity of organs and establishments of health protection”

1. determine the basic criteria of statistical aggregate, which are used for the analysis of statistical data.

2. determine the ways of forming of general and selective aggregate.

3. define the unit of supervision on the example indexes of health, its registration signs.

         Theme ¹ 2 for Practical Class on Organization of statistical researches in the health protection system

1. formulate a research purpose.

2. determine the task of research.

3. determine the elements of plan: research method, research volume, time and place of conducting of research.

4. form a selective statistical aggregate.

5. make the program of collection of material (supervision).

6. prepare the program of development of material.

7. conduct enciphering of statistical material.

8. build and fill different types of tables.

         Theme ¹ for Practical Class on Relative values

1. To calculate intensive parameters.

2. To calculate extensive parameters.

3. To calculate parameters of visualization.

4. To calculate parameters of correlation.

 

Correct answers on tests and situational tasks:

Correct answers of test evaluations and situational tasks for Practical Class on Biostatistics and its value for the estimation of population’s health and activity of organs and establishments of health protection”:

1. Å.  2. A.  3. B.  4. Å.  5. D.

Correct answers of test evaluations and situational tasks for Practical Class on Organization of statistical researches in the health protection system”:

1. Å.  2. A.  3. D.  4. D.  5. Å.

Correct answers of test evaluations and situational tasks for Practical Class on Relative values”:

1. Ñ.  2. Å.  3. Ñ.  4. D.  5. Å.

 

References:

À – Basic:

1.    Holyachenko, A. Shulhai, O. Nykytyuk. Social medicine and health protection organizations. – Ternopil, “Ukrmedknyga”, 2004. – 171 p.

2.    A. Indrayan. Medical Biostatistics, Third Edition. Chapman & Hall/CRC Press, 2012. 1008 p.

3.    Fundamentals of Biostatistics (7th Edition). English, 2010. 891 p.

4.    Michael J. Campbell, David Machin, Stephen J. Walters. Medical Statistics: A Textbook for the Health Sciences, 4th Edition. Paperback, 2006. 344 p.

5.    Frank Emmert-Streib and Matthias Dehmer. Medical Biostatistics for Complex Diseases". – Wiley-Blackwell, 2010. – 412 p.

6.    Michael R. Chernick. The Essentials of Biostatistics for Physicians, Nurses, and Clinicians. Wiley, 2011. 538 p.

7.    Practical classes materials.

8.    Lecture materials.

 – Additional:

1.    Shein-Chung Chow. Controversial Statistical Issues in Clinical Trials (Chapman & Hall/CRC Biostatistics Series). Chapman and Hall/CRC, 2011. 611 p.

2.    Peter Armitage, Theodore Colton. Encyclopedia of Biostatistics: 8-Volume. John Wiley & Sons, 2005. 6100 p.

3.    Gerald van Belle, Patrick J. Heagerty. Biostatistics: A Methodology for the Health Sciences (Wiley Series in Probability and Statistics). Wiley-Interscience; 2 edition, English, 2004. 888 p.

4.    Riccardo Rizzo. Computational Intelligence Methods for Bioinformatics and Biostatistics: 7th International Meeting. Palermo, Italy, CIBIB, 2011. ­ 301 p.

5.    Robert C. Elston, William Johnson. Basic Biostatistics for Geneticists and Epidemiologists: A Practical Approach. Wiley, 2008. 384 p.

6.    Steve Selvin. Survival Analysis for Epidemiologic and Medical Research (Practical Guides to Biostatistics and Epidemiology) Cambridge University Press, 2008. 296 p.

 

 

 

 

 

Methodical instruction has been worked out by:                                            Assoc.Prof. Panchyshyn N.Y.

 

 

 

 

Methodical instruction was discussed and adopted at the Department sitting

____on August, 27th___2013. Minute ¹ __1_

Methodical instruction was adopted and reviewed at the Department sitting

___________________20__. Minute ¹ ____