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BIOSTATISTICS
AND
RESEARCH METHODOLOGY
For B.Pharma Degree Eighth Semester Programmes of ALL INDIAN UNIVERSITIES
As Per the Latest Syllabus of Pharmacy Council of India (PCI)
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NJAB ENGIN
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NEWAGEPCISERIES
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ISBN: 978-81-224-4991-4 ISBN: 978-81-943696-4-6 ISBN: 978-93-89802-37-5 ISBN: 978-93-89802-11-5 ISBN: 978-93-89802-33-7
Pages: 240 MRP: 299.00 Pages: 200 MRP: 250.00 Pages: 240 MRP: 325.00 Pages: 136 MRP: 199.00 Pages: 120 MRP: 225.00
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BIOSTATISTICS AND
RESEARCH METHODOLOGY
For B.Pharma Degree Eighth Semester Programmes of ALL INDIAN UNIVERSITIES
As Per the Latest Syllabus of Pharmacy Council of India (PCI)
DEEKSHA SHARMA
Research Scholar
Department of Pharmacology
All India Institute of Medical Sciences
New Delhi
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From decades, research grabs a specific interest worldwide in various fields. Every year
several research studies are accomplished their objectives but will be of little attention
of the other dimension that is research methodology. It provides a great deal to the
researchers and students for the understanding of good quality of research.
This textbook dealing with the various aspects of Biostatistics and Research
Methodology. It covers syllabus of B.Pharm (Bachelor of pharmacy) course prescribed
by PCI (Pharmacy Council of India) and will assist in the accomplishment of research
studies with effective methodology and analyzing the results using appropriate
biostatistical methods for better understanding.
Regarding the scope, this book will help to understand the applications of
biostatistics in Pharmacy. In general, this subject deals with descriptive statistics,
graphics, correlation, regression, probability, sampling technique parametric and non-
parametric tests, ANOVA and introduction to design of experiment. In addition, this
also comprises the statistical software’s for analyzing the data.
The book has been written with two lucid objectives: (i) upon completion of this
course the student shall be able to understand the statistical techniques to solve statistical
problems. (ii) To know the operation of MS. Excel, SPSS, R and MINITAB and DoE.
The organization of this book is according to PCI syllabus of B. Pharm. This book
comprises of five units, consists of 17 chapters in well-arranged manner. Chapter one
covers introduction of statistics, biostatistics and frequency distribution. Chapter
two explains the measure of central tendency followed by the explanation of mean,
median, mode. Chapter three covers the measure of dispersion followed by the range
and standard deviation. Chapter four explains the correlation with the detail of Karl
Pearson’s coefficient and multiple correlations.
Chapter five presents the details of regression with curve fitting and different
type of regression. Chapter six describe the probability followed by different types of
distribution and properties. Chapter seven deals with sample population along with
the Null hypothesis, alternative hypothesis, essence of sampling, Type I error and
Type II error and standard error of mean. Chapter eight and chapter nine exclusively
explain the several parametric tests and non-parametric tests respectively. Chapter
ten is an introduction to research, presenting the need for research, need for design
(v)
experiment, experiential design and plagiarism. Chapter eleven covers the different
type of graphs including histogram, pie chart, cubic graph, response surface plot and
counter plot graph.
In chapter twelve, sample size determination, power of study, report writing, cohort
and observation studies have been explained. Chapter thirteen gives the knowledge
of blocking and confounding system for two level factorials along with regression
modeling in chapter fourteen. Chapter fifteen has been devoted to the introduction to the
practical components of industrial and clinical trial problems. it comprises the statistical
analysis using Excel, SPSS, MINITAB, design of experiments and R online software’s.
Chapter sixteen covers the design and analysis of experiment with the detail of Factorial
design. The last chapter, seventeen deals with the response surface methodology and
provide the detail of the central composite design and optimization technique.
An attempt has been made to present a complete text for undergraduate students of
pharmacy students as per the latest Pharmacy Council of India syllabus requirement by
various Universities of India. But still, we feel that there is a much scope for improvement
and addition in this rapidly changing field. Helpful criticism and suggestions from the
readers are welcome.
Thanks are due to Mr. Saumya Gupta, Managing Director, Mr. Vipin Nautiyal and
Mr. Ajay Sharma, New Age International (P) Ltd., New Delhi for their keen interest
and attention in bringing out this book in its present form.
Further, We would like to express our gratitude and indebtedness to all our family
members for their sacrifice, affection and inspiration throughout the present work.
Surender Singh
Deeksha Sharma
Preface (v)
Syllabus (vii)
1. Introduction 3–6
1.1 Statistics 3
1.2 Biostatistics 4
1.3 Frequency Distribution 4
Suggestive Questions 6
2. Measures of Central Tendency 7–18
2.1 Mean 7
2.2 Median 13
2.3 Mode 15
Suggestive Questions 18
3. Measures of Dispersion 19–22
3.1 Dispersion 19
3.2 Standard Deviation 20
3.3 Range 22
Suggestive Questions 22
4. Correlation 23–28
4.1 Definition 23
4.2 Karl Pearson’s Coefficient of Correlation 24
4.3 Pearson’s Product Moment Correlation 25
Suggestive Questions 28
(ix)
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x Biostatistics and Research Methodology
5. Regression 31–35
5.1 Curve Fitting by the Method of Least Squares 31
5.2 Simple Regression 32
5.3 Fitting the Lines y = a + bx and x = a + by 32
5.4 Multiple Regressions 33
5.5 Standard Error of Regression 34
Suggestive Questions 35
6. Probability 36–39
6.1 Definition of Probability 36
6.2 Binomial Distribution 38
6.3 Poisson’s Distribution 38
Suggestive Questions 39
7. Sampling 40–53
7.1 Properties–Problems Sample 41
7.2 Collection of Data–Population, Large and Small Sample 43
7.3 Types of Data 47
7.4 Hypothesis Testing—Null Hypothesis and Alternate Hypothesis 49
7.5 The Level of Significance 51
7.6 Error-I and Error-II Type 52
7.7 Standard Error of Mean (SEM) 52
Suggestive Questions 53
Index 159–161
1.1 STATISTICS
Statistics involves activities like planning a survey, or an experiment; collection,
summarization, and analysis of data; interpretation and presentation of results in a
convincing format; and utilising this information in taking decisions that entail least
error. Statistics tool is useful in research studies containing large volume of raw data,
to simplify and provide easy access to understanding the research. Initially the data
can be generalized in small groups that are called samples to populations. Majorly two
types of Statistics are used to analyse data:
1. Descriptive statistics
2. Inferential statistics
Descriptive statistics provides the summarization and features of specific data
which can be either a representation of the total or a sample of a population. Descriptive
statistics put apart into measures of central tendency (including mean, median,
mode) and Measures of variability (including the standard deviation and variance).
Whereas Inferential statistics are concerned with testing the statistical hypotheses and
estimation of population parameters.
Research studies or clinical trials/ surveys are used to sum up by important statistical
measures such as:
(a) Measures of central tendency: Further, the important parts of measures of central
tendency are the arithmetic average or mean, median and mode. Geometric mean and
harmonic mean are also used in some given data.
(b) Measures of dispersion: Variance and Standard deviation are the common
measures whereas mean deviation, range, Coefficient of variation/ Standard deviation
is also used as measures of dispersion.
(c) Measures of asymmetry (skewness): The most common measure of skewness is
based on mean and mode or on mean and median whereas other measures of skewness
are based on quartiles or on the methods of moments. Kurtosis is also used to measure
the frequency distribution.
(d) Measures of relationship: Karl Pearson’s coefficient of correlation and Yule’s
coefficient of association is very often used measure in case of statistics of variables and
statistics of attributes respectively. Multiple correlation coefficients, partial correlation
coefficient, regression analysis and many others are important measures used in research
studies.
3
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4 Biostatistics and Research Methodology
1.2 BIOSTATISTICS
Medicine is essentially an empirical science. It depends on observations and not on
theories. A prerequisite for any medical decision, be it for diagnosis, for treatment or for
prognosis, is that some information is available for the patient. Experience on previous
patients of that kind helps to arrive at a valid decision. Previous information and hence
medical data are necessary. All medical data are always subject to some degree of
variation. For example, decision regarding treatment regimen depends intensely on
data related to measurements such as blood glucose level, cholesterol level and blood
pressure. Normal levels of these parameters differ from person to person. Also, a
person of age 70 years with low haemoglobin level is treated differently than a person
with high haemoglobin level, or a person of age 50 years. As a result, uncertainties
are integral part of this process. In fact medicine is notorious for enormity of such
uncertainties. These easily throw any decision out of gear when proper care is not taken.
Consequently a separate discipline has grown to manage medical uncertainties. This
is called biostatistics.
The basic aim of research is to reach to a conclusion that can be extrapolated to
the future subjects. The research ought to be more systematic and more methodical so
that the results are believable. Because of this, it is all the more important in the case of
research so that uncertainties are properly managed.
Histogram: When the categories are quantitative and continuous, and the
presentation is for the number of cases in various categories as in table 1.1, the best
representation is by histogram. This uses contiguous bars as shown in figure 1.1a. The
blank space between 27 and 29 is not a gap but shows that there is no woman with
MCHC level in this category.
Polygon: The points plotted in figure 1.1b are in the middle of the class-intervals
and vertically at a height corresponding to the number of cases in that interval. Joining
of these points gives the polygon—more fully a frequency polygon. The first point is at
zero in interval 23-25 indicating no woman with this level, and similar is the last point
Frequency Curve: Since the variable MCHC on the horizontal axis in figure 1.1c is
actually continuous, it is possible to conceive that there are 100 or more class-intervals (in
place of existing seven) of extremely small width with MCHC measured very accurately
to several decimal places and that the number of subjects is several thousand in place
of the present 200. Then there will be some cases with level between 27 and 29 also. If
a polygon is redrawn in this situation, this will tend to take a shape of a curve. This is
called the frequency curve and depicts the long-term distribution of MCHC.
Gaussian Distribution
The frequency curve in figure 1.1c MCHC(%) data is not symmetrical. Left tail is slightly
longer than the right tail. Such a distribution of values is called left-skewed. If the
women are generally undernourished, the lower values would be quite common and
the distribution would be left-skewed.
Figure 1.2 a shows a left-skewed distribution of Hb level in under-nourished women.
If the women are well-nourished or in good health, maximum number may have Hb
around 14 g/dl, and there will be as many on the lower side as on the upper side. The
shape of the curve would be approximately symmetric as shown in figure 1.2(b).
SUGGESTIVE QUESTIONS
1. How do you differentiate between descriptive statistics and inferential statistics?
2. How biostatistics plays an important role in pharmacy?
3. Write short notes on:
(a) Measures of asymmetry (skewness)
(b) Measures of relationship
(c) Charles Spearman’s coefficient of correlation (or rank correlation).
4. Write a short note on frequency distribution.
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