Community Health

Front 1

most influential factor

Back 1

socioeconomic status

Front 2

wellness concept

Back 2

quality or state of being healthy as a result of active process vs. health: state of optimal well-being

Front 3

injuries model similarity to infectious agent model

Back 3

communicable disease = infectious agent

injuries = agent is energy

Front 4

US bone and Joint decade initiative: movement is restricted by what

Back 4

musculoskeletal disorders like arthritis/LBP/fracture

Front 5

American deaths from chronic disease

Back 5

7/10 =1.7 million people

1/2 US adults have at least one chronic illness =133 million

Front 6

exercise and nutrition programs that help reduce risk of CA and CVD are what kind of prevention

Back 6

primary: modifiable and lifestyle choices

Front 7

~% of elder maltreatment is by a family member

Back 7

90%

Front 8

General adaptation syndrome

Back 8

Alarm-adrenaline increase

Resistance - adapting, release cortisol

Exhaustion - ANS for homeostasis, shuts down

Front 9

chiropractic profession believes in

Back 9

health and active wellness programs for prevention, Integrative practice

Front 10

biostatisitics: quantitative vs. qualitative

Back 10

***Quantitative: discrete, measurable #___, continuously count/measurable quantities (age, BP)

***Qualitative: categorical, ALTernative (yes or no, "sure" won't cut it here!), **non-ALT (blood type)

Front 11

uniintentional injuries are preceded by what

Back 11

an unsafe act (personal behavior) -> hazards and condition (environmental factor)

Front 12

major infectious dz re-emerged due to shifting weather patterns

Back 12

Dengue Fever

Front 13

modification of a product/environment to redue unintentional injuries defines what

Back 13

Automatic (passive) protection Ex. child-proof safety lock on doors

Front 14

violence of intentional injury in the US has increased in recent years, prevention recommendations include what

Back 14

methods for conflict resolution: child protection service, brady handgun violence prevention act (wonder how the right to open carry will affect school campus)

Front 15

major dimensions of health

Back 15

state of complete physical, mental, and social well being (multi-dimensional)

Front 16

stress is a prequel to anxiety (2 types)

Back 16

state -short term (reactionary ex. when someone smiles at you)

trait- long term (modus operandi ex. when someone smiles at you and follows you into a dark alley)

Front 17

4 major chronic diseases account for what amount burden on society

Back 17

1) heart dz. 2)cancer 3)stroke 4)diabetes

Front 18

current re-emerging infectious dz

Back 18

dengue fever, TB, bubonic plague, ebola, etc.

Front 19

gov. agency in charge of safety and efficacy of all drugs

Back 19

FDA : food and drug administration

Front 20

US bone and joint decade initiative: direct and indirect costs of musculoskeletal of the Gross domestic product

Back 20

$850 billion

Front 21

2 chief methods of performing an epidemiological investigation

Back 21

**descriptive studies: used to study distribution patterns or relationships (time, place, and person aka nouns)

Analytical studies: used to study determinants

Note: 1st half of snow study was descriptive -> analytical**

Front 22

stress is similar to anxiety except

Back 22

amygdala, hippocampus, and nucleus accumbens (rewards centers) are involved with stress

Front 23

unique population health inequities are mostly reflected in differences of ...

Back 23

social and cultural factors

Front 24

as portal entry chiro docs, how can we help

Back 24

Becomeaware, informed & literate (from this course). Raiseawareness in your community about chronic diseases . Localpublic health educational programs (join civic groups). Placechronic disease prevention as a priority in daily practice. Perform screening activities. HRA questionnaires (ADAM, Medicare & Loganassignments). Portal entry services - BP, UA, Glucose, basicblood work, Lipids . Co-Management of diabetes, hypertension &weight

Front 25

Mortality in the US is attributed to the topthree health-damaging behaviors to what levels. Primary prevention m/c:

Back 25

1) tobacco use -**CDC finds we spend 300 billion

2)lack of exercise

3)poor eating habits

Front 26

how can prevention, health education and active wellness based on evidence help student docs with RIME

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promote health and active wellness, use evidence based research

Front 27

compared to medical care advances, how have public health measures inc. life expectancy from 1900-2000

Back 27

public health: increase 25 years of life (5xs)

medical care: increase 5 years of life (2xs)

Front 28

what is sharing a gene that is rendering antibiotics ineffective

Back 28

NDM-1 (new delhi metal-beta-lactamase-1) its been passed between bacteria which produces an enzyme that renders antibiotics ineffective (horizontal gene transfer)

Front 29

differences in health among difference populations defines what

Back 29

health disparities

Front 30

what part of US population thinks public health is only for the poor

Back 30

47%

Front 31

chronic disease are also what type of disease and are generally what

Back 31

are non-communicable illnesses that are prolonged in duration, do not resole spontaneously, rarely cured, and have co-morbidities

Front 32

report promoting Prevention

Back 32

1979 "healthy people: the surges general's report on health promotion and disease prevention

Front 33

US common chronic disease account for many of the top ten killers, what are the top 5 categories

Back 33

1)heart disease 2)cancer 3)stroke 4)diabetes

Front 34

what accounts for the m/c cause of diability

Back 34

arthritis/chronic disease MUSCuloskeletal conditions

Front 35

chronic diseases are what and to what level a burden on society

Back 35

chronic disease account for 75% of the $2 trillion spent annually on health care in the US

Front 36

of major/common causes of chronic disease in the US, what is the common theme

Back 36

ALL are modifiable and lifestyle

-lack of physical activity, poor nutrition, tobacco use, alcohol consumption

Front 37

newly emerging infectious disease from the metal-beta-lactamase enzyme that renders medicine ineffective is found where and in what

Back 37

in 2008, spreading to europe in bacteria and viruses

Front 38

5 A's for intervention and most important one

Back 38

ask, advise ASSESS (**uses the stages of change!), assist, and arrange

Front 39

3 major type of epidemiological studies, think timing of exposure

Back 39

cross-sectional: snapshot in time (**simultaneously)

case-control: retrospective, odds ratio (**start with disease)

***co-hort: follow groups, risk-ratio (**start with exposure)

***Random control Trial: gold standard for "cause and effect"

Front 40

examples of infectious disease that become chronic and can be managed

Back 40

Hepatitis C, TB

Front 41

unintentional injuries in workplace

Back 41

1) home

2)highways

3) sports areas

4)workplace

Front 42

new direction for chiro

Back 42

integrative practice (Hilgartner will hunt you down)

Front 43

how many US adults have at least one chronic illness

Back 43

nearly 2 million US americans die each year from chronic disease, 66% deaths caused by 4 given above (H,C,S,D)

-note: US health care system structure is based on Chronic care

Front 44

**accuracy =____

Back 44

validity

Front 45

**ecological model, environmental, and behavioral health =____

Back 45

organizational

Front 46

**surveilance=______

Back 46

cornerstone of preventative health is the primary issue in group