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Normal Distribution. Tripthi M. Mathew, MD, MPH. Objectives. Learning Objective - To understand the topic on Normal Distribution and its importance in different disciplines. Performance Objectives At the end of this lecture the student will be able to:
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Normal Distribution Tripthi M. Mathew, MD, MPH
Objectives • Learning Objective - To understand the topic on Normal Distribution and its importance in different disciplines. • Performance Objectives At the end of this lecture the student will be able to: • Draw normal distribution curves and calculate the standard score (z score) • Apply the basic knowledge of normal distribution to solve problems. • Interpret the results of the problems. Tripthi M. Mathew, MD, MPH
Types of Distribution • Frequency Distribution • Normal (Gaussian) Distribution • Probability Distribution • Poisson Distribution • Binomial Distribution • Sampling Distribution • t distribution • F distribution Tripthi M. Mathew, MD, MPH
What is Normal (Gaussian) Distribution? • The normal distribution is a descriptive model that describes real world situations. • It is defined as a continuous frequency distribution of infinite range (can take any values not just integers as in the case of binomial and Poisson distribution). • This is the most important probability distribution in statistics and important tool in analysis of epidemiological data and management science. Tripthi M. Mathew, MD, MPH
Characteristics of Normal Distribution • It links frequency distribution to probability distribution • Has a Bell Shape Curve and is Symmetric • It is Symmetric around the mean: Two halves of the curve are the same (mirror images) Tripthi M. Mathew, MD, MPH
Characteristics of Normal Distribution Cont’d • Hence Mean = Median • The total area under the curve is 1 (or 100%) • Normal Distribution has the same shape as Standard Normal Distribution. Tripthi M. Mathew, MD, MPH
Characteristics of Normal Distribution Cont’d • In a Standard Normal Distribution: The mean (μ ) = 0 and Standard deviation (σ) =1 Tripthi M. Mathew, MD, MPH
Z Score (Standard Score)3 • Z = X - μ • Z indicates how many standard deviations away from the mean the point x lies. • Z score is calculated to 2 decimal places. σ Tripthi M. Mathew, MD, MPH
Tables • Areas under the standard normal curve (Appendices of the textbook) Tripthi M. Mathew, MD, MPH
Diagram of Normal Distribution Curve (z distribution) 33.35% 13.6% 2.2% 0.15 -3 -2 -1 μ 1 2 3 Modified from Dawson-Saunders, B & Trapp, RG. Basic and Clinical Biostatistics, 2ndedition, 1994. Tripthi M. Mathew, MD, MPH
DistinguishingFeatures • The mean ± 1 standard deviation covers 66.7% of the area under the curve • The mean ± 2 standard deviation covers 95% of the area under the curve • The mean ± 3 standard deviation covers 99.7% of the area under the curve Tripthi M. Mathew, MD, MPH
Skewness • Positive Skewness: Mean≥ Median • Negative Skewness: Median ≥ Mean • Pearson’s Coefficient of Skewness3: = 3 (Mean –Median) Standard deviation Tripthi M. Mathew, MD, MPH
Positive Skewness (Tail to Right) Tripthi M. Mathew, MD, MPH
Negative Skewness (Tail to Left) Tripthi M. Mathew, MD, MPH
Exercises • Assuming the normal heart rate (H.R) in normal healthy individuals is normally distributed with Mean = 70 and Standard Deviation =10 beats/min The exercises are modified from examples in Dawson-Saunders, B & Trapp, RG. Basic and Clinical Biostatistics, 2ndedition, 1994. Tripthi M. Mathew, MD, MPH
Exercise # 1 Then: 1) What area under the curve is above 80 beats/min? Modified from Dawson-Saunders, B & Trapp, RG. Basic and Clinical Biostatistics, 2ndedition, 1994. Tripthi M. Mathew, MD, MPH
Diagram of Exercise # 1 33.35% 13.6% 2.2% 0.15 -3 -2 -1 μ 1 2 3 0.159 The exercises are modified from examples in Dawson-Saunders, B & Trapp, RG. Basic and Clinical Biostatistics, 2ndedition, 1994. Tripthi M. Mathew, MD, MPH
Exercise # 2 Then: 2) What area of the curve is above 90 beats/min? The exercises are modified from examples in Dawson-Saunders, B & Trapp, RG. Basic and Clinical Biostatistics, 2ndedition, 1994. Tripthi M. Mathew, MD, MPH
Diagram of Exercise # 2 33.35% 13.6% 2.2% 0.15 -3 -2 -1 μ 1 2 3 0.023 The exercises are modified from examples in Dawson-Saunders, B & Trapp, RG. Basic and Clinical Biostatistics, 2ndedition, 1994. Tripthi M. Mathew, MD, MPH
Exercise # 3 Then: 3) What area of the curve is between 50-90 beats/min? The exercises are modified from examples in Dawson-Saunders, B & Trapp, RG. Basic and Clinical Biostatistics, 2ndedition, 1994. Tripthi M. Mathew, MD, MPH
Diagram of Exercise # 3 33.35% 13.6% 2.2% 0.15 -3 -2 -1 μ 1 2 3 0.954 The exercises are modified from examples in Dawson-Saunders, B & Trapp, RG. Basic and Clinical Biostatistics, 2ndedition, 1994. Tripthi M. Mathew, MD, MPH
Exercise # 4 Then: 4) What area of the curve is above 100 beats/min? The exercises are modified from examples in Dawson-Saunders, B & Trapp, RG. Basic and Clinical Biostatistics, 2ndedition, 1994. Tripthi M. Mathew, MD, MPH
Diagram of Exercise # 4 33.35% 13.6% 2.2% 0.15 -3 -2 -1 μ 1 2 3 0.015 The exercises are modified from examples in Dawson-Saunders, B & Trapp, RG. Basic and Clinical Biostatistics, 2ndedition, 1994. Tripthi M. Mathew, MD, MPH
Exercise # 5 5) What area of the curve is below 40 beats per min or above 100 beats per min? The exercises are modified from examples in Dawson-Saunders, B & Trapp, RG. Basic and Clinical Biostatistics, 2ndedition, 1994. Tripthi M. Mathew, MD, MPH
Diagram of Exercise # 5 33.35% 13.6% 2.2% 0.15 -3 -2 -1 μ 1 2 3 0.015 0.015 The exercises are modified from examples in Dawson-Saunders, B & Trapp, RG. Basic and Clinical Biostatistics, 2ndedition, 1994. Tripthi M. Mathew, MD, MPH
Solution/Answers 1) 15.9% or 0.159 2) 2.3% or 0.023 3) 95.4% or 0.954 The exercises are modified from examples in Dawson-Saunders, B & Trapp, RG. Basic and Clinical Biostatistics, 2ndedition, 1994. Tripthi M. Mathew, MD, MPH
Solution/Answers Cont’d 4) 0.15 % or 0.015 5) 0.3 % or 0.015 (for each tail) The exercises are modified from examples in Dawson-Saunders, B & Trapp, RG. Basic and Clinical Biostatistics, 2ndedition, 1994. Tripthi M. Mathew, MD, MPH
Application/Uses of Normal Distribution • It’s application goes beyond describing distributions • It is used by researchers and modelers. • The major use of normal distribution is the role it plays in statistical inference. • The z score along with the t –score, chi-square and F-statistics is important in hypothesis testing. • It helps managers/management make decisions. Tripthi M. Mathew, MD, MPH
References/Further Reading 1)Dawson-Saunders, B & Trapp, RG. Basic and Clinical Biostatistics, 2ndedition, 1994. 2) Last, J. A Dictionary of Epidemiology. 3rd edition,1995. 3) Wisniewski, M. Quantitative Methods For Decision Makers, 3rd edition, 2002. 4) Pidd, M. Tools For Thinking. Modelling in Management Science. 2nd edition, 2003. Tripthi M. Mathew, MD, MPH