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Epidemiology- Unit One
History of Epidemiology (T Pierce)
12
Health Care
Graduate
09/03/2010

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Cards

Term
assumptions of epidemiology
Definition
  • disease occurence is not random
  • systematic investigation of different populations can ID causal and preventative factors
  • making comparisons is the cornerstone on systematic investigations
Term
definition of epi
Definition
  • study of distribution and determinants of disease frequency in human populations and the application of this study to control health problems
Term
purposes of epi
Definition
  • study of natural history and prognosis of disease
  • determine the extent of disease in population
  • ID etiology (cause, risk factors) of disease
  • evaluate effectiveness of preventive measures, therapeutic measures, and modes of health care delivery
  • provide basis for establishing public policy and regulatory decisions
Term
determinant
Definition
characteristic that influences whether or not disease occurs
Term
epidemiological triad
Definition
  • disease is the result of interaction betweem
    • susceptible host
      • biologic/social host characteristics
    • appropriate agent
      • ability of agent to affect host
    • appropriate environment
Term
Distinguish between primary, secondary, and teritiary prevention
Definition
  • primary- action taken to prevent disease among those who do NOT have disease
  • secondary- action taken among people who have already developed a disease to improve their prognosis
    • refer to early detection (screening) and early intervention
  • tertiary- prevent disease progression and suffering after disease clinically obvious and diagnosis has been established; aka disease management
    • ex: routine screening for renal, eye, foot problems in diabetics
Term
potential agents of disease
Definition
  • infectious organisms
  • biologic agents- allergens, vaccines
  • chemical agents
  • physical agents
  • psychological/sociological agents
Term
descriptive epidemiology
Definition
  • describe the patterns of disease in terms of person, place, and time (the "other" epidemiology triad)
Term
ten greatest public health achievements in the USA
Definition
  • vaccination
  • motor vehicle safety
  • safer workplaces
  • control of infectious diseases
  • safer and healthier foods
  • healthier mothers and babies
  • family planning
  • decline in deaths from CHD and stroke
  • fluoridation of drinking water
  • recognition of tobacco as a health hazard
Term
secular trend of disease
Definition
  • a change in disease frequency occuring over a long period of time (years or decades)
Term
cyclic changes of disease
Definition
  • recurrent alterations in the frequency of disease (often seasonal)
Term
natural progression of epidemiologic reasoning
Definition
  1. suspicion that a factor influences disease occurrence
  2. form a specific hypothesis
  3. conduct epidemiologic study to determine the relationship between exposure and disease
    • consider chance, bias, confounding with interpretation
  4. judge whether association may be causal
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