disease terms lol

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106 Terms

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epidemiology

study of distribution and determinants of health related states or events in specified populations

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descriptive epidemiology

generating hypotheses and identifying patterns among cases and population by time, place, and person

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analytical epidemiology

using comparison groups to quantify association between exposures and outcomes to test hypotheses about causal relationships

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shoe leather epidemiology

searching for additional cases and clues about source and mode of transmission

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genetic epidemiology

causation, distribution, disease, in relatives or inherited cases

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molecular epidemiology

exposure to specific substances and biological response

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chronic disease epidemiology

depend on sampling & statistical method

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clinical approach

Diagnosis & treatment of individuals, medical case, immunization, quitting smoking, obesity counseling. Motivated by symptoms, discomfort, insurance, & sympathy.

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public health approach

Control, prevent disease in a population, health promotion. Human behavior, lifestyle, some overlaps in clinical medicine

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randomized control trial

human experiment; trials

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single blind study

patients/participants do not know which study group they are in

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double blind study

either the patient nor the experimenters know which study group the patients are in

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triple blind study

the participant, those who administer the treatment or intervention, and the individuals who assess the outcome are all blind

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cross sectional study

survey, “snapshot in time”

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case control study

compare ppl w/ & w/o disease to find common exposures

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cohort study

compare ppl w/ & w/o exposures then track to see wether participants develop the disease

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prospective cohort study

participants are followed prospectively over time to identify occurrence of of the outcomes of interest

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retrospective cohort study

looks back on exposures & tries to find disease

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ecological study

comparisons of geographical locations

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case crossover study

only cases used in the study, each case is it’s own control, each person has a “case window” & “control window”

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stratification

to evaluate & control for confounding & separating your samples into subgroups

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bradford hill criteria

Needs to be met to establish causal relationship & confirm causation’s validity

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Strength of the association

relationship between risk factor & outcome

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Consistency of findings

observation or associate must be repeatable in different populations, in different study designs & at different times

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Specificity of the association

the specific cause can only cause one specific outcome

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Alternative explanation

consideration of multiple hypotheses before making conclusions about whether an association is causal or not

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Temporal sequence of association

exposure must precede the outcome

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Biological/dose-response gradient

Changes in exposure is related to changes in disease rates

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Biological plausibility

modern biological research supports the conclusions made

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Coherence

the association agrees with the current knowledge of the natural history/biology of the disease

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Experiment

the condition can be altered, either prevented, or accelerated, by an appropriate experimental process.

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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

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surveillance

Information for action, systematic & ongoing collection & , analysis, interpretation, & dissemination of data & the distribution of disease related information to those responsible for prevention & control

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passive surveillance

(provider-initiated) health-care providers send laboratory reports to the health department on the basis of a known set of rules/regulations

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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)

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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

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syndromic surveillance

looks at medical data for any abrupt changes that could signify a potential outbreak

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medical surveillance

clinically focused monitoring, in a hospital, known diagnosis

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endemic

disease or condition present among a population at all times

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hypoendemic

Constantly present at low incidence, small populations; outbreaks where transmission occurs all year long

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hyperendemic

Constantly present, high incidence, given population

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holoendemic

All individuals in population are infected

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enzootic

low level of disease constantly in an animal population similar to endemic for humans

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Outbreak

(localized epidemic) uptick in the incidence of a disease above historical or typical levels for a time, place, or person

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epidemic

large numbers of people over a wide geographic area affected

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Epizootic

an outbreak in a large animal population similar to an epidemic in humans.

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pandemic

epidemic occurring over a very wide area (several countries or continents) & usually affecting a large proportion of the population

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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)

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sporadic

a disease that occurs infrequently & irregularly

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idiopathic

disease w/ unknown cause that arises spontaneously

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etiology

study of cause of disease

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latrogenic

an illness that is caused by medication or physician

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nosocomial

infection acquired in hospital

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quarantine

staying home after exposure but before symptoms

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isolation

staying home if you have symptoms or test positive

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control

lowering incidence rate so it can be handled locally

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incubation period

(contagious) Time in between when a person comes into contact with a pathogen & when they first show symptoms or signs of disease

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latent period

(chronic) period between exposure & infection

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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.

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Risk

probability that an individual will be affected by, or die from, an illness or injury within a stated time or age span

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Vector

animal that transmits disease but is not the cause of the disease itself. For example, a mosquito is a vector for malaria

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Rate

frequency of event in population over period of time

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Ratio

compare 2 values/rates Etiology the study of the causes of diseases

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oncology

study of cancer

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pathology

study of progression of disease

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acute

sudden onset, quick worsening symptoms

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anthroponosis

disease transmission from humans to non-humans

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antibodies

binds to antigens and combines with foreign substances

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antibiotic

medication that destroys or grows microorganisms, effective against bacteria

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antigen

foreign substance that induces immune response in body, esp in antibodies

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antigenic drift

small genetic changes in virus that changes antigen

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antigenic shift

genetic mutation in virus causing major changes to antigen

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facultative anaerobe

organism that makes ATP through respiration, can switch to fermentation

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aerotolerant anaerobe

use fermentation to produce ATP, can protect from reactive oxygen

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accuracy

closeness to measured value/standard/known value

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precision

closeness of two or more measurements to each other

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causal relationship

correlation to causalities

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strength of association

relationship is clear & risk estimate is high

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Case

instance of diseases that meets criteria

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carrier

who harbors infectious agents for disease

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Communicable

disease transferable directly/indirectly from one person to another; infectious

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contact tracing

identifying people who may have been exposed to infected

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contagious

person-person direct/indirect

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infectious

likely transmitted to people or organism from environment

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contamination

potentially infectious agent exists in host but hasn’t invaded tissue

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consistency

association must be repeatable in different populations at different times

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contact

exposure to an infectious agent

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chemoprophylaxis

meds to prevent disease

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prophylaxis

action to prevent disease

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coherence

association should be compatible with existing theory and knowledge including knowledge of past cases and studies

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