stuff me don't know Flashcards

(46 cards)

1
Q

odds ratio is utilized in what study type(s)

A

case control= observational study that compares 2 groups

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

relative ratio is used in what study type(s)

A

cohort studies + randomized clinical trials

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what is a case-control study

A
  • purpose is to establish association b/w risk factors and disease
  • information is collected retrospectively
  • Cases: Participants who have a condition of interest, such as a disease
  • Controls: Participants who do not have a condition of interest
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what type of comparison does relative risk make

A

used when comparing the outcomes of those who were exposed to something vs those who weren’t exposed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

in the case of rare diseases, is the odds ratio similar or different than relative risk

A

should be nearly the same number

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

in what type of study are conditions highly controlled and causality can be inferred

A

experimental study

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what is a cross over study

A

After the study progresses, the groups are switched
* Valuable when number of subjects is limited
* Potential confounder if the intervention has effects that carry-over to the next po

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

if sensitivity is high, what does that tell us about false negatives

A

sensitivity = % truly positive
if sensitivity is high, false negatives must be low

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what does high specificity mean

A

confidence that an animal w/ a positive test result HAS the disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what does high sensitivity mean

A

confidence that an animal w/ a negative test result does not have disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

when would you run parallel testing, and what can it tell you

A

to improve sensitivity
proves you DONT have the disease
- negative if both tests (-)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

when would you run serial testing, what can it tell you

A

to improve specificity
proves you HAVE the disease
- run screening test, then a confirmatory one

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

positive predictive value is tied to what

A

prevalence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what should be used to know the chance that a patient has a disease if they get a positive result

A

PPV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what should be used for best clinical interpretation of test results

A

likelihood ratio

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what does likelihood ratio tell us

A

incorporates the probability that the test is + in patients w/ and w/out disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what is a case report

A

an in depth study of one case
no comparisons

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what is a case series

A

3+ cases involving patients given similar treatments
no comparison group

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

what is a cross sectional study

A

looks at data from a single point in time

20
Q

what is an ecological study

A

units of analysis are populations or groups of people rather than individuals

21
Q

what is the population at risk (PAR)

A

members (animal or human) of the overall population who are capable of developing the disease or condition being studied

usually the denominator in rate calculations

22
Q

examples of things that crude rate measures

A
  • prevalence
  • incidence
  • morbidity rate
  • mortality rate
23
Q

what is the difference b/w incidence and prevalence?

A

incidence is the number of NEW cases during a specified time period

prevalence is the number of persons w/ the disease

24
Q

what things cause prevalence to increase

A
  • increase in incidence
  • increase of the duration of disease
  • in migration of cases
  • prolongation of life of patients w/out cure
25
what things cause prevalence to decrease
- decrease in incidence - decrease in duration of disease - influx of healthy people - improved cure rate
26
what are some limitations to crude rate
observed differences in rates might be due to differences in populations - sex, race, age
27
what are specific rates
rates based on particular subgroups of populations (sex, race, age) better indicator of risk than crude rate
28
what rate type allows for comparison between groups having different population distributions for certain variables, i.e. different distributions for age
Adjusted rate
28
what are the limitations to adjusted rate
- Can lead to misinterpretation - Based on assumptions - should only be compared to another rate that was computed the same way
29
who was Robert Koch
Koch’s postulates demonstrated the association between a microorganism and a disease
30
who was Austin Bradford Hill
Hill's postulates for causation
31
Richard Doll and Austin Bradford Hill conducted what type of study around smoking and lung cancer
a case-control study of 20 hospitals in London
32
what is temporality
the cause (exposure) must be observed before the effect
33
what is coherence
“...the cause-and-effect interpretation of our data should not seriously conflict with the generally known facts of the natural history and biology of the disease...
34
give examples of multifactoral factors
- specific exposure (ex: smoking) - family history - lifestyle characteristics - environmental influences
35
what is internal vs external validity
internal validity - the degree to which the study used methodologically sound procedures external validity - the extent to which the results of a study can be applied to other situations, groups, or events
36
what measurements can be used to quantify sampling error
- confidence intervals - standard error - margin of error - coefficient of variance
37
what is co-option in community engagement
representatives chosen but have no real power/input
38
what is compliance/informing in CE
tasks get assigned w/ incentives, outsiders decide on process and agenda
39
what is consultation in CE
local options are sought but outsiders control course of action
40
what is cooperation in CE
locals work w/ outsiders to determine priorities, responsibility mostly falls on outsiders
41
what is co-learning in CE
locals and outsiders or stakeholders share knowledge, no outsider facilitation
42
what are the 3 phases of a workshop
planning (delivery) preparation (logistics) implementation
43
what organization created and maintains the compendium of animal rabies prevention and control
NASPHV (National Association of State Public Health Veterinarians)
44
what does the Federal Select Agent Program oversee
(CDC+USDAs APHIS) oversee the production, use and transfer of certain biologic agents and toxins that have the potential to pose severe threats to public, animal, or plant health
45
air pollution causes about how many deaths / year
7 million