H&S Paper Feedback Flashcards

(42 cards)

1
Q

What is the largest proportion of incidence in breast cancer attributed to?

A

Excessive body weight

Excessive body weight is a significant risk factor for breast cancer, impacting incidence rates.

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2
Q

What does CINAHL stand for?

A

Cumulative Index to Nursing and Allied Health Literature

CINAHL is a research database providing access to nursing and health-related articles.

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3
Q

What is the purpose of a fish bone chart?

A

To explore the root cause of a problem

Fish bone charts are also known as Ishikawa diagrams.

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4
Q

At what age can one see an increase in life expectancy from not smoking?

A

40

Quitting smoking at this age can significantly improve life expectancy.

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5
Q

What is an advanced decision?

A

A valid and legally binding decision regarding withholding life-sustaining treatment

Advanced decisions are also referred to as advance directives.

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6
Q

What is cumulative meta-analysis?

A

A statistical process where studies are sequentially added to observe changes in overall effect size

This helps in understanding how the accumulation of evidence impacts results.

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7
Q

What does a fixed effect meta-analysis assume?

A

All studies estimate the same underlying true effect, with differences due to sampling error

This model treats treatment effects as constant across studies and any variation is attributed to chance/ t assumes the studies are homogenous.

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8
Q

When is a random effects meta-analysis used?

A

statistical technique used to combine data from multiple studies when there’s reason to believe that the true effects of the intervention or treatment being investigated might vary across studies. It’s particularly useful when there’s significant heterogeneity or variation in the observed effects across studies. When there is reason to believe that true effects vary across studies

It accommodates significant heterogeneity in observed effects.

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9
Q

What infection is a recognized cause of learning disability through fetal exposure?

A

Rubella

Rubella can have serious effects on the developing fetus.

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10
Q

What determines eligibility for subfertility?

A

Maternal age

Age is a critical factor in assessing fertility issues.

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11
Q

What does cost minimisation assume?

A

The cost of alternative treatments assuming outcomes are identical

This approach is used in economic evaluations of healthcare interventions.

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12
Q

What is a process chart?

A

A visual tool illustrating the sequential steps in a process or workflow

It helps organize tasks from beginning to end.

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13
Q

What is regression analysis used for in research?

A

To explore and quantify the relationship between dependent and multiple independent variables

It allows for predictions based on these relationships.

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14
Q

What does standard error measure?

A

The accuracy with which a sample represents a population mean compared to the true population mean. It is the spread of a mean, and is calculated via:
Standard deviation/ square root of sample size

A smaller standard error indicates more precise estimates.

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15
Q

What are the steps involved in the audit cycle?

A
  • Defining standards
  • Selecting a topic
  • Measuring performance
  • Analyzing results
  • Implementing change
  • Re-audit

These steps help ensure ongoing improvement in clinical practice.

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16
Q

What is triangulation in research?

A

A technique that facilitates validation of data through cross verification from two or more sources

It enhances the credibility of research findings.

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17
Q

What does test-retest reliability measure?

A

The consistency of a test’s results over time when administered to the same individuals at two different time

It assesses stability assuming the measured characteristic is stable.

18
Q

What is respondent validation?

A

A technique where researchers check initial findings with participants for accuracy and credibility

This ensures alignment between researcher interpretations and participant experiences.

19
Q

What does reflexivity refer to in research?

A

The process of reflecting on the researcher’s role, biases, and relationships with the subject

It is crucial for maintaining objectivity in qualitative research.

20
Q

What is a mediator variable?

A

A variable that explains how an independent variable affects a dependent variable

It clarifies the relationship by revealing mechanisms of effect.

21
Q

What is the difference between a confounder and a mediator?

A

A confounder muddles the relationship, while a mediator clarifies it

Understanding both is important for accurate data interpretation.

22
Q

What does construct validity refer to?

A

The extent to which a test measures the specific concept it intends to measure

It ensures that the measurement tool accurately captures the underlying theory.

23
Q

What is sensitivity in medical testing?

A

A test’s ability to correctly identify those with a disease

Higher sensitivity reduces false negatives.

24
Q

What is positive predictive value (PPV)?

A

The likelihood that a positive test result indicates the presence of the disease

It is influenced by the prevalence of the disease in the population.

25
Who is responsible for health protection regarding outbreaks in the UK?
Public Health England ## Footnote They monitor and manage emerging diseases.
26
What is the ideal blood pressure for a 50-year-old on treatment for hypertension?
135/85 ## Footnote This is the target in a clinical setting.
27
What defines Stage 1 hypertension?
Clinic blood pressure ranging from 140/90 mmHg to 159/99 mmHg ## Footnote Subsequent ABPM or HBPM averages should be between 135/85 mmHg and 149/94 mmHg.
28
What defines Stage 2 hypertension?
Clinic blood pressure of 160/100 mmHg or higher but less than 180/120 mmHg ## Footnote ABPM or HBPM averages should be 150/95 mmHg or higher.
29
What indicates Stage 3 or severe hypertension?
Clinic systolic blood pressure of 180 mmHg or higher or diastolic of 120 mmHg or higher ## Footnote This stage requires immediate medical attention.
30
What discrepancy suggests 'white-coat' hypertension?
A discrepancy of more than 20/10 mmHg between clinic and average daytime ABPM or HBPM measurements ## Footnote It indicates potential anxiety-related blood pressure elevation during clinical visits.
31
What indicates masked hypertension?
Normal clinic blood pressure but higher readings outside the clinic ## Footnote This can lead to underdiagnosis of hypertension.
32
What should be suspected in individuals under 40 with hypertension?
Secondary hypertension ## Footnote This may indicate an underlying cause or condition.
33
Who is the first point of contact for patient concern about quality of care?
Local trust
34
Which organisation employs the director of health for a local community?
Local authority
35
Which organisation purchases the main services for a community?
CCQ
36
Which disease is notifiablel?
Brucellosis
37
What features indicate it is a cohort study?
Baseline measurements of affect and assessing for follow up Individuals categorised based on exposure risk at baseline and cohort group
38
What are the drawbacks of systematic review?
Relies on existence of published literature
39
How does selection bias affect study?
Reduces generalisability
40
What are issues with drawing conclusions about observational studies?
Observation bias dont have the full level of blinding like RCT so always an element of confounding or observer bias
41
What does an audit involve?
involves defining standards • Selecting a topic: Choosing a specific area of clinical practice to focus on.  * Defining standards and criteria: Establishing clear benchmarks for performance.  * Measuring performance: Collecting data to assess current practice against the defined standards.  * Analysing results: Evaluating the collected data to identify areas for improvement.  * Implementing change: Taking action to improve performance based on the audit findings.  * Re-audit: Repeating the cycle to monitor the effectiveness of the changes and ensure ongoing improvement
42
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