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DIFFERENT TECHNIQUES IN RESEARCH AND SELECTION OF AN APPROPRIATE METHOD. DESCRIPTIVE STUDIES - FREQUENCY - NATURAL HISTORY - POSSIBLE DETERMINANTS (HYPOTHESIS) RELATIONSHIP BETWEEN 2 OR MORE VARIABLES NO COMPARISON GROUP NO ASSESSMENT OF ASSOCIATION.
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DIFFERENT TECHNIQUES IN RESEARCHANDSELECTION OF AN APPROPRIATE METHOD
DESCRIPTIVE STUDIES - FREQUENCY - NATURAL HISTORY - POSSIBLE DETERMINANTS (HYPOTHESIS) RELATIONSHIP BETWEEN 2 OR MORE VARIABLES NOCOMPARISON GROUP NO ASSESSMENT OF ASSOCIATION
CROSS-SECTIONAL STUDIES (SANP SHOT) FREQUENCY SURVEY PREVALENCE STUDY RECORD OUTCOME RECORD EXPOSURE ARTHRITIS >>> OBESITY? OBESITY >>> ARTHRITIS?
CASE-CONTROL STUDY THE OUTCOME RELATED TO THE EXPOSURE MISUNDERSTOOD BECAUSE OF THE DIRECTION RARE TAKE TIME TO DEVELOP
COHORT STUDIES WHAT IS A COHORT? TYPES OF COHORT? - CROSS-SECTIONAL - LONGITUDINAL - PROSPECTIVE - RETROSPECTIVE - COMBINED PROSPECTIVE-RETROSPECTIVE + EXPOSURE PRECEEDS OUTCOME + LESSER RECALL BIAS + INCIDENCE / RELATIVE RISK / ATTRIBUTABLE RISK -LONG DURATION -EXPENSIVE
R. C. T. RANDOMIZATION DELIBERATE PROCESS IT IS WHAT WE WANT NOT ANYTHING WE GET
REMEMBER… NOCOMPARISON GROUP NOASSESSMENT OF ASSOCIATION OUTCOME EXPOSURE OUTCOME related to PREVALENCE OF EXPOSURE ARTHRITIS >>> OBESITY OBESITY >>> ARTHRITIS
EVIDENCE FROM I LEAST ONE PROPERLY DESIGNED R. C. T. II-1 WELL-DESIGNED CONTROLLED TRIAL WITHOUT RANDIMIZATION II-2 WELL-DESIGNED COHORT /CASE-CONTROL STUDY (FROM > ONE RESEARCH) II-3 MULTIPLE TIME SERIES, WITH OR WITHOUT INTERVENTION OR CONTROLS III OPINIONS OF RESPECTED AUTHORIIES BASED ON EXPERIENCE, DESCRIPTIVE STUDIES, REPORTS, EXPERT COMMITTEES USPSTF
CASE STUDIES • CASE SERIES • OBSERVATIONAL STUDIES • ANALYTICAL STUDIES ECOLOGICAL / CORRELATIONAL CROSS-SECTIONAL / PREVALENCE CASE-CONTROL COHORT • EXPERIMENTAL R. C. T. FIELD TRIALS COMMUNITY TRIALS
OUTCOME MEASURES • RATE= EVENTS OCCURING PER UNIT TIME • RATIO= RELATIVE SIZE • PROPORTION= HOW MANY OUT OF HOW MANY
Q: RELATIONSHIP OF ASSOCIATION IS POSSIBLE WITH: A) DESCRIPTIVE STUDIES B) CROSS-SECTIONAL STUDIES C) CASE-CONTROL STUDIES
A: RELATIONSHIP OF ASSOCIATION IS POSSIBLE WITH: C) CASE-CONTROL STUDIES
Q: IT IS NOT POSSIBLE TO MAKE CONCLUSIONS FROM STUDIES THAT HAVE NO COMPARISON GROUP. TRUE FALSE
A: IT IS NOT POSSIBLE TO MAKE CONCLUSIONS FROM STUDIES THAT HAVE NO COMPARISON GROUP. FALSE
Q: Dr. GAUTAM ROY’S HYPOTHESIS: THE EARTH IS FLAT IS THAT A “GOOD” HYPOTHESIS? YES NO
A: Dr. GAUTAM ROY’S HYPOTHESIS: THE EARTH IS FLAT IS THAT A “GOOD” HYPOTHESIS? YES, IT IS!
Q: ASSESSMENT OF ASSOCIATION IS POSSIBLE WITH: A) DESCRIPTIVE STUDIES B) CROSS-SECTIONAL STUDIES C) COHORT STUDIES
A: ASSESSMENT OF ASSOCIATION IS POSSIBLE WITH: B) CROSS-SECTIONAL STUDIES
Q: CHOOSING THE LAST NUMBER FROM A WAD OF CURRENCY NOTES IN A WALLET IS A RANDOMIZED PROCESS. CORRECT NOT CORRECT
A: CHOOSING THE LAST NUMBER FROM A WAD OF CURRENCY NOTES IN A WALLET IS A RANDOMIZED PROCESS. NOT CORRECT
Q: Dr. Obgy AUSCULTATES ALL NEWBORNS IN THE LABOR ROOM AND RECORDS WHETHER V.S.D.+ OR V.S.D.– AT THE END OF ONE WEEK HE HAS SEEN 100 NEWBORNS OF WHICH 3 HAVE VSD.
Q: Dr. Obgy AUSCULTATES ALL NEWBORNS IN THE LABOR ROOM AND RECORDS WHETHER V.S.D.+ OR V.S.D.– AT THE END OF ONE WEEK HE HAS SEEN 100 NEWBORNS OF WHICH 3 HAVE VSD. IS THIS INCIDENCE? IS THIS PREVALENCE?
A: Dr. Obgy AUSCULTATES ALL NEWBORNS IN THE LABOR ROOM AND RECORDS V.S.D.+ OR V.S.D.– AT THE END OF ONE WEEK HE HAS SEEN 100 NEWBORNS OF WHICH 3 HAVE VSD. IT IS A PROPORTION
Q: IN A FACTORY, EVERY YEAR 4 MEN AND 6 WOMEN RESIGN FROM WORK. CALCULATE: RATE OF RESIGNATIONS RATIO OF MEN and WOMEN RESIGINING PROPORTION OF MEN and WOMEN RESIGING
A: IN A FACTORY, EVERY YEAR 4 MEN AND 6 WOMEN RESIGN FROM WORK. CALCULATE: RATE OF RESIGNATIONS = 10 PER YEAR RATIO OF MEN and WOMEN RESIGINING = 2:3 PROPORTION OF MEN and WOMEN RESIGING = CANNOT SAY
Q: DISTRIBUTING EARPLUGS TO ALL WORKERS IN A NOISY FACTORY IS AN EXAMPLE OF: NON-RANDIMIZED TRIAL FIELD TRIAL COMMUNITY TRIAL
A: DISTRIBUTING EARPLUGS TO ALL WORKERS IN A NOISY FACTORY IS AN EXAMPLE OF: COMMUNITY TRIAL