PNS Flashcards

(46 cards)

1
Q

Five areas of measuring pop health

A
Death
Disease
Disability
Discomfort
Distress
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2
Q

Morbidity

A

illness
injury
DALY

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3
Q

Mortality

A

death

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4
Q

Incidence

A

new cases/pop at risk

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5
Q

Prevalence

A

total # cases/ pop at risk

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6
Q

Crude mortality rate

A

of deaths/#at risk of dying

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7
Q

Age-adjusted mortality

A

of deaths in group/# in group

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8
Q

Infatn mortailty

A

kids die under 1/number live births (100)

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9
Q

Epidemeology

A

study of the distribution and determiniants of hwalth and application to ctrl health problems

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10
Q

Epidemiological triad

A

Agent, Host, Environmebt (Vector)

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11
Q

Andemic

A

@ steday state

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12
Q

Spidemic

A

spike above norm

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13
Q

Pandemic

A

Spidemic, multiple continents

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14
Q

Index case

A

1st case ever

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15
Q

Sentinel case

A

1st case found

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16
Q

disability

A

deviation from norm

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17
Q

morbidity

A

disease

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18
Q

mortality

A

death

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19
Q

steps in investigating disease outbreak

A
define
distribution
things in common
determine/test hypotehsis
use to control disease
20
Q

disease suveillance

A

look for health data and death to watch disease rates

21
Q

decriptive data

A

qualitative data

22
Q

Analytical data

23
Q

Experiemntal data

A

from an experiment

24
Q

attack rate

A

people @ risk who get it/people who don’t

25
Cross tabulation
compares attack rate to exposure
26
Outbreak
attack rate higher than normal
27
4 basic principle of medical ethics
non-maleficence beneficence distributive justice autonomy
28
4 quadrant approcah
Medical indications Patient preferences Quality of life Contextual features
29
9 basci priniciples of medical professsionalism
``` compentent care fro human dignity professionalism respect the law respect rights/privacy fro everyone advance knowledge and ask for help Physician can choose Improve public health Patient comes first Access for all ```
30
REaltionship between ethical and legal values
closely related, athical obligations typically exceed elgal duties
31
7 requirements fro determining if research is ethical
``` Social/Sci value Sci validity Fair subject selection Risk/BNenefit Ratio Indpen. REview Informed consent Respect for Subjects ```
32
Differnetiate between illness and Diseae
Diseae can be there without knowing Illness is preception
33
Sources fo Standardized data
``` Disease reports Insurance Public assist Morbitiy study case-finding reports death records ```
34
5 a's fo evidence based medicine
``` Assess Ask ACquire Appraise Apply ```
35
Primary Literature
Original Study
36
Secondary Literature
Review
37
Background questions
About conditions
38
Foreground Questions
About Choices
39
PICO
Patient/Population Intervention Comparision Outcome
40
Hierarchy of Study Design
``` N=1 RCT RCT Cohort Case-Cntrl Cross-Section Ecological Case-Series/Reports ```
41
4 Type of Clinical Questions
Therapy (RCT) Harm (Cntrl Trl) Dif Dx (Cohort/Case) Prognosis (Cohort)
42
RCT
pts given tx/placebo based on random/blind
43
Cohort
Follow ones set pop over tiem to look at prevelencae fo disease &patterns
44
Case-Cntrl
Compares pt w/ dosease to those w/out disease (diabetics w/ cancer vs. diabetics w/out)
45
Hypothesis TEsting
Want to deny null/accept alt
46
Null Hypothesis
No significant differnce between two groups of data