1/105
Looks like no tags are added yet.
Name | Mastery | Learn | Test | Matching | Spaced |
---|
No study sessions yet.
epidemiology
study of distribution and determinants of health related states or events in specified populations
descriptive epidemiology
generating hypotheses and identifying patterns among cases and population by time, place, and person
analytical epidemiology
using comparison groups to quantify association between exposures and outcomes to test hypotheses about causal relationships
shoe leather epidemiology
searching for additional cases and clues about source and mode of transmission
genetic epidemiology
causation, distribution, disease, in relatives or inherited cases
molecular epidemiology
exposure to specific substances and biological response
chronic disease epidemiology
depend on sampling & statistical method
clinical approach
Diagnosis & treatment of individuals, medical case, immunization, quitting smoking, obesity counseling. Motivated by symptoms, discomfort, insurance, & sympathy.
public health approach
Control, prevent disease in a population, health promotion. Human behavior, lifestyle, some overlaps in clinical medicine
randomized control trial
human experiment; trials
single blind study
patients/participants do not know which study group they are in
double blind study
either the patient nor the experimenters know which study group the patients are in
triple blind study
the participant, those who administer the treatment or intervention, and the individuals who assess the outcome are all blind
cross sectional study
survey, “snapshot in time”
case control study
compare ppl w/ & w/o disease to find common exposures
cohort study
compare ppl w/ & w/o exposures then track to see wether participants develop the disease
prospective cohort study
participants are followed prospectively over time to identify occurrence of of the outcomes of interest
retrospective cohort study
looks back on exposures & tries to find disease
ecological study
comparisons of geographical locations
case crossover study
only cases used in the study, each case is it’s own control, each person has a “case window” & “control window”
stratification
to evaluate & control for confounding & separating your samples into subgroups
bradford hill criteria
Needs to be met to establish causal relationship & confirm causation’s validity
Strength of the association
relationship between risk factor & outcome
Consistency of findings
observation or associate must be repeatable in different populations, in different study designs & at different times
Specificity of the association
the specific cause can only cause one specific outcome
Alternative explanation
consideration of multiple hypotheses before making conclusions about whether an association is causal or not
Temporal sequence of association
exposure must precede the outcome
Biological/dose-response gradient
Changes in exposure is related to changes in disease rates
Biological plausibility
modern biological research supports the conclusions made
Coherence
the association agrees with the current knowledge of the natural history/biology of the disease
Experiment
the condition can be altered, either prevented, or accelerated, by an appropriate experimental process.
koch’s postulates
Assesses whether a microorganism is directly involved in disease & design of a plan that controls & prevents the outbreak knowing the identity of the pathogen
surveillance
Information for action, systematic & ongoing collection & , analysis, interpretation, & dissemination of data & the distribution of disease related information to those responsible for prevention & control
passive surveillance
(provider-initiated) health-care providers send laboratory reports to the health department on the basis of a known set of rules/regulations
active surveillance
(health department-initiated) health agencies contact health providers to ask for patients with X disease (limited to specific diseases over a limited time period)
sentinel surveillance
specific area/site active or passive surveillance in a particular area in which trends & societal effect are observed & analyzed/when pre-arranged health-care providers (clinics, hospitals, or physicians) agree to report cases of specific diseases
syndromic surveillance
looks at medical data for any abrupt changes that could signify a potential outbreak
medical surveillance
clinically focused monitoring, in a hospital, known diagnosis
endemic
disease or condition present among a population at all times
hypoendemic
Constantly present at low incidence, small populations; outbreaks where transmission occurs all year long
hyperendemic
Constantly present, high incidence, given population
holoendemic
All individuals in population are infected
enzootic
low level of disease constantly in an animal population similar to endemic for humans
Outbreak
(localized epidemic) uptick in the incidence of a disease above historical or typical levels for a time, place, or person
epidemic
large numbers of people over a wide geographic area affected
Epizootic
an outbreak in a large animal population similar to an epidemic in humans.
pandemic
epidemic occurring over a very wide area (several countries or continents) & usually affecting a large proportion of the population
cluster
aggregation of cases over a particular period esp. cancer & birth defects closely grouped in time & space regardless of whether the number is more than the expected number. (often the expected number of cases is not known)
sporadic
a disease that occurs infrequently & irregularly
idiopathic
disease w/ unknown cause that arises spontaneously
etiology
study of cause of disease
latrogenic
an illness that is caused by medication or physician
nosocomial
infection acquired in hospital
quarantine
staying home after exposure but before symptoms
isolation
staying home if you have symptoms or test positive
control
lowering incidence rate so it can be handled locally
incubation period
(contagious) Time in between when a person comes into contact with a pathogen & when they first show symptoms or signs of disease
latent period
(chronic) period between exposure & infection
plague
serious, potentially life-threatening infectious disease that is usually transmitted to humans by the bites of rodent fleas. It was one of the scourges of our early history. There are three major forms of the disease: bubonic, septicemic, & pneumonic.
Risk
probability that an individual will be affected by, or die from, an illness or injury within a stated time or age span
Vector
animal that transmits disease but is not the cause of the disease itself. For example, a mosquito is a vector for malaria
Rate
frequency of event in population over period of time
Ratio
compare 2 values/rates Etiology the study of the causes of diseases
oncology
study of cancer
pathology
study of progression of disease
acute
sudden onset, quick worsening symptoms
anthroponosis
disease transmission from humans to non-humans
antibodies
binds to antigens and combines with foreign substances
antibiotic
medication that destroys or grows microorganisms, effective against bacteria
antigen
foreign substance that induces immune response in body, esp in antibodies
antigenic drift
small genetic changes in virus that changes antigen
antigenic shift
genetic mutation in virus causing major changes to antigen
facultative anaerobe
organism that makes ATP through respiration, can switch to fermentation
aerotolerant anaerobe
use fermentation to produce ATP, can protect from reactive oxygen
accuracy
closeness to measured value/standard/known value
precision
closeness of two or more measurements to each other
causal relationship
correlation to causalities
strength of association
relationship is clear & risk estimate is high
Case
instance of diseases that meets criteria
carrier
who harbors infectious agents for disease
Communicable
disease transferable directly/indirectly from one person to another; infectious
contact tracing
identifying people who may have been exposed to infected
contagious
person-person direct/indirect
infectious
likely transmitted to people or organism from environment
contamination
potentially infectious agent exists in host but hasn’t invaded tissue
consistency
association must be repeatable in different populations at different times
contact
exposure to an infectious agent
chemoprophylaxis
meds to prevent disease
prophylaxis
action to prevent disease
coherence
association should be compatible with existing theory and knowledge including knowledge of past cases and studies