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What is epidemiology used for? |
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Definition
describe the health status of population to identify multiple factors associated with disease and conditions. to control the distribution of disease and conditions within the population. |
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What are the uses of epidemiology? |
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to study, assess, and identify |
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Usual presence of disease in a particular geographic region.
Ex. Malaria continues to be a constant concern in parts of Africa |
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Occurence of an illness or condition in excess of normal expectance in a community or region, usually occurring suddenly and spreading rapidly.
Ex. Nine (9) cases of measles occured in Tarrant County, Tx, in August 2013 compared to the normal rate of 0 to 2 each year. |
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Epidemic in which the disease may cross international borders to affect several countries or continents.
Ex. over 20 million people worldwide died from influenza in 1918-1919. |
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Factors of events capable of bringing about change in health: various factors that make up a multifactorial approach to a disease or health condition
Ex. Social and economic environment, physical environment, and a person's individual characteristics and behaviors |
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Organism housing the diease; the "who" factor of a disease or condition.
Ex. Humans or animals |
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Microbial agent that causes the diseae or mechanical cause of the condition; the "what" factor
Ex. Type of bacteria, parasite, virus, fungus, or protoza etc. |
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Extend of disease, injury, or disability in a defined population
Ex. In the U.S. 30,000 people are dx w/ oral or pharyngeal cancer each year |
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Death rate resulting from a specific disease or condition.
Ex. In India, 130,000 people died from oral cancer every year: this is est. to be 14 deaths every hour. |
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Elimination of an infectous disease agent through survellance and containment; contrasted to control, which is to keep the disease at a minimum level so that it no longer poses a health problem.
Ex. The elimination of polio in the US through vaccination. |
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Accuracy of a measurement; measurement results are true or accurate
Explanation: the accuracy of a DMF to indicate caries experience in children. |
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The ability to reproducibility of a measurement over time.
Ex. the consistency of an examiner to get the same results when repeating the DMF on the same child |
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The ability to identify all screened individuals who actually have the disease, influences validity
Ex. The ability of the DMF to identify caries when it is present |
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The ability to identify only non-diseased individuals who actually do not have the diease; influences validity
Ex. The ability of the DMF to identify the abscence of caries when the tooth has no carious lesion. |
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Ability of a test to accurately measure of disease or condition.
Ex. the ability of the DMF to measure caries with accuracy without the use of other diagnostic tools. |
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Agreement among two or more examiner as they apply a test or index
Ex. two examiners agree when they measure DMF on the same individuals in a study |
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consistency of a single examiner in the application of a test or instrument multiple times
Ex. One examiners is consistent when measuring DMF at several examinations on the same individuals |
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Standardization of examiners as they apply epidemiology-measurements.
Ex. Training and standardizations of the examiners on the use of the DMF to measure caries. |
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rapid assessment accomplished in a short time by visual detection. Tools are tongue bade, dental mirror (easy to implemtn in the community) |
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Epidemiologic examination |
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provides thorough visual-tactile assessment using dental instruments and a light source |
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What are the two epidemiologic surveys? |
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Basic screening and epidemiologic examination |
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refers to the physical, social, sociocultural, sociopolitical, and economic circumstances that are required for the diease to thrive, survive, and spread (i.e., nutrition, sugar, intake, and smoking) |
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refers to the development of new cases of a disease or condition over a given period of time, or its progress over time |
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Expressing measurement in epidemiology: What is count? |
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number of cases of the diease or condition in a population |
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Expressing measurement in epidemiology
What is proportion? |
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provides more information about the extent of the disease in a population; prevalence is expressed as a proportion |
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Expressing measurement in epidemiology
What is ratio? |
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Expresses the magnitude of one occurrence in relation to another |
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What is a surveillance system? |
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the observation of the disease process in populations
Two type: Passive- data collected voluntarily
Active- data collected out in the field to identify cases of disease. |
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Long-term changes or movements in disease patterns and health-related conditions identified by examining surveillance data.
Ex. increase or diease of dental caries or dental visits. |
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is a small version of a proposed study, and is carried out on a small, sometimes intentionally chosen sample |
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a way of working out unforeseen errors in the overall plan for conducting a study, by doing a trial run |
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the attempt to identify and describe what the topic being research is |
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attempts to establish why it is that way and how it came to be that way |
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may test a hypothesis about the relationship of an exposure to a disease |
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to gather broad information about status quo, usually involves large sample size |
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to conduct in-depth report on a single person, group, event, or situation |
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to study cross section of population in limited period of time |
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to study same population over extended period of time |
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combines descriptive and historical research to establish patterns from the past and present in order to predict future occurrences. |
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document or content analysis |
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to analyse documents themselves |
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to investigate existing differences to determine possible causes. |
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approximates true experimental approach but lacks control of true experimentation |
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to investigate cause-and-effect relationships. Involves manipulation of variables. |
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