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100 Cards in this Set

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What is the science and art of preventing and controlling dental disease and promoting dental health through organized community efforts by Dr. Winslow (founder of dental health)
Community Health or Public Health
Other Definitions for Public or community health
(5)
Other Definitions for Public or community health
A continuum
Absence of disability
Science and art of preventing
Promoting
State of complete physical, mental, and social well being
Functions of government:
What are the (4) types
Functions of government:
1. international
2.federal
3.state
4 local
Functions of government:___
oWHO world health organization
oEstablish 1948
oDevelop programs for under develop nations
oGather data from one nation to another
oMonitor disease epidemiologic data ex: avian flu
Functions of government:
International
oWHO world health organization
oEstablish 1948
oDevelop programs for under develop nations
oGather data from one nation to another
oMonitor disease epidemiologic data ex: avian flu
Functions of government:____
oHealth problems at national government level
oDr. McKay “ Colorado Brown Stain” 1901
oFederal programs ex: head start (for low income), medi cade, wic women infant children, national institute of health, cdc, fda, Indian health service
Functions of government:Federal
oHealth problems at national government level
oDr. McKay “ Colorado Brown Stain” 1901
oFederal programs ex: head start (for low income), medi cade, wic women infant children, national institute of health, cdc, fda, Indian health service
Functions of government:___
oProvide local consultation
ochannels federal funds to programs
oExample:Sealant programs
Functions of government:State
oProvide local consultation
ochannels federal funds to programs
oexample:Sealant programs
Functions of government:___
oPeople to people
o___health department
oAdministration county and city levels
Function of governement: Local
oPeople to people
oLocal health department
oAdministration county and city levels
oLocal Northeast no DDS but had hygienist
Factors affecting dental services:
Access to care-ex:
Socio economic status-
Malpractice-
Managed insurance programs-
Factors affecting dental services:
Access to care-ex: do patient has transportation
Socio economic status-education, income
Malpractice- fees, quality of care
Managed insurance programs- increase numbers of patients, decrease quality of service
Delivery of Dental care
Private practice__% financed by private source
Medicare___for what type of population
Medicaid for what type of population?
State example___
Delivery of Dental care
Private practice
o95.7% financed by private source
Medicare
oElderly, disabled specific hospital cases
Medicaid
oIndigent (poor) population, administered by state (channel through state)
State
oHealth dept., peachcare
Ways people Finance of dental care:define each way:
Fee- for –service
Capitation plans
Encounter fee
Barter system
Fee- for service
(Most 95.7% private source)
Capitation plans
(HMO-contracts with a 3rd party)
Encounter fee (Same reimbursement fee per visit)
Barter system (Negotiate payment)
Dental care delivery
WHO goals:
oBy age 5 – 6
oBy age 12
oBy age 18
oBy age 34-44
oBy age 65+
Dental care delivery
WHO goals:
oBy age 5 – 6 (50% caries free)
oBy age 12 (decay missing filled teeth less than 3)
oBy age 18 (85% retained all their teeth)
oBy age 34-44 (50% reduction in # with no teeth)
oBy age 65+ (25% reduction in # with fewer than 20 teeth)
Compiled data “world wide”
% of people with deep pockets is ___ in developing countries
___ apparent difference for severe form of periodontal disease
Early, ___ severe form more prevalent in developing countries
Compiled data “world wide”
% of people with deep pockets is low in developing countries
No apparent difference for severe form of periodontal disease
Early, less severe form more prevalent in developing countries
What are the countries where children up into age 18 are treated for free? What country is it where the children treated for free?
Access to care:
Australia, New Zealand, Denmark, and United Kingdom cover children to 18 years of age
Norway- children are treated free
What are the objective for international federation of Dental hygienist (4)
Objective for international federation of Dental hygienist
Promote access to quality preventive
Represent and advance profession
Promote and coordinate exchange of knowledge and information
Raise the level of awareness of public that oral disease can be prevented
What is the legislative initiative
Legislative Initiatives
Bills to rule and regulate
State dental hygiene practice act
Policies at federal level- states ensure laws and rules do not conflict ex: Medicaid reimbursement
Health education- state of health awareness include what (4) things?
Health education- state of health awareness
Informing (teaching individual)
Motivating
Awareness
HOPING pt incorporate what we teach them at home
Health promotion is bring out a change, what (3) things does it include?
Health Promotion: Bringing out a change
Inform and motivate to adopt behavior
Informing
Motivating
Awareness
Example: fluoride water, bans snacks in schools
Educator’s cognizance (aware of or perception)
Internal factors includes?
Educator’s cognizance (aware of or perception) Internal factors
oBeliefs
oValues
oAttitudes
Educator’s cognizance (aware of or perception)
External factors includes?
Educator’s cognizance (aware of or perception) External factors
oEconomic
oEducation
oSocial demographic- age, race, cultural
Wellness scale: five dimensional health models
-Physical:
-Emotional:
-Mental:
-Social:
-Spiritual:
Wellness scale: five dimensional health models
-Physical: thinking of toothbrush/floss, do pt have that in order to maintain state of health
-Emotional: trust (individual patient, how much they trust the provider)
-Mental: knowledge
-Social: interaction with people
-Spiritual: values or morality
What is our PRIMARY goal ALWAYS?
Primary goal: Prevention of disease
Stages of learning:
-Unawareness:
-Awareness:
-Self interest (personal info): -Involvement:
-Action:
-Habit:
Stages of learning:
-Unawareness: pt has inaccurate information
-Awareness: pt has information contain like us in clinic
-Self interest (personal info): pt personalizing info
-Involvement: discarding the old and incorporate the new
-Action: incorporate new info
-Habit: making a habit
Type of theory that describe:
-Pt change in steps
-Precontemplation- unaware pt had problem
-Contemplation- considering a change
-Decision- plan being made to change
-Action- implementing
-Maintenance- repeating the steps needed, change made at least 6 months
-Termination- (recently added) the change is permanent apply to this theory
Stages of Changes theory “transtheoretical”
-Pt change in steps
-Precontemplation- unaware pt had problem
-Contemplation- considering a change
-Decision- plan being made to change
-Action- implementing
-Maintenance- repeating the steps needed, change made at least 6 months
-Termination- (recently added) the change is permanent apply to this theory
Type of theory that descibe:
-Person perception how susceptible they are
-Perceived susceptibility: person chance
-Perceived severity- seriousness
-Perceived benefits- efficacy is the action going to benefit them
-Perceived barrier- psychological issues, not tangible enough, cost too great
-Cues to actions-is person ready
-Self efficacy- confidence in own self to take action
Health belief model (not in textbook)
-Person perception how susceptible they are
-Perceived susceptibility: person chance
-Perceived severity- seriousness
-Perceived benefits- efficacy is the action going to benefit them
-Perceived barrier- psychological issues, not tangible enough, cost too great
-Cues to actions-is person ready
-Self efficacy- confidence in own self to take action
Type of theroy that describe:
-Results are influencing actions
-Determine by attitude and beliefs
-Ex: if you know flossing going to prevent perio disease than you going to perform the action
Reasoned action
-Results are influencing actions
-Determine by attitude and beliefs
-Ex: if you know flossing going to prevent perio disease than you going to perform the action
Type of theory that descibe:
Individuals makes choices
Concerned with functioning of personality within social contents
example: Loose weight
Self determination theory:
Individuals makes choices
Concerned with functioning of personality within social contents
example: Loose weight
Theory that describes:
-Behavior is learned by own experience and watching others
-Ex: children always think you’re their parent, they always watching
Social learning theory “social congnitive”
-Behavior is learned by own experience and watching others
-Ex: children always think you’re their parent, they always watching
Social learning theory “social congnitive”
-Reciprocal Determinsion:
-Behavioral capability:
Social learning theory “social congnitive”
Reciprocal Determinsion: by directional reciprocal, interaction with another person or environment
Behavioral capability: are you capable of behavior do you have knowledge or skill
Social learning theory “social congnitive”
-Self efficacy-
-Observational learning-
-Reinforcement
-Example:
Social learning theory “social congnitive”
-Self efficacy- take into action, pt have confident
-Observational learning- base on observing someone else
-Reinforcement- chances person continue to do behavior, is it being reinforced to person response to behavior
-Ex: we go into a school and we do a dental health education with classroom teachers, so classroom teachers know how to impart information to kids
Type of theory that describe:
-Extension of Social Learning Theory
-You look at internal and external factors
-Environment knowledge and behavior
Locus of control (not in book)
-Extension of Social Learning Theory
-You look at internal and external factors
-Environment knowledge and behavior
Locus of control
Internal LOC- examples
External LOC- examples
Locus of control
-Internal LOC- their personal actions, determine, self decisions
-External LOC- people might blame the environment (outside factors control status) faith, god, luck factor out of pt control
Type of theory that describes:

More useful to study health than disease
Health is a continuum
Stressor- source or disturbance, the equilibrium can be effected by internal or external source, ex: job school stress
Generalized resistance resources (to stress): resources at level to help person manage daily stress: knowledge, education, financing
Method of seeing world and ones place in it
Sense of coherence (not in book)
More useful to study health than disease
Health is a continuum
Stressor- source or disturbance, the equilibrium can be effected by internal or external source, ex: job school stress
Generalized resistance resources (to stress): resources at level to help person manage daily stress: knowledge, education, financing
Method of seeing world and ones place in it
Type of theory that describes:
Process of involving members in a group or community
Identify problem or goal community might have
Community organization theory (not in textbook)
Process of involving members in a group or community
Identify problem or goal community might have
Community organization theory (not in textbook)
_____- power over the situation to produce the change (process of gaining some type of master)
____ _____- work through problem (whether or not community is capable of problem solving)
Community organization theory (not in textbook)
Empowerment- power over the situation to produce the change (process of gaining some type of master)
Community competence- work through problem (whether or not community is capable of problem solving)
Community organization theory
____ ____- active in participating
____ ____- identify a specific concern,
____ ____:conscious of the root problem, critical thinking process, whether person understand cause or problem
Community organization theory
Participation relevance- active in participating
Issue selection- identify a specific concern,
Critical consciousness- conscious of the root problem, critical thinking process, whether person understand cause or problem
Type of theory that describes:
Trying to incorporate a new idea within a group or community
Relative advantage: better than old one
____: how consistence it is with value or habit with people who going to adopt it
_____: how hard it to understand
Trialablity
Observability: observe the results
Diffusion of innovation theory
Trying to incorporate a new idea within a group or community
Relative advantage: better than old one
Compatibility: how consistence it is with value or habit with people who going to adopt it
Complexity: how hard it to understand
Trialablity
Observability: observe the results
Type of theroy that describes:
Definition of problem
Initiation of action: new policy formed
Implementation of change: start the change and observe the change
Institutionalization of change
Ex: lunch room need healthier foods
Organizational change: stage theory (not in book)
Definition of problem
Initiation of action: new policy formed
Implementation of change: start the change and observe the change
Institutionalization of change
Ex: lunch room need healthier foods
Type of theory that describes:
Take into account social, cultural, economic, etc
Does not blame
Recognize need for changes in variables
Most used with health education
Contemporary community health model theory
Take into account social, cultural, economic, etc
Does not blame
Recognize need for changes in variables
Most used with health education
___ ____ Assumption that increasing a patient dental health knowledge will help change dental care behavior
Fundamental Error: Assumption that increasing a patient dental health knowledge will help change dental care behavior
___ describes:
-Strength of relationship
-Look at variable to see if it’s a weak or strong relation
Correlations describes:
-Strength of relationship
-Look at variable to see if it’s a weak or strong relation
Correlation coefficient is ___
Correlation coefficient “r”
Correlations ranges from what two variables?
Correlations ranges from
-1 to 1
***o Just because it’s a negative does not mean it’s s (negative relationship) -1 is actually perfect inverse relationship****
Degree of correlations relationship:
oStrong=
oModerate=.
oWeak=
Degree of correlations relationship:
oStrong=.7 to 1.0
oModerate=.3 to .69
oWeak= .1 to .29
Descriptive data display
-Frequency distribution
____Used for 30 or less in a sample
Descriptive data display
-Frequency distribution
Ungrouped used for 30 or less in a sample
Descriptive data display
-Frequency distribution
____ used for larger sample of people and the data is condense
Descriptive data display
-Frequency distribution
Grouped used for larger sample of people and the data is condense
Descriptive data display
-Frequency distribution
____ expressing the frequency of the occurence
Descriptive data display
-Frequency distribution
Cumulative expressing the frequency of the occurence
Inferential Statistics:
___ ___
oNo statistically significant difference
oEx: sealant materials
Inferential Statistics:
Null Hypotheses
oNo statistically significant difference
oEx: sealant materials
Inferential Statistics:
____ ____
oThere is a significant difference or we are going to prove there is a difference
Inferential Statistics:
Alternative Hypothese
oThere is a significant difference or we are going to prove there is a difference
Inferential Statistics
_____ _____
oFewer assumptions; vague; small sample (results not as dependable)
oUsed when we don’t have assumption that is being met
oChi-square test measures differences
Inferential Statistics
Nonparametric statistics
oFewer assumptions; vague; small sample (results not as dependable)
oUsed when we don’t have assumption that is being met
oChi-square test measures differences
Inferential Statistics
____ ____
oMeet certain assumptions; large sample
oLooking at meeting certain assumption about the population
oWe have a concrete characteristic about something
Inferential Statistics
Parametric statistics
oMeet certain assumptions; large sample
oLooking at meeting certain assumption about the population
oWe have a concrete characteristic about something
Inferential Statistics
Parametric statistics test used:
: T-test:
-anova
-ancova
Inferential Statistics
Parametric statistics test used:
: T-test (comparing mean scores for two groups ex: first year vs 2nd year class nutrition first test);
anova (looking at mean score for 3 groups analysis of variance);
ancova (analysis of covariance more than 3 comparison of a group; comparing mean score)
___ is gaging a characteristic through an assignment of numbers
BIOSTATISTICS
- gaging a characteristic through an assignment of numbers
What are the 4 uses for data?
Uses for datat
- to design program/ facility
- to evaluate effectiveness of ongoing process
- to determine the needs of specific
- to evaluate scientific accuracy
__ data - numbers that are collected during a needs assessment or it could be a pre test
Baseline data- take data
numbers that are collected during a needs assessment or it could be a pre test
___ data- number that have been collected but not organized.
Raw Data- collect data
number that have been collected but not organized.
___ is the number or data collected that are organized in ascending or descending order.
Array - organize data
number or data collected that are organized in ascending or descending order.
What are 2 main types of data (variables)?
1. Continuous
2. Discrete
___ variables (data) is anything that you think about that is along a continuum or on a continuous scale. Consist of interval & ratio. ~Intervals- on equal intervals does not have meaningful 0, can't multiply this Ex: scale 1-10
~Ratio- equal intervals w/ a meaningful 0 point, can multiply this, Ex: probe, height,weight
CONTINUOUS
anything that you think about that is along a continuum or on a continuous scale. Consist of interval & ratio. ~Intervals- on equal intervals does not have meaningful 0, can't multiply this Ex: scale 1-10, continuum on linear scale
~Ratio- equal intervals w/ a meaningful 0 point, can multiply this, Ex: probe, height,weight
__ variables(data) is counted in terms of whole #, a classification, or characteristic.
~can be broke into nominal or ordinal scale
~ Nominal- a named category (ex: gender)
~ Ordinal scale- imperical order of an equal or unknown ranking, there is a vaque w/ this (Ex: scale of social class- good,fair,poor, or the plaque index)
DISCRETE
- counted in terms of whole #, a classification, or characteristic.
~can be broke into nominal or ordinal scale
~ Nominal- a named category (ex: gender)
~ Ordinal scale- imperical order of an equal or unknown ranking, there is a vaque w/ this (Ex: scale of social class- good,fair,poor, or the plaque index)
___ is a specific group that possess a specific characteristic
Target population
- specific group that possess a specific characteristic
__ is representation of a population
5 types of these include:
randon, stratified random, systematic, convenience sample, judgement sample
Sample- representation of a population
5 types of samples: random, stratified random, systematic, convenience sample, judgement sample
Type of samples
___ sample- everyone has equal chance of being selected
___ sample- placing our random sample that we have into subgroups
___ sample- every enth (th) of a sample (like every 5th person on a list)- not a true representation
___ sample - least valid type of sample based on convenience (ex. schools you choose)
___ sample - have prior knowledge about the population. One of the least valid type of sample bc it can be bias
Type of samples
~Random sample- everyone has equal chance of being selected
~Stratified random sample- placing our random sample that we have into subgroups
~ Systematic sample- every enth (th) of a sample (like every 5th person on a list)- not a true representation
~ Convenience sample - least valid type of sample based on convenience (ex. schools you choose)
~ Judgement sample - have prior knowledge about the population. One of the least valid type of sample bc it can be bias
With a ___ of the population you want to start w/ a larger size bc some subjects drop out(have attrition- wear away)
~Characteristics...
-Size: the larger the better because then it will be more representative of the population(has to be atleast 30)
~Error- not 100% accurate of representing the population
~ Data collection- once samples have been collected then it will be organized, tabulate scores, & display numbers
SAMPLE
*characteristics of a sample*
-Size: the larger the better because then it will be more representative of the population(has to be atleast 30)
~Error- not 100% accurate of representing the population
~ Data collection- once samples have been collected then it will be organized, tabulate scores, & display numbers
What are the 2 statistic techniques and explain each??
Statistic techniques
1. Descriptive (the who&what)
- summarizes data & describes & generalizes group
- no intervention just describing what is there
2. Inferential
- infering from the sample to the general population
- may have intervention
- just looking at something and saying what is there
Descriptive Statistics technique....
- measures of __ tendency- to say what is typical in a group(includes mean,median, mode)
- measure of __ - how widely scores vary around a central point (darts) - this includes range, variance, and standard deviation.
Descriptive Statistics technique....
- measures of _ central tendency- to say what is typical in a group(includes mean,median, mode)
- measure of _dispersion- how widely scores vary around a central point (darts) - this includes range, variance, and standard deviation.
~ __ means the average
~__ is the middle- 50% above 50% below
~ __ the number that occurs the most frequently
Mean- average
Median- middle
Mode- # that is most frequent
___ is the crude measurement the difference between the highest and lowest score
___ is the average deviation(spread of scores) around the mean
___ is the square root of variance, this is uded the most in research. The larger this is the wider the curve is for standard deviation
~Range- is the crude measurement the difference between the highest and lowest score
~Variance- is the average deviation(spread of scores) around the mean
~ Standard deviation- is the square root of variance, this is uded the most in research. The larger this is the wider the curve is for standard deviation
___% of scores should fall in the 1st deviation
___% of scores should fall in the 2nd deviation
___% of scores should fall in the 3rd deviation
_68.26% of scores should fall in the 1st deviation
_95.45% of scores should fall in the 2nd deviation
_99.75% of scores should fall in the 3rd deviation
Analysis of Literature
The reason why people do research is to ___ ___ ___ or rule out a chance that there might be a portion or area that is due to an outside factor
Analysis of Literature
The reason why people do research is to capture the variance or rule out a chance that there might be a portion or area that is due to an outside factor
What are the two types of studies (research)?
Two types of research or studies:
1. Descriptive
2. Hypothesis (inferential)
Which type of study is this?
~it is the who, what, when, where
~it does not have a cause and effect relationship
Descriptive is a type of research that:
~it is the who, what, when, where
~it does not have a cause and effect relationship
Descriptive studies:
~____ ___: identifying health and disease in a population
~___ ___: unmet needs of a population
~____ ____:example would be test the quality of sealant materials
Descriptive studies:
~Epidemiologic research: identifying health and disease in a population
~Risk assessment: unmet needs of a population
~Product testing:example would be test the quality of sealant materials
This is a type of study:
Hypothesis: Null, Alternative
~___ ___ ___: example: controlled group and a experimental group
~___ ___: example original fluoride study that was done
~___ ___:example food and drug administration test on dental materials
This is a type of study:
Hypothesis: Null, Alternative
~Randomized controlled trials: example: controlled group and a experimental group
~Field experiment: original fluoride study that was done
~Laboratory studies: food and drug administration test on dental materials
In a study what are the requirements you must have? (5)
Requirement of a study?
1.prior research
2.replicable
3.based on a theory
4. heuristic
4. generalizable
___ ___ is a requirement of a study.
~work of others
~includes introduction,background
~review of literature (part of introduction)
~example: Colorado brown stain
Prior research is a requirement of a study.
~work of others
~includes introduction,background
~review of literature (part of introduction)
~example: Colorado brown stain
_____ is a requirement of a study
~Method well described, what you are doing
~Measures used are defined
~Provides specific information
~Four subsections
Replicable is a requirement of a study
~Method well described, what you are doing
~Measures used are defined
~Provides specific information
~Four subsections
Replicable has (4) subsections
what are they?
Replicable has (4) subsections
what are they?
1.sampling strategy
2.measurement strategy
3.description
4.proposed statistical analysis
___ is a subsection of replicable.
~description of population sampled, sampling method, assigning subjects
sampling strategy is a subsection of replicable.
~description of population sampled, sampling method, assigning subjects
___ is a subsection of replicable.
~measurement scale, so you have enough information to support it
measurement strategy is a subsection of replicable.
~measurement scale, so you have enough information to support it
Measurement Strategy:
____ mean does it measure what it's suppose to (ex: plaque free score)
___ and ___ are the two types
Measurement Strategy:
~Validity: mean does it measure what it's suppose to (ex: plaque free score)
~internal and external are the two types
____ ____ degree to in which a independent variable bring about a change based on a dependent
Internal validity degree to in which a independent variable bring about a change based on a dependent
~___ ___: intervention what’s being manipulate ex: (brushing/flossing technique)
~ ____ ___: measure thought to change as a results of the intervention ex:(plaque score after the intervention)
~Independent variable: intervention what’s being manipulate ex: (brushing/flossing technique)
~Dependent variable: measure thought to change as a results of the intervention ex:(plaque score after the intervention)
___ ____: the degree to which you can take what you have and in that study, and make it generalize to the world
External validity: the degree to which you can take what you have and in that study, and make it generalize to the world
_____ is being consistence and can the study be replicated
(2) types
Reliability: being consistence and can the study be replicated
-intraexaminer
-interexaminer
Reliability
~______: how consistence one examiner is (how consistence am I’m with probing, so I always use the same type of probe)
~_____: how consistence with two or more examiners with the finding
Reliability
~intraexaminer: how consistence one examiner is (how consistence am I’m with probing, so I always use the same type of probe)
~interexaminer: how consistence with two or more examiners with the finding
replicable subsection
~_____: step by step sequence; enough detail there to repeat study
~___ ___ ___: there should be some proposal on how they are going to analysis everything; strategy for evaluating, quantifying, and analyzing results
Replicable subsections
~Description: step by step sequence; enough detail there to repeat study
~Proposed statistical analysis: there should be some proposal on how they are going to analysis everything; strategy for evaluating, quantifying, and analyzing results
____ ___ ___ is a requirement of a study
~Provide structure in which to organize and explain the data collected
~Theory: organized explanation of data observed
~Hypothesis: predication of data to be collected
Based on a theory: is a requirement of a study
~Provide structure in which to organize and explain the data collected
~Theory: organized explanation of data observed
~Hypothesis: predication of data to be collected
___ is a requirement of a study
~Educational method-learning through investigation and discovery
~Opens the door to future studies
Heuristic: is a requirement of a study
~Educational method-learning through investigation and discovery
~Opens the door to future studies
___ is a requirement of a study
~Results can be applied to other populations
Generalizable:is a requirement of a study
~Results can be applied to other populations
Issues
~____: when a test will be positive when a disease or condition is present (testing for the true disease) example: explorer testing for decay
~____: when a test will test negative when the disease or condition is absent example: blood test
Issues:
~Sensitivity: when a test will be positive when a disease or condition is present (testing for the true disease) example: explorer testing for decay
~Specificity: when a test will test negative when the disease or condition is absent example: blood test
Issues
~___ ___: the measuring device identify the present or absent of the disease
~____ ____ ___: capturing the variance or rule out any chance of error
Issues
~Predictive value: the measuring device identify the present or absent of the disease
~Amount of variance: capturing the variance or rule out any chance of error
Issues
~____ ___: need to be representative to the population
~___ ___ ___: expressing the degree of confidence we have that the difference that might be observer is the real difference not due to chance; it’s expressed by the P value or probability level; you will see this as P=.05 which mean we have 95% confidence that the difference was due to the experience;
Issues:
~Sample size: need to be representative to the population/ greater the power is the larger the sample size
~Level of significance: expressing the degree of confidence we have that the difference that might be observer is the real difference not due to chance; it’s expressed by the P value or probability level; you will see this as P=.05 which mean we have 95% confidence that the difference was due to the experience;
Research design
~___ ___ ___: rejecting your theory or hypotheses that we should have kept
~___ ___ ___: we accept the hypotheses we should have rejected; error could be due to small sample size or un reliable measuring method
Research design
Research design
~Type I error: rejecting your theory or hypotheses that we should have kept
~Type II error: we accept the hypotheses we should have rejected; error could be due to small sample size or un reliable measuring method
____ Definition:
 Study of health and disease in population
 How these states are influenced by environment and ways of living
 Concern with factors and conditions that determine occurrence and distribution
EPIDEMIOLOGY
Definition:
Study of health and disease in population
 How these states are influenced by environment and ways of living
 Concern with factors and conditions that determine occurrence and distribution
____ is considered to be an aggregation of cases
 Cluster:
consider to be a aggregation of cases
ex. small cluster of grapes
____ many that occurs in a community at the same time (sometime it’s called an outbreak) could be done by states, school, age
 Epidemic:
many that occurs in a community at the same time (sometime it’s called an outbreak) could be done by states, school, age
 ____ constant low occurrence of disease in a population ex: common cold
 Endemic:
constant low occurrence of disease in a population ex: common cold
 _______ wide spread; wide geographic region or area like worldwide ex: avian flu
Pandemic:
wide spread; wide geographic region or area like worldwide ex: avian flu
______  Sickness amount of sickness in the population
____  Loss or death; failure resulting from disease
MORBIDITY
 Sickness amount of sickness in the population
MORTALITY
Loss or death; failure resulting from disease
example- tooth loss due to caries
___ is the number of new cases
___ is the amount, rate, percentage of existing cases
INCIDENCE
- number of new cases
PREVALENCE
- amount, rate, percentage of existing cases