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CHAPTER FIVE
ELEMENTARY PROBABILITY
Introduction
• Probability: can be defined as a measure of the likelihood that a particular event
will occur or it is a science of decision making with calculated risk in face of
uncertainty.
• It is the measure of how likely an outcome is to occur.
• Probability theory: is the branch of mathematics that studies the possible.
• Most people express probabilities in terms of percentages.
• But, it is more convenient to express probabilities as fractions.
• It is always found between 0 and 1,inclusively.
 Closer the number is to one =>The more likely the event
 A probability of zero => An event that can't occur
 A probability of one => an event that is certain to occur.
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Definitions of some probability terms
Experiment: is any activity that generates
outcomes.
Outcome :The result of a single trial of a random
experiment
Example:
• The outcome of the sex of a newborn from a
mother in delivery room is either Male or female
• Tossing a coin two times
• Producing a new products
• Rolling a die once
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Definition of terms …Cont’d
Sample Space: The collection of all possible
outcomes of an experiment.
Example:
The sample space for the sex of newborns when two
mothers are in the gynecology ward to give birth
is:{MM, MF, FM, FF}
Tossing coin (Head, Tail)
Event: It is a subset of sample space.
Eg. From the above experiment, an event
consisting of at least one female is
E = {MF, FM, FF}
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 Elementary event (simple event): is a single possible
outcome of an experiment.
 Composite (compound) event: is an event having
two or more elementary events in it
 Equally Likely Events: Events which have the same
equal chance of occurrence.
 Mutually Exclusive Events: Two events which cannot
happen at the same time.
 Independent Events: Two events are independent if
the occurrence of one does not affect the probability of
Definitions terms…Cont’d
Basic notations of probability
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Counting rules
• In order to determine the number of outcomes, one
can use several rules of counting.
Addition rule
The multiplication rule
Permutation rule
Combination rule
Addition rule
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The Multiplication rule
 If a choice consists of k steps of which the first can be made in n1
ways, the second can be made in n2 ways…, the kth can be made
in nk ways. Suppose also that each way of doing procedure 2
may be followed by any way of doing procedure 1, then the
whole choice can be made in n1 * n2*…*nk ways
Example:
Distribution of Blood Types There are four blood types, A, B,
AB, and O. Blood can also be Rh+ and Rh-. Finally, a blood
donor can be classified as either male or female. How many
different ways can a donor have his or her blood labeled?
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Solution
Since there are 4 possibilities for blood type, 2 possibilities
for Rh factor, and 2 possibilities for the gender of the
donor, there are 4 2 2, or 16, different classification
categories, as shown.
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Permutation
• An arrangement of n objects in a specified order
Permutation Rules:
1. The number of permutations of n distinct objects taken all
together is n!
2. The arrangement of n objects in a specified order using r
objects at a time
3. The number of permutations of n objects in which k1 are alike
k2 are alike ---- etc is
n
k
n
k
k
k
n
P
*
...
*
!*
!
2
1

1
*
2
*
3
*
.....
*
)
2
(
*
)
1
(
*
! 

 n
n
n
n
 
1
=
1!
=
0!
definition
In
n!
=
!
0
!
!
! n
n
n
n
Pn
n 

)!
(
!
r
n
n
Pr
n


Thursday, November 16,
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Example:
1. Suppose we have a letters A,B, C, D
a. How many permutations are there taking all the four?
b. How many permutations are there two letters at a time?
2. How many different permutations can be made from the
letters in the word “STATISTICS ”?
Permutation…con’d
• Example 3: Jimma University Registrar Office wants to give identity
number for students by using 4 digits. The number should be
considered by the following numbers only: {0, 1, 2, 3, 4, 5, and 6}.
Hence, how many different ID Numbers could be given by the
Registrar?
a. Without repeating the number
b. With repetition of numbers
• Solution:- We have 7 possible numbers for 4 digits. But the
required number of digits for ID
number is 4. Hence n = 7 & r = 4
The possible number of id No. given for student without repeating
the number is
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Permutation…con’d
• a. The possible number of id No. given for student without repeating
the number is
7*6*5*4=840
b. The possible number of id No. given for student with repeating the
number is
7*7*7*7=2401
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1st digit 2nd digit 3rd digit 4th digit
7 6 5 4
1st digit 2nd digit 3rd digit 4th digit
7 7 7 7
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Combination rule
Selection of objects without regard to order is denoted by
Example:
1. In how many ways 5 patients be chosen out of 9 patients?
2. How many ways can a 5 injured persons be selected from 10
injured people in a certain car accident.
3. Among 15 pack drugs two of them are defectives. In how
many ways can a pharmacologist chose three of the pack drug for
inspection so that:
a) There is no restriction,
b) None of defective drug is included,
c) Only one of the defective drug is included,
d) Two of the defective drug is included.








r
n
or
Cr
n and is given by the formula: !
)!*
(
!
r
r
n
n
r
n










Approaches to measuring Probability
There are different conceptual approaches to the
study of probability theory. These are:
• The classical approach.
• Empirical probability approach.
• The axiomatic approach.
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The classical approach
This approach is used when:
Each outcome in a sample space is equally likely to
occur.
That is if an experiment has n equally likely
outcomes, then each possible outcome must have
probability of 1/n to occur.
Definition: If a random experiment with N equally likely
outcomes is conducted and out of these NA outcomes are
favorable to the event A, then the probability that event A
occur denoted is defined as:
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)
(
)
(
outcomes
.
)
(
S
n
A
n
of
number
Total
A
to
favourable
outcomes
of
No
N
N
A
P A



Example
1. A fair die is tossed once. What is the probability of
getting
a. Number 4? b) An odd number?
c. An even number? D. Number 8?
2. What is the probability of getting at least one female birth
from two pregnant mothers?
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Empirical probability
Is based on observations obtained from
experiments/a large number of trials or from
historical data
Example:
A medical doctor realized that out of 100,000
patients visited the hospital, there are 50 cancer
cases. What is the probability that a patient to be
examined will be positive for cancer?
P(+ve for cancer) = 50/100,000 = 0.0005
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Axiomatic Approach:
Axiomatic Approach:
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Conditional probability
Conditional Events: If the occurrence of one event has an
effect on the next occurrence of the other event then the
two events are conditional or dependent events.
The conditional probability of an event A given that B has
already occurred, denoted
0
)
(
,
)
(
)
(
)
|
( 

 B
P
B
P
B
A
P
B
A
P
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Example
1. Suppose in country X the chance that an infant lives to age
25 is 0.95, whereas the chance that he lives to age 65 is
0.75. For the latter, it is understood that to survive to age
65 means to survive both from birth to age 25 and from
age 25 to 65. What is the chance that a person 25 years of
age survives to age 65?
2. For a student enrolling at freshman at certain university
the probability is 0.25 that he/she will get scholarship and
0.75 that he/she will graduate. If the probability is 0.2 that
he/she will get scholarship and will also graduate. What is
the probability that a student who got a scholarship
graduate?
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1. What is the probability of left-handed given that
it is a male?
2. What is the probability of female given that they
were right-handed?
3. What is the probability of being left-handed?
P(LH | M) = 12/50 = 0.24
P(F| RH) = 42/80 = 0.525
P(LH) = 20/100 = 0.20
.
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Male Female Total
Right handed 38 42 80
Left handed 12 8 20
Total 50 50 100
Sensitivity
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By Yasin N.
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 Sensitivity is the probability that the test says
a person has the disease when in fact they
do have the disease.
 If you knew someone was SICK, what would
you want their test result to be?
 We call this sensitivity; The probability that a
sick individual will have a positive test.
 It is a measure of how likely it is for a test to
pick up the presence of a disease in a person
Data lay out.
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By Yasin N.
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
True Status of
Nature (S)
Test Result (T)
Positive (+) Negative (-)
Disease (+) a b
No disease(-) c d
Specificity
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By Yasin N.
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
Positive predictive value (PPV)
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By Yasin N.
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
Negative predictive value (NPV)
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By Yasin N.
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
Example:
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By Yasin N.
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 The following example is take from Statistical Methods
for the Social Sciences, 3rd edition. The data are
provided for the results from a screening test for HIV
that was performed on a group of 100,000 people.
 Then:
a. Compute Sensitivity and Specificity
b. Compute Positive and Negative predictive value
HIV Status Test Result
Positive (+) Negative (-)
Positive (+) 475 25
Negative (-) 4975 94525
Solution
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By Yasin N.
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
Solution(Cont.)
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By Yasin N.
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
Exercise
A test is used in 50 people with disease and 50 people without. These
are the results:
 Then:
a. Compute Sensitivity and Specificity
b. Compute Positive and Negative predictive value
Disease
+ -
Test
+ 48 3
- 2 47
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By Yasin N.
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Total probability rule
 Let A1, …AN be N mutually exclusive events, whose
union gives the sample space S. Hence the events A
constitute a partition of S. For any event B, a subset of S,
we have
 If A1,A2,…,An are mutually disjoint events with
P(Ai)≠0,(i=1,2,…,n), the for any arbitrary event B which is a
subset of S such that P(B)>0, we have
Bayes’ theorem
Example
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By Yasin N.
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 Suppose that it is known that a fraction 0.03 of
the people in a town have tuberculosis(TB). A
tuberculosis test is given with the following
properties : If the person does have TB, the test
will indicate it with a probability of 0.99. If he
does not have TB, then there is a probability
0.002 that the test will erroneously indicate that
he does. For one random selected person, the
test shows that he has TB. What is the probability
Example…Cont’d
 An insurance company issues life insurance policies in
three separate categories: Standard, Preferred, and Ultra-
preferred. Of the company’s policyholders, 50% are
standard,40% are preferred, and 10% are ultra-preferred.
Each standard policyholder has probability of 0 .010 of
dying in the next year, each preferred policyholder has
probability 0 .005 of dying in the next year, and each
ultra-preferred policyholder has probability 0 .001 of
dying in the next year.
a. What is the probability of “death in the next year”?
b. If a policyholder dies in the next year, What is the
probability that the deceased policyholder was ultra-
preferred?
11/16/2023 Introduction to Biostatistics 37
Solution: Let S , P , U denote the standard, preferred,
and ultra-preferred policyholders, and le t D denote the
event “dies in the next year”. We need to compute
 
( ) 0.1, ( ) 0.5, ( ) 0.4
=0 .001 (D|S) 0 .01, ( | ) 0 .00
D|U 5
P U P S P
P
P
and P P D P
  
 
a.              
| | |
P D P D U P U P D S P S P D P P P
  
0 .001*0.1 0.01*0.5 0.005*0.4 0.0071
   
b.
   
           
0 .001*0.1
0 .001*0.1+0.01*0.5+0.005
|
( | )
| | | *0.4
0.0001
0.01408451
0.0
=
071
P D U P U
P U D
P D U P U P D S P S P D P P P
 
 

11/16/2023 Introduction to Biostatistics 38
Random variable
and
Probability distribution
Chapter Six
Random Variable
• A random variable (r.v): is a variable whose value are is
determined by chance.
Example:
1. In the experiment of tossing a coin three times, let we define
the random variable X as number of heads. What is the possible
values of r. v X?
2. Let a pair of fair dice be tossed and let X denotes the sum of the
points obtained. What is the possible value of X?
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Types of Random Variable
Discrete random variable: are variables which can
assume only a specific number of values. They
have values that can be counted.
• Examples:
1.Dead/alive
2.Number of car accidents per week.
3.Number of patients.
4.Number of bacteria per two cubic centimeter of water.
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Continuous random variable: are variables that
can assume all values between any two given
values.
Examples:
1.weight of patients at hospital.
2. blood pressure
3.Life time of light bulbs.
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Probability distribution
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Probability distribution of discrete random variable
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Expected and variance of discrete r.v.
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Probability distribution of continuous r.v.
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Expected and variance of discrete r.v
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Example
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Common Discrete probability distributions
•Binomial Distribution
•Poisson Distribution
Common Continuous Probability Distributions
•Normal Distribution
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Binomial Distribution
A binomial experiment is a probability experiment
that satisfies the following requirements called
assumptions of a binomial distribution.
• There is only two outcomes in Bernoulli trials
(success or failure)
• Fixed number of trials (n) i.e. n should be discrete
• At each trial the probability of success (p) remains
the same
• n trials are independent.
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Binomial Distribution……
• The binomial distribution is given by the probability mass
function ( pmf)
• In the formula, n= number of trials
x= number of successes in a trial
n-x = number of failures in a trial
p = probability of success (= x/n)
q = 1 - p = probability of failure
The parameters of the binomial distribution are n and p
Thursday, November 16,
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n
x
q
p
x
n
x
X
P x
n
x
,....,
2
,
1
,
0
,
)
( 









 
( )
E X np
  
2
var( ) (1 )
X np p
   
51
Binomial Distribution…..
• Examples
• Tossing a coin 20 times to see how many tails
occur.
• Asking 200 people if they watch BBC news.
• Asking 100 people if they favor the ruling party.
• Rolling a die to see if a 5 appears.
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Example (Binomial ..)
Example 1: Five fair coins are tossed. Find the probability of
obtaining
a. No heads
b. At least four heads
c. At most 2 heads
d. Exactly 2 heads
Example 2:A given mid-exam contains 10 multiple choice
questions, and each question has four alternatives with one exact
answer. Find the probability that the student exactly answered
a. 3 questions c. At least 3 questions
b. 8 questions
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Thursday, November 16,
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Example (Binomial ..)
Suppose that in a certain malarias area past experience
indicates that the probability of a person with a high
fever will be positive for malaria is 0.7. Consider 3
randomly selected patients (with high fever) in that same
area.
a) What is the probability that no patient will be positive
for malaria?
b) What is the probability that exactly one patient will be
positive for malaria?
c) What is the probability that exactly two of the patients
will be positive for malaria?
d) What is the probability that all patients will be positive
for malaria?
54
The Poisson Probability
Distribution
• The passion distribution is also
used to represent the probability
distribution of a discrete random
variable.
• It is employed in describing random
events that occurs rarely over a
continuum of time or space
• Example
- Number of misprinting
- Natural disasters like earth quake , accident
- No of telephone calls per hour
- No of car accident occurs per week
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The Poisson Distribution of the random variable X.
!
)
(
x
e
x
P
x 
 

 = mean number of occurrences in the
given unit of time, area, volume, etc.
 e = 2.71828….
 Mean µ = , variance: 2 =
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Example
1. In a hospital, the average number of new born female
baby in every 24 hours is 7. what is the probability that
a. No female babies are born in a day
b. Only three females babies are born per day
c. 2 female babies are born in 12 hours
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Continuous Probability Distributions
The Normal distribution
♣ The Normal Distribution is by far the most important
probability distribution in statistics.
♣ The normal distribution is a theoretical, continuous
probability distribution whose equation is:
for - < x < +
2
2
1
-
e
2
1
f(x)





 
 



x
59
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Characteristics of the Normal Distribution
♣ It is a probability distribution of a continuous variable. It extends
from minus infinity( -) to plus infinity (+).
♣ It is unimodal, bell-shaped and symmetrical about x =.
♣ The mean, the median and mode are all equal
♣ The total area under the curve above the x-axis is one square
unit.
♣ The curve never touches the x-axis.
♣ It is determined by two quantities: its mean (  ) and SD (  )
♣ An observation from a normal distribution can be related to a
standard normal distribution (SND) which has a published
table.
60
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Properties of Normal Distribution
• The normal Distribution is a family of
Bell-shaped and symmetric distributions as the
allocation is symmetric: one-half (.50 or 50%) lies on
either side of the mean.
Each is characterized by a different pair of mean, ,
and variance,  . That is: [X~N()]. 61
Thursday, November 16,
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Standard normal distribution
♣ Since the values of  and  will depend on the particular
problem in hand and tables of the normal distribution
cannot be published for all values of  and ,
calculations are made by referring to the standard normal
distribution which has  = 0 and  = 1.
♣ Thus an observation x from a normal distribution with
mean  and standard deviation  can be related to a
Standard normal distribution by calculating :
SND = Z = (x -  )

62
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Properties of the Standard Normal Distribution:
Same as a normal distribution, but also...
• Mean is zero
• Variance is one
• Standard Deviation is one
• Areas under the standard normal distribution curve
have been tabulated in various ways.
• The most common ones are the areas between Z=
0 and a positive value of Z
63
The standard normal random variable, Z, is the normal random
variable with mean  = 0 and standard deviation  = 1: Z~N(0,12).
5
4
3
2
1
0
- 1
- 2
- 3
- 4
- 5
0 .4
0 .3
0 .2
0 .1
0 .0
Z
f
(
z
)
Standard Normal Distribution
 = 0
=1
{
The Standard Normal Distribution
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64
Thursday, November 16,
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• Given a normal distributed random variable X
with Mean μ and standard deviation σ
)
(
)
(





 







b
X
a
P
b
X
a
P
)
(
)
(



 






b
Z
a
P
b
X
a
P
65
Thursday, November 16,
2023
Examples
1. Find the area under the standard normal
distribution which lies
a. Between
b. Between
c. To the right of
d. Between
96
.
0
0 
 Z
and
Z
0
45
.
1 

 Z
and
Z
35
.
0


Z
75
.
0
67
.
0 

 Z
and
Z
66
Thursday, November 16,
2023
• Solutions
• a.
• b.
• c.
• d.
3315
.
0
)
96
.
0
0
( 


 Z
P
Area
4265
.
0
)
45
.
1
0
(
)
0
45
.
1
(








Z
P
Z
P
Area
6368
.
0
50
.
0
1368
.
0
)
0
(
)
35
.
0
0
(
)
0
(
)
0
35
.
0
(
)
35
.
0
(

















Z
P
Z
P
Z
P
Z
P
Z
P
Area
5220
.
0
2734
.
0
2486
.
0
)
75
.
0
0
(
)
67
.
0
0
(
)
75
.
0
0
(
)
0
67
.
0
(
)
75
.
0
67
.
0
(




















Z
P
Z
P
Z
P
Z
P
Z
P
Area
67
z .00 .01 .02 .03 .04 .05 .06 .07 .08 .09
0.0 0.0000 0.0040 0.0080 0.0120 0.0160 0.0199 0.0239 0.0279 0.0319 0.0359
0.1 0.0398 0.0438 0.0478 0.0517 0.0557 0.0596 0.0636 0.0675 0.0714 0.0753
0.2 0.0793 0.0832 0.0871 0.0910 0.0948 0.0987 0.1026 0.1064 0.1103 0.1141
0.3 0.1179 0.1217 0.1255 0.1293 0.1331 0.1368 0.1406 0.1443 0.1480 0.1517
0.4 0.1554 0.1591 0.1628 0.1664 0.1700 0.1736 0.1772 0.1808 0.1844 0.1879
0.5 0.1915 0.1950 0.1985 0.2019 0.2054 0.2088 0.2123 0.2157 0.2190 0.2224
0.6 0.2257 0.2291 0.2324 0.2357 0.2389 0.2422 0.2454 0.2486 0.2517 0.2549
0.7 0.2580 0.2611 0.2642 0.2673 0.2704 0.2734 0.2764 0.2794 0.2823 0.2852
0.8 0.2881 0.2910 0.2939 0.2967 0.2995 0.3023 0.3051 0.3078 0.3106 0.3133
0.9 0.3159 0.3186 0.3212 0.3238 0.3264 0.3289 0.3315 0.3340 0.3365 0.3389
1.0 0.3413 0.3438 0.3461 0.3485 0.3508 0.3531 0.3554 0.3577 0.3599 0.3621
1.1 0.3643 0.3665 0.3686 0.3708 0.3729 0.3749 0.3770 0.3790 0.3810 0.3830
1.2 0.3849 0.3869 0.3888 0.3907 0.3925 0.3944 0.3962 0.3980 0.3997 0.4015
1.3 0.4032 0.4049 0.4066 0.4082 0.4099 0.4115 0.4131 0.4147 0.4162 0.4177
1.4 0.4192 0.4207 0.4222 0.4236 0.4251 0.4265 0.4279 0.4292 0.4306 0.4319
1.5 0.4332 0.4345 0.4357 0.4370 0.4382 0.4394 0.4406 0.4418 0.4429 0.4441
1.6 0.4452 0.4463 0.4474 0.4484 0.4495 0.4505 0.4515 0.4525 0.4535 0.4545
1.7 0.4554 0.4564 0.4573 0.4582 0.4591 0.4599 0.4608 0.4616 0.4625 0.4633
1.8 0.4641 0.4649 0.4656 0.4664 0.4671 0.4678 0.4686 0.4693 0.4699 0.4706
1.9 0.4713 0.4719 0.4726 0.4732 0.4738 0.4744 0.4750 0.4756 0.4761 0.4767
2.0 0.4772 0.4778 0.4783 0.4788 0.4793 0.4798 0.4803 0.4808 0.4812 0.4817
2.1 0.4821 0.4826 0.4830 0.4834 0.4838 0.4842 0.4846 0.4850 0.4854 0.4857
2.2 0.4861 0.4864 0.4868 0.4871 0.4875 0.4878 0.4881 0.4884 0.4887 0.4890
2.3 0.4893 0.4896 0.4898 0.4901 0.4904 0.4906 0.4909 0.4911 0.4913 0.4916
2.4 0.4918 0.4920 0.4922 0.4925 0.4927 0.4929 0.4931 0.4932 0.4934 0.4936
2.5 0.4938 0.4940 0.4941 0.4943 0.4945 0.4946 0.4948 0.4949 0.4951 0.4952
2.6 0.4953 0.4955 0.4956 0.4957 0.4959 0.4960 0.4961 0.4962 0.4963 0.4964
2.7 0.4965 0.4966 0.4967 0.4968 0.4969 0.4970 0.4971 0.4972 0.4973 0.4974
2.8 0.4974 0.4975 0.4976 0.4977 0.4977 0.4978 0.4979 0.4979 0.4980 0.4981
2.9 0.4981 0.4982 0.4982 0.4983 0.4984 0.4984 0.4985 0.4985 0.4986 0.4986
3.0 0.4987 0.4987 0.4987 0.4988 0.4988 0.4989 0.4989 0.4989 0.4990 0.4990
5
4
3
2
1
0
-1
-2
-3
-4
-5
0.4
0.3
0.2
0.1
0.0
Z
f(
z
)
StandardNormal Distribution
1.56
{
Standard Normal Probabilities
Look in row labeled 1.5
and column labeled .06 to
find P(0  z  1.56) =
0.4406
Thursday, November 16,
2023
Finding Probabilities of the Standard Normal
Distribution: P(0 < Z < 1.56)
68
Example: A random variable X has a normal distribution
with mean 80 and standard deviation 4.8. What is the
probability that it will take a value
•Less than 87.2
•Greater than 76.4
•Between 81.2 and 86.0
Solution: 8
.
4
,
tan
,
80
, 
 
 deviation
dard
s
mean
with
normal
is
X
9332
.
0
4332
.
0
50
.
0
)
5
.
1
0
(
)
0
(
)
5
.
1
(
)
8
.
4
80
2
.
87
(
)
2
.
87
(
)
2
.
87
(


















Z
P
Z
P
Z
P
Z
P
X
P
X
P




a
Thursday, November 16,
2023
69
Thursday, November 16,
2023
Exercise: Diskin et al. studied common breath metabolites such
as ammonia, acetone, isoprene, ethanol and acetaldehyde
in five subjects over a period of 30 days. Each day, breath
samples were taken and analyzed in the early morning on
arrival at the laboratory. For subject A, a 27-year-old female,
the ammonia concentration in parts per billion (ppb)
followed a normal distribution over 30 days with mean 491
and standard deviation 119. What is the probability that on
a random day, the subject‘s ammonia concentration is
between 292 and 649 ppb?
70
Chapter-7
Sampling methods
and
Sample size estimation
Sampling
• Sampling: The process or method of sample selection from the
population.
• Reference population (or target population): the population of
interest to whom the researchers would like to make generalizations.
• Study population: the actual group in which the study is conducted
• Sampling unit: the ultimate unit to be sampled or the units on which
information will be collected: persons, housing units, etc.
• Sampling frame:-List of all the sampling units from which sample is
drawn.
. Thursday, November 16,
2023
72
Eg. The performance of freshman students in institution of health
science in JU,
Target population: All JU freshman students
Study population: All freshman students in institution of health
Sampling unit: selected freshman students in in institution of
health
Sampling frame: List of students in the registrar office.
Thursday, November 16,
2023
73
e.g. Researchers are interested to know about factors
associated with ART use among HIV/AIDS patients
attending JU referal hospital
Target population
= All HIV/AIDS
patients in the JU ref.H.
Study population
= All ART HIV/AIDS patients in
JU referral hospital
Sample units
=Selected HIV/AIDS HIV patients
Thursday, November 16,
2023
74
Exercise
Assessment of obstetric Fistula repair success
rate and associated factors in Jimma Town.
Prevalence of emergency contraceptive
utilization and associated factors among students
in Jimma University, 2015
Thursday, November 16,
2023
75
Sampling (Cont.)
• Errors in sample survey:
• There are two types of errors
– Sampling error: Is the discrepancy between the
population value and sample value.
• May arise due to in appropriate sampling
techniques applied
• Non sampling errors: are errors due to procedure bias
such as:
– Due to incorrect responses
– Measurement
– Errors at different stages in processing the data.
Thursday, November 16,
2023
76
Sampling (Cont.)
• Advantages of sampling approach over that of census are:-
• -Reduced cost
• Greater speed
• Greater accuracy
• More detailed information can be obtained
Thursday, November 16,
2023
77
Sampling cont …
To draw a sample from the total population, we
must consider the following questions:
1. What is the group of people (study
population) we are interested in from which
we want to draw a sample?
2. How many people do we need in our sample?
3. How will these people be selected?
Thursday, November 16,
2023
78
Types: probability and non-probability
– Probability
– Non-probability
• Probability sampling technique:
– Involves using random selection procedures to ensure that
each unit of the sample is chosen on the basis of chance.
– All units of the study population should have an equal, or at
least a known non-zero chance of being included in the
sample.
– Sample drawn in such a way that it is representative of the
population
Thursday, November 16,
2023
79
Probability sampling methods include:
– Simple random sampling
– Systematic sampling
– Stratified sampling
– Cluster sampling
Thursday, November 16,
2023
80
1. Simple random sampling
• Selecting required number of sampling units randomly
from list of all units
• Every item has equal chance of being selected
• Possible samples
If selection is without replacement
If selections is with replacement
• Random selection – Lottery method, table of random
numbers or using computer programs
 )
n
N C
n
N
Thursday, November 16,
2023
81
2. Systematic sampling
• A complete list of all elements within the population is
required.
• The procedure starts in determining the first element to be
included in the sample.
• Important if the reference population is
arranged in some order:
– Order of registration of patients
– Numerical number of house numbers
– Student’s registration books
.
int
,
, erval
sampling
n
N
k
size
sample
n
size
population
N 



Thursday, November 16,
2023
82
• Then the technique is to take the kth item from the
sampling frame.
Example: To select a sample of 100 students
from 2500, first calculate sampling
interval=2500/100=25. Then randomly select
select the first student and finally pick every
25th student
Thursday, November 16,
2023
83
3. Stratified sampling
• Used when the population structure consists distinct
subgroups/strata
• The population will be divided in to non-overlapping but
exhaustive groups called strata
• Simple random samples will be chosen from each stratum.
• It is applied if the population is between a group
heterogeneous with in a group homogeneous.
• Some of the criteria for dividing a population into strata are:
Sex (male, female); Age (under 18, 18 to 28, 29 to 39, etc);
Occupation and other…..
Thursday, November 16,
2023
84
Stratified Random Sample
Thursday, November 16,
2023
85
4. Cluster sampling
• The population is divided in to non-overlapping groups called
clusters.
• A simple random sample of groups or cluster of elements is
chosen and all the sampling units in the selected clusters will be
surveyed.
• Clusters are formed in a way that elements within a cluster are
heterogeneous between cluster are homogeneous
• All the study units in the selected clusters are included in the
study
• Used in geographically scattered areas where visiting dispersed
study units is time consuming and costly
• Example: a simple random sample of 5 villages from 30 villages
Thursday, November 16,
2023
86
Non Random Sampling or non-probability sampling.
• It is a sampling technique in which the choice of
individuals for a sample depends on the basis of
convenience, personal choice or interest.
• Examples:
–Judgment sampling.
–Convenience sampling
–Quota Sampling.
Thursday, November 16,
2023
87
non-probability sampling
• Judgment Sampling: The person taking the
sample has direct or indirect control over which
items are selected for the sample.
• Convenience Sampling: decision maker selects a
sample from the population in a manner that is
relatively easy and convenient
• Quota Sampling: The decision maker requires
the sample to contain a certain number of items
with a given characteristic
Thursday, November 16,
2023
88
Sample size estimation
Thursday, November 16,
2023
89
Sample size estimation
Sample size
Quantitative Qualitative
 
2
2
2
1
1
d
P
P
Z
no









S=standard deviation
d= margin of error
p=population proportion
d= margin of error
 
2
2
2
2
1
d
S
Z
no








Thursday, November 16,
2023
90
Sample size con..
If greater than 5%,the sample size must be
adjusted as follow:
N
n
n
n
/
1 0
0


N
n /
0
Thursday, November 16,
2023
91
End of CH.7
Thursday, November 16,
2023
92
Chapter Eight
Estimation and Hypothesis testing
Estimation
• Estimation: is the process of estimating the value of the parameter from
information obtained by using a sample..
Two types of estimations
• Point estimation: is a specific numerical value estimate of a parameter.
• The best point estimate of the population mean and proportion is the
sample mean and the sample proportion respectively
• Interval estimation: is an interval or range of values used to estimate
the population parameter.
• This estimate may contain the value of the parameter being estimated.
Thursday, November 16,
2023
94
Confidence interval
 Confidence interval for the population mean is
Thursday, November 16,
2023
95
.
Estimate Critical Value S E
 
2
( )
X SE
z

=
Thursday, November 16,
2023
96
Interval estimation of a population means

n
s
Z
X 
n
Z
X 

n
s
t
X 
Example
1. A physical therapist wished to estimate, with 99 percent confidence,
the mean maximal strength of a particular muscle in a certain group
of individuals. He is willing to assume that strength scores are
approximately normally distributed with a variance of 144. A sample
of 15 subjects who participated in the experiment yielded a mean of
84.3.
Ans: 84.3  2.58 (3.0984)= 76.3, 92.3
1. The mean reading speed of a random sample of 81 adults with long
sight problem is 325 words per minute. Find a 90% C.I. For the mean
reading speed of all adults (μ) if it is known that the standard
deviation for the sampled adults is 45 words per minute.
Ans: 325 ± (1.64 x 5 )=(316.8, 333.2)
Thursday, November 16,
2023
97
Example(Cont.)
Thursday, November 16,
2023
98
Example (cont.)
• The sponsor of a TV programmer targeted at the
children’s market wants to find out the average
amount of time children spend watching TV. A
random sample of 25 children indicated the
average time spent by these children watching
television per week to be 27.2 hours. From
previous experience, the population standard
deviation of the weekly extent of television
watched is known to be 8 hours. Construct a
95% confidence interval.
Thursday, November 16,
2023
99
Example
• A researcher found that in a sample of 591 patients admitted to
a psychiatric hospital, 204 admitted to using cannabis at least
once in their lifetime. We wish to construct a 95 percent C.I
for the proportion of lifetime cannabis users in the sampled
population of psychiatric hospital admissions.
Ans: 0.3452  0.0383  0.3069, 0.3835
Thursday, November 16,
2023
100
Hypothesis Testing
There are two types of hypothesis:
1. Null hypothesis:
• It is the hypothesis of equality or the hypothesis of no
difference.
• Usually denoted by H0.
2. Alternative hypothesis:
• It is the hypothesis available when the null hypothesis has to
be rejected.
• It is the hypothesis of difference.
Thursday, November 16,
2023
101
Types of errors:
Thursday, November 16,
2023
102
Decision
Reject H0 Don't reject H0
Truth
H0 Type I Error Right Decision
H1 Right Decision Type II Error
Steps for hypothesis testing
• State the null and alternative hypotheses.
• Choose a fixed significance level α.
• Choose an appropriate test statistic and establish the critical
region based on critical values.
• From the computed test statistic, reject Ho if the test statistic is
in the critical region. Otherwise, do not reject.
• Decision
• conclusions
Thursday, November 16,
2023
103
Example
• Assume that in a certain district the mean
systolic blood pressure of persons aged 20 to 40
is 130 mm Hg with a standard deviation of 10
mm Hg. A random sample of 64 persons aged 20
to 40 from village x of the same district has a
mean systolic blood pressure of 132 mm Hg.
Does the mean systolic blood pressure of the
dwellers of the village (aged 20 to 40) differ
from that of the inhabitants of the district (aged
20 to 40) in general, at a 5% Level of
significance?
Thursday, November 16,
2023
104
Example
• A physician claims that jogger’s maximal
volume oxygen uptake is lower than the
average of all adults , a sample of 15 joggers
has a mean of 38.6 ml/kg and a standard
deviation of 6 ml/kg. If the Average of all adults is
36.7 ml/kg, test the physician’s claim at α=0.01
• Test the hypotheses that the average height content of
containers of certain lubricant is 10 liters if the contents of
a random sample of 10 containers are 10.2, 9.7, 10.1, 10.3,
10.1, 9.8, 9.9, 10.4, 10.3, and 9.8 liters. Use the 0.01 level
of significance.
Thursday, November 16,
2023
105
Example
• Suppose a historical data show that the mean
prone resting systolic blood pressure (BP) for male
army aged 18-24 is 126. A sample of 87 recent
male army recruits in this age group shows a
mean prone resting systolic blood pressure of
128.46 with a standard deviation of 7. At α = 0.05,
does the recruits' mean BP exceed the historical
average of 126?
Thursday, November 16,
2023
106
Test of Association
• The chi-square procedure test is used to test the
hypothesis of independency of two attributes .For
instance we may be interested
• Whether the presence or absence of
hypertension is independent of smoking habit or
not.
• Whether the size of the family is independent of
the level of education attained by the mothers.
• Whether there is association between father and
son regarding boldness.
Thursday, November 16,
2023
107
Test of Association(cont.)
Thursday, November 16,
2023
108
 
  






 

r
i
c
j ij
ij
ij
cal
e
e
O
1 1
2
2 )
(

.
.
B
of
j
and
A
of
i
category
to
belong
that
frequency
Expected
e
B
of
j
and
A
of
i
category
to
belong
that
units
of
number
the
O
Where
ij
ij


n
C
R
e
j
i
ij
*

Example
• Random samples of 200 men was followed for the study
of weather there is association between Alcohol usage
and allergic therapy, the follow-up result is as follows;
Test the hypothesis that Allergic therapy is independent of
Alcohol usage of men (Use 5% level of significance)
Thursday, November 16,
2023
109
Allergic test Use Alcohol
Always Sometimes Never
Positive 14 37 32
Negative 31 59 27
Example
• Incidence of three types of malaria in three tropical
regions
Test whether there is no relationship between location
and type of malaria.
Thursday, November 16,
2023
110
Solution
Thursday, November 16,
2023
111
Thursday, November 16,
2023
112
End of
Ch.8

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Elementary Probability Concepts

  • 2. Introduction • Probability: can be defined as a measure of the likelihood that a particular event will occur or it is a science of decision making with calculated risk in face of uncertainty. • It is the measure of how likely an outcome is to occur. • Probability theory: is the branch of mathematics that studies the possible. • Most people express probabilities in terms of percentages. • But, it is more convenient to express probabilities as fractions. • It is always found between 0 and 1,inclusively.  Closer the number is to one =>The more likely the event  A probability of zero => An event that can't occur  A probability of one => an event that is certain to occur. Thursday, November 16, 2023 2
  • 3. Definitions of some probability terms Experiment: is any activity that generates outcomes. Outcome :The result of a single trial of a random experiment Example: • The outcome of the sex of a newborn from a mother in delivery room is either Male or female • Tossing a coin two times • Producing a new products • Rolling a die once Thursday, November 16, 2023 3
  • 4. Definition of terms …Cont’d Sample Space: The collection of all possible outcomes of an experiment. Example: The sample space for the sex of newborns when two mothers are in the gynecology ward to give birth is:{MM, MF, FM, FF} Tossing coin (Head, Tail) Event: It is a subset of sample space. Eg. From the above experiment, an event consisting of at least one female is E = {MF, FM, FF} Thursday, November 16, 2023 4
  • 5. Thursday, November 16, 2023 5  Elementary event (simple event): is a single possible outcome of an experiment.  Composite (compound) event: is an event having two or more elementary events in it  Equally Likely Events: Events which have the same equal chance of occurrence.  Mutually Exclusive Events: Two events which cannot happen at the same time.  Independent Events: Two events are independent if the occurrence of one does not affect the probability of Definitions terms…Cont’d
  • 6. Basic notations of probability Thursday, November 16, 2023 6
  • 7. Thursday, November 16, 2023 7 Counting rules • In order to determine the number of outcomes, one can use several rules of counting. Addition rule The multiplication rule Permutation rule Combination rule
  • 9. Thursday, November 16, 2023 9 The Multiplication rule  If a choice consists of k steps of which the first can be made in n1 ways, the second can be made in n2 ways…, the kth can be made in nk ways. Suppose also that each way of doing procedure 2 may be followed by any way of doing procedure 1, then the whole choice can be made in n1 * n2*…*nk ways Example: Distribution of Blood Types There are four blood types, A, B, AB, and O. Blood can also be Rh+ and Rh-. Finally, a blood donor can be classified as either male or female. How many different ways can a donor have his or her blood labeled?
  • 11. Solution Since there are 4 possibilities for blood type, 2 possibilities for Rh factor, and 2 possibilities for the gender of the donor, there are 4 2 2, or 16, different classification categories, as shown. Thursday, November 16, 2023 11
  • 12. Thursday, November 16, 2023 12 Permutation • An arrangement of n objects in a specified order Permutation Rules: 1. The number of permutations of n distinct objects taken all together is n! 2. The arrangement of n objects in a specified order using r objects at a time 3. The number of permutations of n objects in which k1 are alike k2 are alike ---- etc is n k n k k k n P * ... * !* ! 2 1  1 * 2 * 3 * ..... * ) 2 ( * ) 1 ( * !    n n n n   1 = 1! = 0! definition In n! = ! 0 ! ! ! n n n n Pn n   )! ( ! r n n Pr n  
  • 13. Thursday, November 16, 2023 13 Example: 1. Suppose we have a letters A,B, C, D a. How many permutations are there taking all the four? b. How many permutations are there two letters at a time? 2. How many different permutations can be made from the letters in the word “STATISTICS ”?
  • 14. Permutation…con’d • Example 3: Jimma University Registrar Office wants to give identity number for students by using 4 digits. The number should be considered by the following numbers only: {0, 1, 2, 3, 4, 5, and 6}. Hence, how many different ID Numbers could be given by the Registrar? a. Without repeating the number b. With repetition of numbers • Solution:- We have 7 possible numbers for 4 digits. But the required number of digits for ID number is 4. Hence n = 7 & r = 4 The possible number of id No. given for student without repeating the number is Thursday, November 16, 2023 14
  • 15. Permutation…con’d • a. The possible number of id No. given for student without repeating the number is 7*6*5*4=840 b. The possible number of id No. given for student with repeating the number is 7*7*7*7=2401 Thursday, November 16, 2023 15 1st digit 2nd digit 3rd digit 4th digit 7 6 5 4 1st digit 2nd digit 3rd digit 4th digit 7 7 7 7
  • 16. Thursday, November 16, 2023 16 Combination rule Selection of objects without regard to order is denoted by Example: 1. In how many ways 5 patients be chosen out of 9 patients? 2. How many ways can a 5 injured persons be selected from 10 injured people in a certain car accident. 3. Among 15 pack drugs two of them are defectives. In how many ways can a pharmacologist chose three of the pack drug for inspection so that: a) There is no restriction, b) None of defective drug is included, c) Only one of the defective drug is included, d) Two of the defective drug is included.         r n or Cr n and is given by the formula: ! )!* ( ! r r n n r n          
  • 17. Approaches to measuring Probability There are different conceptual approaches to the study of probability theory. These are: • The classical approach. • Empirical probability approach. • The axiomatic approach. Thursday, November 16, 2023 17
  • 18. The classical approach This approach is used when: Each outcome in a sample space is equally likely to occur. That is if an experiment has n equally likely outcomes, then each possible outcome must have probability of 1/n to occur. Definition: If a random experiment with N equally likely outcomes is conducted and out of these NA outcomes are favorable to the event A, then the probability that event A occur denoted is defined as: Thursday, November 16, 2023 18 ) ( ) ( outcomes . ) ( S n A n of number Total A to favourable outcomes of No N N A P A   
  • 19. Example 1. A fair die is tossed once. What is the probability of getting a. Number 4? b) An odd number? c. An even number? D. Number 8? 2. What is the probability of getting at least one female birth from two pregnant mothers? Thursday, November 16, 2023 19
  • 20. Empirical probability Is based on observations obtained from experiments/a large number of trials or from historical data Example: A medical doctor realized that out of 100,000 patients visited the hospital, there are 50 cancer cases. What is the probability that a patient to be examined will be positive for cancer? P(+ve for cancer) = 50/100,000 = 0.0005 Thursday, November 16, 2023 20
  • 22. Conditional probability Conditional Events: If the occurrence of one event has an effect on the next occurrence of the other event then the two events are conditional or dependent events. The conditional probability of an event A given that B has already occurred, denoted 0 ) ( , ) ( ) ( ) | (    B P B P B A P B A P Thursday, November 16, 2023 22
  • 23. Example 1. Suppose in country X the chance that an infant lives to age 25 is 0.95, whereas the chance that he lives to age 65 is 0.75. For the latter, it is understood that to survive to age 65 means to survive both from birth to age 25 and from age 25 to 65. What is the chance that a person 25 years of age survives to age 65? 2. For a student enrolling at freshman at certain university the probability is 0.25 that he/she will get scholarship and 0.75 that he/she will graduate. If the probability is 0.2 that he/she will get scholarship and will also graduate. What is the probability that a student who got a scholarship graduate? Thursday, November 16, 2023 23
  • 24. 1. What is the probability of left-handed given that it is a male? 2. What is the probability of female given that they were right-handed? 3. What is the probability of being left-handed? P(LH | M) = 12/50 = 0.24 P(F| RH) = 42/80 = 0.525 P(LH) = 20/100 = 0.20 . Thursday, November 16, 2023 24 Male Female Total Right handed 38 42 80 Left handed 12 8 20 Total 50 50 100
  • 25. Sensitivity Thursday, November 16, 2023 By Yasin N. 25  Sensitivity is the probability that the test says a person has the disease when in fact they do have the disease.  If you knew someone was SICK, what would you want their test result to be?  We call this sensitivity; The probability that a sick individual will have a positive test.  It is a measure of how likely it is for a test to pick up the presence of a disease in a person
  • 26. Data lay out. Thursday, November 16, 2023 By Yasin N. 26  True Status of Nature (S) Test Result (T) Positive (+) Negative (-) Disease (+) a b No disease(-) c d
  • 28. Positive predictive value (PPV) Thursday, November 16, 2023 By Yasin N. 28 
  • 29. Negative predictive value (NPV) Thursday, November 16, 2023 By Yasin N. 29 
  • 30. Example: Thursday, November 16, 2023 By Yasin N. 30  The following example is take from Statistical Methods for the Social Sciences, 3rd edition. The data are provided for the results from a screening test for HIV that was performed on a group of 100,000 people.  Then: a. Compute Sensitivity and Specificity b. Compute Positive and Negative predictive value HIV Status Test Result Positive (+) Negative (-) Positive (+) 475 25 Negative (-) 4975 94525
  • 33. Exercise A test is used in 50 people with disease and 50 people without. These are the results:  Then: a. Compute Sensitivity and Specificity b. Compute Positive and Negative predictive value Disease + - Test + 48 3 - 2 47 Thursday, November 16, 2023 By Yasin N. 33
  • 34. Total probability rule  Let A1, …AN be N mutually exclusive events, whose union gives the sample space S. Hence the events A constitute a partition of S. For any event B, a subset of S, we have
  • 35.  If A1,A2,…,An are mutually disjoint events with P(Ai)≠0,(i=1,2,…,n), the for any arbitrary event B which is a subset of S such that P(B)>0, we have Bayes’ theorem
  • 36. Example Thursday, November 16, 2023 By Yasin N. 36  Suppose that it is known that a fraction 0.03 of the people in a town have tuberculosis(TB). A tuberculosis test is given with the following properties : If the person does have TB, the test will indicate it with a probability of 0.99. If he does not have TB, then there is a probability 0.002 that the test will erroneously indicate that he does. For one random selected person, the test shows that he has TB. What is the probability
  • 37. Example…Cont’d  An insurance company issues life insurance policies in three separate categories: Standard, Preferred, and Ultra- preferred. Of the company’s policyholders, 50% are standard,40% are preferred, and 10% are ultra-preferred. Each standard policyholder has probability of 0 .010 of dying in the next year, each preferred policyholder has probability 0 .005 of dying in the next year, and each ultra-preferred policyholder has probability 0 .001 of dying in the next year. a. What is the probability of “death in the next year”? b. If a policyholder dies in the next year, What is the probability that the deceased policyholder was ultra- preferred? 11/16/2023 Introduction to Biostatistics 37
  • 38. Solution: Let S , P , U denote the standard, preferred, and ultra-preferred policyholders, and le t D denote the event “dies in the next year”. We need to compute   ( ) 0.1, ( ) 0.5, ( ) 0.4 =0 .001 (D|S) 0 .01, ( | ) 0 .00 D|U 5 P U P S P P P and P P D P      a.               | | | P D P D U P U P D S P S P D P P P    0 .001*0.1 0.01*0.5 0.005*0.4 0.0071     b.                 0 .001*0.1 0 .001*0.1+0.01*0.5+0.005 | ( | ) | | | *0.4 0.0001 0.01408451 0.0 = 071 P D U P U P U D P D U P U P D S P S P D P P P      11/16/2023 Introduction to Biostatistics 38
  • 40. Random Variable • A random variable (r.v): is a variable whose value are is determined by chance. Example: 1. In the experiment of tossing a coin three times, let we define the random variable X as number of heads. What is the possible values of r. v X? 2. Let a pair of fair dice be tossed and let X denotes the sum of the points obtained. What is the possible value of X? Thursday, November 16, 2023 40
  • 41. Types of Random Variable Discrete random variable: are variables which can assume only a specific number of values. They have values that can be counted. • Examples: 1.Dead/alive 2.Number of car accidents per week. 3.Number of patients. 4.Number of bacteria per two cubic centimeter of water. Thursday, November 16, 2023 41
  • 42. Continuous random variable: are variables that can assume all values between any two given values. Examples: 1.weight of patients at hospital. 2. blood pressure 3.Life time of light bulbs. Thursday, November 16, 2023 42
  • 44. Probability distribution of discrete random variable Thursday, November 16, 2023 44
  • 45. Expected and variance of discrete r.v. Thursday, November 16, 2023 45
  • 46. Probability distribution of continuous r.v. Thursday, November 16, 2023 46
  • 47. Expected and variance of discrete r.v Thursday, November 16, 2023 47
  • 49. Common Discrete probability distributions •Binomial Distribution •Poisson Distribution Common Continuous Probability Distributions •Normal Distribution Thursday, November 16, 2023 49
  • 50. Binomial Distribution A binomial experiment is a probability experiment that satisfies the following requirements called assumptions of a binomial distribution. • There is only two outcomes in Bernoulli trials (success or failure) • Fixed number of trials (n) i.e. n should be discrete • At each trial the probability of success (p) remains the same • n trials are independent. Thursday, November 16, 2023 50
  • 51. Binomial Distribution…… • The binomial distribution is given by the probability mass function ( pmf) • In the formula, n= number of trials x= number of successes in a trial n-x = number of failures in a trial p = probability of success (= x/n) q = 1 - p = probability of failure The parameters of the binomial distribution are n and p Thursday, November 16, 2023 n x q p x n x X P x n x ,...., 2 , 1 , 0 , ) (             ( ) E X np    2 var( ) (1 ) X np p     51
  • 52. Binomial Distribution….. • Examples • Tossing a coin 20 times to see how many tails occur. • Asking 200 people if they watch BBC news. • Asking 100 people if they favor the ruling party. • Rolling a die to see if a 5 appears. Thursday, November 16, 2023 52
  • 53. Example (Binomial ..) Example 1: Five fair coins are tossed. Find the probability of obtaining a. No heads b. At least four heads c. At most 2 heads d. Exactly 2 heads Example 2:A given mid-exam contains 10 multiple choice questions, and each question has four alternatives with one exact answer. Find the probability that the student exactly answered a. 3 questions c. At least 3 questions b. 8 questions Thursday, November 16, 2023 53
  • 54. Thursday, November 16, 2023 Example (Binomial ..) Suppose that in a certain malarias area past experience indicates that the probability of a person with a high fever will be positive for malaria is 0.7. Consider 3 randomly selected patients (with high fever) in that same area. a) What is the probability that no patient will be positive for malaria? b) What is the probability that exactly one patient will be positive for malaria? c) What is the probability that exactly two of the patients will be positive for malaria? d) What is the probability that all patients will be positive for malaria? 54
  • 55. The Poisson Probability Distribution • The passion distribution is also used to represent the probability distribution of a discrete random variable. • It is employed in describing random events that occurs rarely over a continuum of time or space
  • 56. • Example - Number of misprinting - Natural disasters like earth quake , accident - No of telephone calls per hour - No of car accident occurs per week Thursday, November 16, 2023 56
  • 57. The Poisson Distribution of the random variable X. ! ) ( x e x P x      = mean number of occurrences in the given unit of time, area, volume, etc.  e = 2.71828….  Mean µ = , variance: 2 = Thursday, November 16, 2023 57
  • 58. Example 1. In a hospital, the average number of new born female baby in every 24 hours is 7. what is the probability that a. No female babies are born in a day b. Only three females babies are born per day c. 2 female babies are born in 12 hours Thursday, November 16, 2023 58
  • 59. Thursday, November 16, 2023 Continuous Probability Distributions The Normal distribution ♣ The Normal Distribution is by far the most important probability distribution in statistics. ♣ The normal distribution is a theoretical, continuous probability distribution whose equation is: for - < x < + 2 2 1 - e 2 1 f(x)             x 59
  • 60. Thursday, November 16, 2023 Characteristics of the Normal Distribution ♣ It is a probability distribution of a continuous variable. It extends from minus infinity( -) to plus infinity (+). ♣ It is unimodal, bell-shaped and symmetrical about x =. ♣ The mean, the median and mode are all equal ♣ The total area under the curve above the x-axis is one square unit. ♣ The curve never touches the x-axis. ♣ It is determined by two quantities: its mean (  ) and SD (  ) ♣ An observation from a normal distribution can be related to a standard normal distribution (SND) which has a published table. 60
  • 61. Thursday, November 16, 2023 Properties of Normal Distribution • The normal Distribution is a family of Bell-shaped and symmetric distributions as the allocation is symmetric: one-half (.50 or 50%) lies on either side of the mean. Each is characterized by a different pair of mean, , and variance,  . That is: [X~N()]. 61
  • 62. Thursday, November 16, 2023 Standard normal distribution ♣ Since the values of  and  will depend on the particular problem in hand and tables of the normal distribution cannot be published for all values of  and , calculations are made by referring to the standard normal distribution which has  = 0 and  = 1. ♣ Thus an observation x from a normal distribution with mean  and standard deviation  can be related to a Standard normal distribution by calculating : SND = Z = (x -  )  62
  • 63. Thursday, November 16, 2023 Properties of the Standard Normal Distribution: Same as a normal distribution, but also... • Mean is zero • Variance is one • Standard Deviation is one • Areas under the standard normal distribution curve have been tabulated in various ways. • The most common ones are the areas between Z= 0 and a positive value of Z 63
  • 64. The standard normal random variable, Z, is the normal random variable with mean  = 0 and standard deviation  = 1: Z~N(0,12). 5 4 3 2 1 0 - 1 - 2 - 3 - 4 - 5 0 .4 0 .3 0 .2 0 .1 0 .0 Z f ( z ) Standard Normal Distribution  = 0 =1 { The Standard Normal Distribution Thursday, November 16, 2023 64
  • 65. Thursday, November 16, 2023 • Given a normal distributed random variable X with Mean μ and standard deviation σ ) ( ) (               b X a P b X a P ) ( ) (            b Z a P b X a P 65
  • 66. Thursday, November 16, 2023 Examples 1. Find the area under the standard normal distribution which lies a. Between b. Between c. To the right of d. Between 96 . 0 0   Z and Z 0 45 . 1    Z and Z 35 . 0   Z 75 . 0 67 . 0    Z and Z 66
  • 67. Thursday, November 16, 2023 • Solutions • a. • b. • c. • d. 3315 . 0 ) 96 . 0 0 (     Z P Area 4265 . 0 ) 45 . 1 0 ( ) 0 45 . 1 (         Z P Z P Area 6368 . 0 50 . 0 1368 . 0 ) 0 ( ) 35 . 0 0 ( ) 0 ( ) 0 35 . 0 ( ) 35 . 0 (                  Z P Z P Z P Z P Z P Area 5220 . 0 2734 . 0 2486 . 0 ) 75 . 0 0 ( ) 67 . 0 0 ( ) 75 . 0 0 ( ) 0 67 . 0 ( ) 75 . 0 67 . 0 (                     Z P Z P Z P Z P Z P Area 67
  • 68. z .00 .01 .02 .03 .04 .05 .06 .07 .08 .09 0.0 0.0000 0.0040 0.0080 0.0120 0.0160 0.0199 0.0239 0.0279 0.0319 0.0359 0.1 0.0398 0.0438 0.0478 0.0517 0.0557 0.0596 0.0636 0.0675 0.0714 0.0753 0.2 0.0793 0.0832 0.0871 0.0910 0.0948 0.0987 0.1026 0.1064 0.1103 0.1141 0.3 0.1179 0.1217 0.1255 0.1293 0.1331 0.1368 0.1406 0.1443 0.1480 0.1517 0.4 0.1554 0.1591 0.1628 0.1664 0.1700 0.1736 0.1772 0.1808 0.1844 0.1879 0.5 0.1915 0.1950 0.1985 0.2019 0.2054 0.2088 0.2123 0.2157 0.2190 0.2224 0.6 0.2257 0.2291 0.2324 0.2357 0.2389 0.2422 0.2454 0.2486 0.2517 0.2549 0.7 0.2580 0.2611 0.2642 0.2673 0.2704 0.2734 0.2764 0.2794 0.2823 0.2852 0.8 0.2881 0.2910 0.2939 0.2967 0.2995 0.3023 0.3051 0.3078 0.3106 0.3133 0.9 0.3159 0.3186 0.3212 0.3238 0.3264 0.3289 0.3315 0.3340 0.3365 0.3389 1.0 0.3413 0.3438 0.3461 0.3485 0.3508 0.3531 0.3554 0.3577 0.3599 0.3621 1.1 0.3643 0.3665 0.3686 0.3708 0.3729 0.3749 0.3770 0.3790 0.3810 0.3830 1.2 0.3849 0.3869 0.3888 0.3907 0.3925 0.3944 0.3962 0.3980 0.3997 0.4015 1.3 0.4032 0.4049 0.4066 0.4082 0.4099 0.4115 0.4131 0.4147 0.4162 0.4177 1.4 0.4192 0.4207 0.4222 0.4236 0.4251 0.4265 0.4279 0.4292 0.4306 0.4319 1.5 0.4332 0.4345 0.4357 0.4370 0.4382 0.4394 0.4406 0.4418 0.4429 0.4441 1.6 0.4452 0.4463 0.4474 0.4484 0.4495 0.4505 0.4515 0.4525 0.4535 0.4545 1.7 0.4554 0.4564 0.4573 0.4582 0.4591 0.4599 0.4608 0.4616 0.4625 0.4633 1.8 0.4641 0.4649 0.4656 0.4664 0.4671 0.4678 0.4686 0.4693 0.4699 0.4706 1.9 0.4713 0.4719 0.4726 0.4732 0.4738 0.4744 0.4750 0.4756 0.4761 0.4767 2.0 0.4772 0.4778 0.4783 0.4788 0.4793 0.4798 0.4803 0.4808 0.4812 0.4817 2.1 0.4821 0.4826 0.4830 0.4834 0.4838 0.4842 0.4846 0.4850 0.4854 0.4857 2.2 0.4861 0.4864 0.4868 0.4871 0.4875 0.4878 0.4881 0.4884 0.4887 0.4890 2.3 0.4893 0.4896 0.4898 0.4901 0.4904 0.4906 0.4909 0.4911 0.4913 0.4916 2.4 0.4918 0.4920 0.4922 0.4925 0.4927 0.4929 0.4931 0.4932 0.4934 0.4936 2.5 0.4938 0.4940 0.4941 0.4943 0.4945 0.4946 0.4948 0.4949 0.4951 0.4952 2.6 0.4953 0.4955 0.4956 0.4957 0.4959 0.4960 0.4961 0.4962 0.4963 0.4964 2.7 0.4965 0.4966 0.4967 0.4968 0.4969 0.4970 0.4971 0.4972 0.4973 0.4974 2.8 0.4974 0.4975 0.4976 0.4977 0.4977 0.4978 0.4979 0.4979 0.4980 0.4981 2.9 0.4981 0.4982 0.4982 0.4983 0.4984 0.4984 0.4985 0.4985 0.4986 0.4986 3.0 0.4987 0.4987 0.4987 0.4988 0.4988 0.4989 0.4989 0.4989 0.4990 0.4990 5 4 3 2 1 0 -1 -2 -3 -4 -5 0.4 0.3 0.2 0.1 0.0 Z f( z ) StandardNormal Distribution 1.56 { Standard Normal Probabilities Look in row labeled 1.5 and column labeled .06 to find P(0  z  1.56) = 0.4406 Thursday, November 16, 2023 Finding Probabilities of the Standard Normal Distribution: P(0 < Z < 1.56) 68
  • 69. Example: A random variable X has a normal distribution with mean 80 and standard deviation 4.8. What is the probability that it will take a value •Less than 87.2 •Greater than 76.4 •Between 81.2 and 86.0 Solution: 8 . 4 , tan , 80 ,     deviation dard s mean with normal is X 9332 . 0 4332 . 0 50 . 0 ) 5 . 1 0 ( ) 0 ( ) 5 . 1 ( ) 8 . 4 80 2 . 87 ( ) 2 . 87 ( ) 2 . 87 (                   Z P Z P Z P Z P X P X P     a Thursday, November 16, 2023 69
  • 70. Thursday, November 16, 2023 Exercise: Diskin et al. studied common breath metabolites such as ammonia, acetone, isoprene, ethanol and acetaldehyde in five subjects over a period of 30 days. Each day, breath samples were taken and analyzed in the early morning on arrival at the laboratory. For subject A, a 27-year-old female, the ammonia concentration in parts per billion (ppb) followed a normal distribution over 30 days with mean 491 and standard deviation 119. What is the probability that on a random day, the subject‘s ammonia concentration is between 292 and 649 ppb? 70
  • 72. Sampling • Sampling: The process or method of sample selection from the population. • Reference population (or target population): the population of interest to whom the researchers would like to make generalizations. • Study population: the actual group in which the study is conducted • Sampling unit: the ultimate unit to be sampled or the units on which information will be collected: persons, housing units, etc. • Sampling frame:-List of all the sampling units from which sample is drawn. . Thursday, November 16, 2023 72
  • 73. Eg. The performance of freshman students in institution of health science in JU, Target population: All JU freshman students Study population: All freshman students in institution of health Sampling unit: selected freshman students in in institution of health Sampling frame: List of students in the registrar office. Thursday, November 16, 2023 73
  • 74. e.g. Researchers are interested to know about factors associated with ART use among HIV/AIDS patients attending JU referal hospital Target population = All HIV/AIDS patients in the JU ref.H. Study population = All ART HIV/AIDS patients in JU referral hospital Sample units =Selected HIV/AIDS HIV patients Thursday, November 16, 2023 74
  • 75. Exercise Assessment of obstetric Fistula repair success rate and associated factors in Jimma Town. Prevalence of emergency contraceptive utilization and associated factors among students in Jimma University, 2015 Thursday, November 16, 2023 75
  • 76. Sampling (Cont.) • Errors in sample survey: • There are two types of errors – Sampling error: Is the discrepancy between the population value and sample value. • May arise due to in appropriate sampling techniques applied • Non sampling errors: are errors due to procedure bias such as: – Due to incorrect responses – Measurement – Errors at different stages in processing the data. Thursday, November 16, 2023 76
  • 77. Sampling (Cont.) • Advantages of sampling approach over that of census are:- • -Reduced cost • Greater speed • Greater accuracy • More detailed information can be obtained Thursday, November 16, 2023 77
  • 78. Sampling cont … To draw a sample from the total population, we must consider the following questions: 1. What is the group of people (study population) we are interested in from which we want to draw a sample? 2. How many people do we need in our sample? 3. How will these people be selected? Thursday, November 16, 2023 78
  • 79. Types: probability and non-probability – Probability – Non-probability • Probability sampling technique: – Involves using random selection procedures to ensure that each unit of the sample is chosen on the basis of chance. – All units of the study population should have an equal, or at least a known non-zero chance of being included in the sample. – Sample drawn in such a way that it is representative of the population Thursday, November 16, 2023 79
  • 80. Probability sampling methods include: – Simple random sampling – Systematic sampling – Stratified sampling – Cluster sampling Thursday, November 16, 2023 80
  • 81. 1. Simple random sampling • Selecting required number of sampling units randomly from list of all units • Every item has equal chance of being selected • Possible samples If selection is without replacement If selections is with replacement • Random selection – Lottery method, table of random numbers or using computer programs  ) n N C n N Thursday, November 16, 2023 81
  • 82. 2. Systematic sampling • A complete list of all elements within the population is required. • The procedure starts in determining the first element to be included in the sample. • Important if the reference population is arranged in some order: – Order of registration of patients – Numerical number of house numbers – Student’s registration books . int , , erval sampling n N k size sample n size population N     Thursday, November 16, 2023 82
  • 83. • Then the technique is to take the kth item from the sampling frame. Example: To select a sample of 100 students from 2500, first calculate sampling interval=2500/100=25. Then randomly select select the first student and finally pick every 25th student Thursday, November 16, 2023 83
  • 84. 3. Stratified sampling • Used when the population structure consists distinct subgroups/strata • The population will be divided in to non-overlapping but exhaustive groups called strata • Simple random samples will be chosen from each stratum. • It is applied if the population is between a group heterogeneous with in a group homogeneous. • Some of the criteria for dividing a population into strata are: Sex (male, female); Age (under 18, 18 to 28, 29 to 39, etc); Occupation and other….. Thursday, November 16, 2023 84
  • 85. Stratified Random Sample Thursday, November 16, 2023 85
  • 86. 4. Cluster sampling • The population is divided in to non-overlapping groups called clusters. • A simple random sample of groups or cluster of elements is chosen and all the sampling units in the selected clusters will be surveyed. • Clusters are formed in a way that elements within a cluster are heterogeneous between cluster are homogeneous • All the study units in the selected clusters are included in the study • Used in geographically scattered areas where visiting dispersed study units is time consuming and costly • Example: a simple random sample of 5 villages from 30 villages Thursday, November 16, 2023 86
  • 87. Non Random Sampling or non-probability sampling. • It is a sampling technique in which the choice of individuals for a sample depends on the basis of convenience, personal choice or interest. • Examples: –Judgment sampling. –Convenience sampling –Quota Sampling. Thursday, November 16, 2023 87
  • 88. non-probability sampling • Judgment Sampling: The person taking the sample has direct or indirect control over which items are selected for the sample. • Convenience Sampling: decision maker selects a sample from the population in a manner that is relatively easy and convenient • Quota Sampling: The decision maker requires the sample to contain a certain number of items with a given characteristic Thursday, November 16, 2023 88
  • 89. Sample size estimation Thursday, November 16, 2023 89
  • 90. Sample size estimation Sample size Quantitative Qualitative   2 2 2 1 1 d P P Z no          S=standard deviation d= margin of error p=population proportion d= margin of error   2 2 2 2 1 d S Z no         Thursday, November 16, 2023 90
  • 91. Sample size con.. If greater than 5%,the sample size must be adjusted as follow: N n n n / 1 0 0   N n / 0 Thursday, November 16, 2023 91
  • 92. End of CH.7 Thursday, November 16, 2023 92
  • 93. Chapter Eight Estimation and Hypothesis testing
  • 94. Estimation • Estimation: is the process of estimating the value of the parameter from information obtained by using a sample.. Two types of estimations • Point estimation: is a specific numerical value estimate of a parameter. • The best point estimate of the population mean and proportion is the sample mean and the sample proportion respectively • Interval estimation: is an interval or range of values used to estimate the population parameter. • This estimate may contain the value of the parameter being estimated. Thursday, November 16, 2023 94
  • 95. Confidence interval  Confidence interval for the population mean is Thursday, November 16, 2023 95 . Estimate Critical Value S E   2 ( ) X SE z  =
  • 96. Thursday, November 16, 2023 96 Interval estimation of a population means  n s Z X  n Z X   n s t X 
  • 97. Example 1. A physical therapist wished to estimate, with 99 percent confidence, the mean maximal strength of a particular muscle in a certain group of individuals. He is willing to assume that strength scores are approximately normally distributed with a variance of 144. A sample of 15 subjects who participated in the experiment yielded a mean of 84.3. Ans: 84.3  2.58 (3.0984)= 76.3, 92.3 1. The mean reading speed of a random sample of 81 adults with long sight problem is 325 words per minute. Find a 90% C.I. For the mean reading speed of all adults (μ) if it is known that the standard deviation for the sampled adults is 45 words per minute. Ans: 325 ± (1.64 x 5 )=(316.8, 333.2) Thursday, November 16, 2023 97
  • 99. Example (cont.) • The sponsor of a TV programmer targeted at the children’s market wants to find out the average amount of time children spend watching TV. A random sample of 25 children indicated the average time spent by these children watching television per week to be 27.2 hours. From previous experience, the population standard deviation of the weekly extent of television watched is known to be 8 hours. Construct a 95% confidence interval. Thursday, November 16, 2023 99
  • 100. Example • A researcher found that in a sample of 591 patients admitted to a psychiatric hospital, 204 admitted to using cannabis at least once in their lifetime. We wish to construct a 95 percent C.I for the proportion of lifetime cannabis users in the sampled population of psychiatric hospital admissions. Ans: 0.3452  0.0383  0.3069, 0.3835 Thursday, November 16, 2023 100
  • 101. Hypothesis Testing There are two types of hypothesis: 1. Null hypothesis: • It is the hypothesis of equality or the hypothesis of no difference. • Usually denoted by H0. 2. Alternative hypothesis: • It is the hypothesis available when the null hypothesis has to be rejected. • It is the hypothesis of difference. Thursday, November 16, 2023 101
  • 102. Types of errors: Thursday, November 16, 2023 102 Decision Reject H0 Don't reject H0 Truth H0 Type I Error Right Decision H1 Right Decision Type II Error
  • 103. Steps for hypothesis testing • State the null and alternative hypotheses. • Choose a fixed significance level α. • Choose an appropriate test statistic and establish the critical region based on critical values. • From the computed test statistic, reject Ho if the test statistic is in the critical region. Otherwise, do not reject. • Decision • conclusions Thursday, November 16, 2023 103
  • 104. Example • Assume that in a certain district the mean systolic blood pressure of persons aged 20 to 40 is 130 mm Hg with a standard deviation of 10 mm Hg. A random sample of 64 persons aged 20 to 40 from village x of the same district has a mean systolic blood pressure of 132 mm Hg. Does the mean systolic blood pressure of the dwellers of the village (aged 20 to 40) differ from that of the inhabitants of the district (aged 20 to 40) in general, at a 5% Level of significance? Thursday, November 16, 2023 104
  • 105. Example • A physician claims that jogger’s maximal volume oxygen uptake is lower than the average of all adults , a sample of 15 joggers has a mean of 38.6 ml/kg and a standard deviation of 6 ml/kg. If the Average of all adults is 36.7 ml/kg, test the physician’s claim at α=0.01 • Test the hypotheses that the average height content of containers of certain lubricant is 10 liters if the contents of a random sample of 10 containers are 10.2, 9.7, 10.1, 10.3, 10.1, 9.8, 9.9, 10.4, 10.3, and 9.8 liters. Use the 0.01 level of significance. Thursday, November 16, 2023 105
  • 106. Example • Suppose a historical data show that the mean prone resting systolic blood pressure (BP) for male army aged 18-24 is 126. A sample of 87 recent male army recruits in this age group shows a mean prone resting systolic blood pressure of 128.46 with a standard deviation of 7. At α = 0.05, does the recruits' mean BP exceed the historical average of 126? Thursday, November 16, 2023 106
  • 107. Test of Association • The chi-square procedure test is used to test the hypothesis of independency of two attributes .For instance we may be interested • Whether the presence or absence of hypertension is independent of smoking habit or not. • Whether the size of the family is independent of the level of education attained by the mothers. • Whether there is association between father and son regarding boldness. Thursday, November 16, 2023 107
  • 108. Test of Association(cont.) Thursday, November 16, 2023 108               r i c j ij ij ij cal e e O 1 1 2 2 ) (  . . B of j and A of i category to belong that frequency Expected e B of j and A of i category to belong that units of number the O Where ij ij   n C R e j i ij * 
  • 109. Example • Random samples of 200 men was followed for the study of weather there is association between Alcohol usage and allergic therapy, the follow-up result is as follows; Test the hypothesis that Allergic therapy is independent of Alcohol usage of men (Use 5% level of significance) Thursday, November 16, 2023 109 Allergic test Use Alcohol Always Sometimes Never Positive 14 37 32 Negative 31 59 27
  • 110. Example • Incidence of three types of malaria in three tropical regions Test whether there is no relationship between location and type of malaria. Thursday, November 16, 2023 110