PROTEUS

              

 

 

 

 

 

 

PAGES [BACK to PROTEUS home page]    Back to CKHS100 MAIN PAGE     Outline     Research protocol

SPECIAL TOPICS:   Histograms/Central tendency    Sensitivity/Specificity   Rates   Critical review 

               Evaluation Research   Definitions    Designs  Sample size  Sample methods  Confounding 

 

CKHS-100: MAIN PAGE:   WEEKLY LOG AND PROGRESS

These pages are using an older technology (Microsoft FrontPage). This allows me to add more material very easily, and to edit and adapt as we go along. It also remains running between courses should anyone wish to return to find some notes or slides!

    Free research dictionary! Click on this link to download the entire 5th edition, Dictionary of Epidemiology:  

 NOTE: ADDITIONAL QUESTIONS FOR PRACTICE (AND SOLUTIONS) CAN BE FOUND HERE

BOOKLIST

  MAJOR TOPIC  NOTES, content details Materials Thumbnail sets of  Powerpoint slides, and other media links
SESSION

 1

 

DESIGN: OVERVIEW

 

 

IDENTIFYING VARIABLES AND

PLOTTING AND DISPLAYING DATA

 

 

 

CENTRAL TENDENCY

 

INTRODUCE RESEARCH DESIGN

 

Course Outline/objectives

 

* Participants' research experience - categorize

      and brief discussion on objectives, scope, process

 

 

1.  Pre-test sheet 1 page (Handout)

 

2.  Course Notes (Handout)

 

 

 

 

 

 

 

 

 

 

 

CASE STUDY: onset curves for analysis

 

 DEFINITIONS PAGE (Link)

 PP: 100_011 VARIABLES

 PP: 100_013 STUDY DESIGN

 PP: WHAT ARE THESE DESIGNS?

 PP: 100_017_EPICURVES

Variables, categories (Input/outcome,

       continuous/categorical)

Types of research:

*  Qualitative vs. Quantitative Domains

*  Experimental /intervention studies,

       randomized controlled trials (RTC)

*  Longitudinal observational studies: 

       Prospective Cohort study

       Retrospective Cohort study

       Case-Control stud

* Cross-sectional studies (surveys and one-time observational studies)

* Adv/Disadvantages of design types 

* Selection criteria, starting "groups" with each method; examples.  

Plotting Histograms, onset curves - case studies and interpretation.

METHODS REVIEW=============================

Plotting data, histograms, normal distribution, central tendency: mean, median, mode...)

SESSION

2

 

CENTRAL TENDENCY (contd)

 

 

 

 

QUIZ#1(10%) Issued

(take home): Central tendency/distributions and selecting controls  

 Standard Deviation calculation and interpretation

 

 Standard error of the mean

 

 Confidence limits, calc, & interpretation

 

* Controlling

            * during selection

            * during analysis

 

 

 

 

 

 

 

 

 

 CASE STUDY:  a CURIOUS OUTBREAK IN NEW YORK

 

 

 

 

 

 

 

 

 

 

 PP: 100_022_STD DEV

 

 

 

 PP: 100_-25_CONF_

        LIMITS

 

 

 

QUANTITATIVE METHODS REVIEW=======

(Standard deviation, confidence limits, "normal distribution", importance and characteristics)

SESSION

3

 

QUIZ#1 Due back

 

 DEFINING and selecting "CASES" & "CONTROLS"

 

 RATES & RATIOS

 

 WORKING WITH CONTINGENCY TABLES

 

QUIZ#2  Take home: Solving the outbreak using 2x2 tables

* Rates, Ratios & Measures

   Incidence/prevalence/duration

   Mortality rates  (Crude MR, Age-specific MR,

        Sex-specific MR, 

        Gender-specific MR,

        Case fatality rate (CFR),

        Proportionate MR,

        Standardized MR

 

______________________________________

QUANTITATIVE METHODS REVIEW

Risk Measures (Related Rates/true rel risk, Odds Ratio, attrib risk)

"Analytical" methods using 2x2 tables

 * Chi-Square Test,

 * Fishers Exact Test

 

 

 

 

 

 

 

 

 

PP: 100_038_RATES&RATIOS  

 

 

 PP: 100_039_ODDS RATIO AND REL RISK

 

 PP: 100_035_CHISQ&FET

 

 

SESSION

4

 

 

 

 

 

 

DIFFERENCES BETWEEN TWO MEANS

(T-TESTS)

 

 

 

  * Appropriate use of t tests

 

  * Distinction between paired and unpaired data

 

  * Examples and practice from published research

CASE STUDY:

 

 

 

 

 

t-test practice sheet

 

 

Case study: Eleven Blue men

 

 

PP: 100_044_t-test (UNPAIRED DATA)

 

PP: 100_045_t-test

(PAIRED DATA)

 

 

QUANTITATIVE METHODS REVIEW:

(comparing two means: t-tests)

SESSION

5

 

QUIZ#2:  Due.

 

 

*ANOVA - One way

 

research design considerations:  Experimental and quasi-experimental designs

 

 

 

 

 

 

 

 

CASE STUDY:  Glycols

MEGAPLATING to show bacterial evolution of resistance

 

PP. 100_056_Quasi-Exp.Study designs

PP: 100_058_ANOVA

 

QUIZ#3 issued:

 t-tests and ANOVA   

QUANTITATIVE METHODS REVIEW:  ANOVA)

SESSION

6

 

 

 BIVARIATE ANALYSIS:

CORRELATION AND REGRESSION

 

 

* Case definition

 

 

 

* Ensuring input and outcome accuracy when designing research

CASE STUDY:

 

Case studies: critical review of published research*

PP: REGRESSION

pp: CORRELATION

QUANTITATIVE METHODS REVIEW: CORRELATION & REGRESSION

SESSION

7

 

QUIZ#3  due 

 

 

SURVEY RESEARCH 1:

sample selection

Sample size

 

 

 

 

QUIZ#4  

Sample selection and sample size  

SURVEY RESEARCH METHODS

 

*  SAMPLING METHODS:  Random sampling, Sample unit, Sample frame, Sample fraction, Sample error, Sample interval

      Random error

      Systematic error

*  Sample selection methods for survey research

      Simple random sampling

      Stratified sampling

      Systematic sampling

      Cluster sampling

      Multistage sampling

 

SAMPLE SIZE calculations (1): The 'n' needed for reporting parameters with acceptable confidence (esp. survey research)

CASE STUDY:  (to be decided)

 

 

 

 

 

 

 

PP:SAMPLING METHODS

 

 

PP: Sample size

 

 

 PP_Nomogram for power analysis

 

 

SESSION

8

SURVEY RESEARCH 2

 

 

 

 

 

 

SAMPLE SIZE calculations (2): The 'n' needed to find the effect if it exists: The "Power Analysis"

         Use of nomogram for 'power' analysis

 

QUESTION-WRITING

 

QUESTIONNAIRE DESIGN

 

ADMINISTERING THE SURVEY

 

 

 

 

Nomogram sheet for power analysis

 

 

CASE STUDY: Environmental arsenic poisoning

CASE STUDY: CRITIQUE: Dakota health department outbreak of URI among youth. published in ProMed (Handout)

 

 

 

 

 

 

PP: Questionnaire design

 

 

 

SESSION

9

 

QUIZ#4  Due 

 

HEALTH RISK ASSESSMENT

AND

RISK COMMUNICATION

 

 

CONFOUNDING

QUIZ#5   (confounding)

* Sensitivity & Specificity

 

* Organizing and displaying data from the survey:  Getting from raw data to an informative table. 

 

 

* QUANTITATIVE METHODS REVIEW:

(CONFOUNDING VARIABLES: DETECTION AND CONTROLLING

 

CASE STUDY:

to be announced

 

PP: SENSITIVITY

        & SPECIFICITY 

 

  PP: CONFOUNDING VARIABLES  

SESSION

10

 

 

(Can submit during the coming week but returns and comments will be first-in, first-out)

 

 

 

 

 

 

 

 

INTRODUCTION TO

   Probabilistic risk assessment (PRA)

 

 

   Quantitative risk assessment (QRA)

 

CASE STUDY

 

 

 

PP: Introduction to use of TREES to calculate health risk

 

PP: Introduction to use of EPA 4-step model for Quantitative Risk Assessment (QRA)

SESSION

11

 

QUIZ#5    Due May 4

 

 

 

 

Suggested submission date for (written) Research design protocol

* CAUSATION AND BIAS

* MYTHS AND MISUNDERSTANDING

 

..............MENU for today...............

 

1. From data to published tables: guidelines for constructing useful tables

2. Intro to program evaluation research

3. Biases, myths, and false claims (Including cancer rates)

4. From Koch to Hill: criteria for attributing causation

5. The Baloney detection kit

6. Special look at Wakefield

7. Ethics and 'informed consent'

8. Placebo effects

9. Designing a study from end to begining

10. Seven steps for health-risk communication

* Hill's Criteria and example sheet

 

CASE STUDY: Investigation of keratoconjunctivitis

 

 

 

 

 

* CKHS100 Post-test sheet

PP: From raw data to completed table

PP: CONTROLLING

PP: HILL'S CRITERIA FOR ATTRIBUTING CAUSE 

 

 

PP: Bias & false Claims

 

 

 

 

SESSION

12

 

      PP: 100_054_Herd immunity

PP: Evaluative research

 

PP: 100_119_FACTS&FICTIONS

PP: 100_116_CRITICAL_REVIEW

 

 

 

Here are three perspectives on the Spanish Toxic Oil Syndrome (1981)

 

   Kilbourne et al. NEJM Dec. 8, 1983:1406    Reprint of original investigation report 

   Woffinden The Guardian, at. 25 August, 2001    One of the "conspiracy theory articles .

   Terracini, IJE, Vol.33,issue 3, 443-444 (2004)   An epidemiologist's assessment of the "balance of Evidence"