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30 Cards in this Set

  • Front
  • Back
define Incidence and give the formula
The instantaneous per capita rate of disease onset
1/Average age of onset = True Incidence
Number of new cases of disease that occur in a defined population over a specified period of time
also
i = C/R where C = number of animals sick and R is the sum of the months that an animal survived without being sick
Case/Control
Case persons diagnosed with disease
Controls: similar group of people without disease
Counting cases
ONly if the population size stays constant
constant fraction of the population is sampled
Define Prevalence
proportion of the population that has the disease at one specific point in time
C/(C+R) where C is current number of cases and R is the current number at risk of disease
prevalence = i*D/(1+i*D)
D = Duration of disease (1/D = recovery rate)
Cohort Studies
They are used to test hypothesis about causation
Endemic Model
Dx/dt = mu*N-BetaXY-mu*X
Dydt = Beta*x*y-lambda*Y - mu*Y
Dz/dt = lambda*Y-mu*Z
mu = instantaneous per capita birth/death rate
lambda = instantaneous per capita recovery rate
Beta = transmission coefficient
X = density of susceptible hosts, Y = density of infectious hosts
Z = density of recovered/immune hosts

Basic Reporduction:
Beta*N/(mu + lambda)

Population Specifc
Beta*X/(mu + lambda)
Define Effect
difference in disease occurrence between two groups which differ with respect to a particular exposure
Risk
Relative Risk
Risk = Cases / numbers at start
Relative Risk = CumI in exposed group/ CumI in unexposed group
Randomization
Eliminate known and unknown sources of bias
Selection bias
animals not randomized with respect to treatment with topical flea control product
Validty
Extent to which a study measures what is suspposed to measure
Bias
Systematic Error
Information Bias
Systematic error that occurs during the collection of information after enrollment (misclassification and Recall Bias)
Recall Bias
colicky horses remembered the exposures more thoroughly than owners (people remember sick)
Misclassification Bias
Non-differential = moves OR/RR towards 1
Differential = OR or RR away from 1
Spectrum Bias
Unable to generalize and understand components
p-value
p-value is a rough guide to the compatibility between the data and the null hypothesis
Confidence Interval
rough guide to and a minimum estimate of the inherent uncertainty of the study results
Confounder
It must increase or decrease the incidence of the disease and it must be associated with the factor whose effect you think you are measuring
Disease is rare
RR = OR
Model for SIR
S-(Beta*I)->I -(alpha)-(lambda)->R
Ds/dt = -Beta*I*S
dI/dt = Beta*I*S - alpha*I - lambda*I
dR/dt = lambda*I
Ro = 1 + L/A
L = is average life expectancy
A = average age at infection
Eliminating the infection
p = 1 - 1/Ro
Surveillance
generate Policies, Generate hypotheses, monitor effectiveness of control programs, health status of population
Passive Surveillance
attention because they are suspected of being cases
Active surveillance
Examine animals to detect sub-clinical and carrier animals
Power
Probability of detecting a difference between the treated grup and the control group when a different actually exists

power = 1 - Beta
Prognosis
prediction of the expected outcome with or without treatment
epidemic
occur when the incidence of disease increases beyond that considered normal for the area
endemic infectious disease
where it has persisted there for a long time