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81 Cards in this Set

  • Front
  • Back

health history and examination=?

Needs assessment

Diagnosis=?

Data/needs analysis

Treatment planning

Program planning

Treatment=?

Program operation

Payment=?

Funding

Evaluation=?

Appraisal

4 levels of community health?

International, federal, state and local

Example of an organization that promotes international community health

WHO

Who acts on oral health problems at the national level?

Federal gov

Organization that focuses on oral health at a federal level

Department of health and human services

Who published healthy people 2010?

DHHS

State level does what?

Administers some programs, provides consultation for local health departments

Local level does what?

Administers county programs, and local measures such as fluoridation

epidemiology

Study of health and disease in populations

quantitative data

Anything that can be counted or expressed numerically

Prevalence

Number of people managing a disease at any given time

Incidence

Number of new cases in a year

Epidemic

Unexpectedly large number of cases in a specific population

Endemic

A regularly occurring affliction (hay fever)

Pandemic

Worldwide outbreak of a disease

Pandemic

Worldwide outbreak of a disease

Two types of descriptive studies

Cross sectional and longitudinal

Cross sectional study

One time interaction, a snap shot

Longitudinal study

Observing individuals over time

Analytical studies

Test hypothesis to establish cause

Null hypothesis

H0

Alternative hypothesis

H1

Experimental analytical studies

W controlled settings and blindness

Best way to avoid bias

Double blind study

Case control/ retroactive studies

Observing people who already have an affliction vs those who don't

Cohort/ prospective studies

Follow large groups over a long period of time

Random sample

Equal chance of picking ex phone book selection

Stratified sample

Getting participants based on subgŗoups

Systematic sample

Every nth person

Judgment sample

Someone familiar w the population picks the sample. High chance for bias

Convince sample

First 10 people to walk through the door

Dependent variable

Outome of a study DEPENDS ON THE INDEPENDENT VARIABLE

Independent variable

Manipulated to produce a response to the dependent variable

Measures of central tendency

The middle, finding where the data is balanced

Measures of central tendency

Mean, median and mode

Mean

Average , sensitive to extreme values (range)

Median

Divides the scores into two equal parts

Mode

The most frequently occurring score which affects the skew of a graph

The mean, median and mode are equal when

There is a normal distribution (bell curve)

Standard deviation

Reflects the range, bigger the range the wider the distribution of the curve

Positive skew

When more scores fall in the lower range

Negative skew

When most of the data falls in the higher range

Intraexaminer reliability

Consistent performance by the same evaluator

Interexaminer reliability

Consistency between different examiners

Sensitivity

Identify presence of a disease

Specificity

Identity absense of a disease

P value

Probability that something will happen on its own w no intervention

Primary services

Preventive ie regular cleanings, fluoride

Secondary services

Managing a condition ie NSPT, perio maintenance

Tertiary services

Fillings, implants (restoring lost structures)

Characteristics of an ideal index

Simple, valid, reliable, clear, sensitive, quantifiable, objective and accepted

Categories of indices

Reversible, irreversible, simple and cumulative

Reversible

Measures conditions that can be changed ie gingivitis

Irreversible

Cannot be changed ie periodontal disease

Simple

Measures the presence or absence of a disease

Cumulative

Measures all data of a condition past and present

Caries indices

DMFT, deft, dft, RCI, CAMBRA

Gingivitis indices

GI and SBI

Periodontal indices

PDI, PI, PSR and CPITN

Oral hygiene indices

OHI-S, PII, PHP, VMI

First step in planning an OH program

Needs assessment

Ways to collect a needs assessment

Direct observation, interviews, questionnaire, survey and records/charts

Access to care issues

Need, utilization, demand and barriers

Exam method type 1

Comprehensive including mouth mirror, light, radiographs, study models etc

Exam method type 2

Comprehensive minus study casts

Exam method type 3

Mouth mirror and light only

Exam method type 4

Tongue depressor and light only

Medicare

Health insurance for elderly and disabled

Medicaid

Health insurance for poor

Medicaid and medicare were created as a result of

The social security act of 1965

Formal delivery of teaching

Lecture, demonstrations and discussions

Informal teaching

Brochures, pamphlets, billboards etc

External motivation

Promise of reward

Internal motivation

Change as a result of self awareness

Summative evaluation

Measures impact of a program

Formative evaluation

Conducted during the program