Exam 1 Flashcards

(73 cards)

1
Q

What is epidemiology?

A

The study of how disease is distributed in populations and the factors that influence or determine this distribution.

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2
Q

What is the first objective of Epi?

A

To identify the etiology or cause of a disease and the relevant risk factors

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3
Q

What is the second objective of Epi?

A

To determine the extent of disease found in the

community.

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4
Q

What is the third objective of Epi?

A

To study the natural history and prognosis of disease.

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5
Q

What is the fourth objective of Epi?

A

To evaluate both existing and newly developed preventive and therapeutic measures and modes of health care delivery.

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6
Q

What is the fifth objective of Epi?

A

To provide the foundation for developing public policy relating to environmental problems, genetic issues, and other considerations regarding disease prevention and health promotion.

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7
Q

What are the 10 great Public Health Achievements?

A
Immunizations
Motor-Vehicle Safety
Workplace Safety
Control of Infectious Diseases
Declines in Deaths from Heart Disease and Stroke
Safer and Healthier Foods
Healthier Mothers and Babies
Family Planning
Fluoridation of Drinking Water
Tobacco as a Health Hazard
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8
Q

What are primary preventions?

A

Vaccine/ immunizations

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9
Q

What are secondary preventions?

A

screening

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10
Q

What are tertiary preventions?

A

rehabilitation

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11
Q

Which is more expensive

Population-based or High risk approach?

A

High risk approach

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12
Q

What is a Prognosis?

A

the likely course of a disease or ailment

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13
Q

What is an endemic?

A

the presence of a disease within a given area

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14
Q

What is an epidemic?

A

a disease/ illness in excess of normal

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15
Q

What is a pandemic?

A

Worldwide epidemic

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16
Q

What was Edward Jenner known for?

A

Small Pox vaccine

“Cowpox”

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17
Q

What was Ignaz Semmelweis known for?

A

Childbed fever

Hand washing

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18
Q

What was John Snow known for?

A

Cholera

Germs in water

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19
Q

How many opioid related deaths in the US were there in 2016?

A

64,000

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20
Q

What is chronic disease?

A

A disease that persists for a long time

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21
Q

How long does a chronic disease last?

A

3 months or more

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22
Q

How many deaths occur from chronic diseases worldwide?

A

60%

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23
Q

Who does chronic diseases mostly affect?

A

Older people

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24
Q

In the Chronic Disease Continuum where would primary prevention be used?

A

Individual behaviors

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25
In the Chronic Disease Continuum where would secondary prevention be used?
Chronic conditions
26
In the Chronic Disease Continuum where would tertiary prevention be used?
Chronic disease
27
What is 86% of the annual health care cost used for?
People with chronic and mental health conditions
28
What is the main driver of healthcare cost in the US?
An aging population
29
What are the stages of the Trantheoretical Model?
``` Precontemplation (Enter) Contemplation Determination (Exit/Re-entry) Action (Exit/RE-entry) Relapse Maintenance (Recovery) ```
30
What is the entry stage of the trantheoretical Model?
Precontemplation
31
What are the re-entry/exit stages of the trantheoretical model
Determination (Exit/Re-entry) | Action (Exit/RE-entry)
32
What are the 4 goals chronic disease prevention and control?
1. Reduce the incidence of disease 2. Delay the onset of disease and disability 3. Alleviate the severity of disease 4. Improve the health-related quality and duration of the individual’s life
33
When were doctors no longer expected to provide free services?
1920s
34
When was Truman's plan denounced?
1940s
35
When was the income of doctors raised?
1920s
36
When was the push for health insurance within the Roosevelt administration?
1940s
37
When was President Nixon's plan for national health insurance rejected?
1960s
38
Who signed Medicare & Medicaid into law? When?
President Johnson | 1960s
39
Who renamed the prepaid group health care plans? When?
President Nixon | 1980s
40
When did insurance companies begin complaining about service methods?
1980s
41
When did the cost of health care double?
1990s
42
When did medicare start providing the most healthcare?
2000s
43
When did the rate of uninsured people hit an all time high?
2010
44
What was the highest rate of uninsured people?
18.2%
45
Chronic disease are responsible for what percentage of healthcare cost in the US?
75-80%
46
What is Epidemiologic Surveillance?
Ongoing systematic collection, analysis, and interpretation of health data in the process of describing and monitoring a health event
47
What are the two ways to monitor data of incidence
Quality adjusted life year (QALY) | Disablility adjsted life year (DALY)
48
What is data?
observations on one or more variables
49
What are variables?
Any quantity that varies
50
What are statistics?
Study of samples | Measures within samples
51
What are the forms of Categorical data?
Nominal Ordinal Qualitative
52
What are the forms of numerical data?
Discrete Continuous Quantitative
53
What is the difference between nominal and ordinal?
both are exclusive nominal is unordered ordinal is ordered (O = ordered)
54
What is the difference between discrete & continuous?
Discrete whole numbers Continuous all possible numbers
55
What is the geometric mean used for?
Skewed right data
56
What is weighted mean?
certain values are more valuable than others
57
What is range?
the difference between the largest and smallest observations in data
58
What is the interquartile range?
Central 50%
59
What is the Interdecile range?
Central 80%
60
What are the advantages of mean?
Uses all data values | Mathematically manageable
61
What are the advantages of weighted mean?
Uses all data values Mathematically manageable Ascribes relative importance to each observation Alegberically defined
62
What are the advantages of mode?
Easily determined by categorical data
63
What are the disadvantages of median?
Ignores most of the information Not algebraically defined Complicated sampling distribution
64
What are the advantages of geometric mean?
Uses all data values Mathematically manageable Appropriate for right skewed data
65
What are the disadvantages of weighted mean?
Weights must be known or estimated
66
What are the advantages of median?
Not distorted by outliers | Not distorted by skewed data
67
What are the disadvantages of mode?
Ignores most of the information Not algebraically defined Unknown sampling distribution
68
What are the disadvantages of mean?
Distorted by outliers | Distorted by skewed data
69
What are the disadvantages of geometric mean?
Only appropriate if the lof transformation produces a symmetrical distribution
70
What are determinants?
Any factor that brings about change in a health condition or other defined characteristics
71
What is a Diagnosis?
the identification an illness or other problem by examination of the symptoms
72
What does the first step of epi rely on?
descriptive data
73
What is the "Failure of Success"?
lower quality of life towards the end of life