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43 Cards in this Set

  • Front
  • Back

Morbidity

Measure of disease incidence or prevalence in a given grouping of interest

Mortality

Measure of deaths in a grouping of interest

Health (WHO definition)

State of complete physical, mental, and social well-being

Millennium Development Goals (MDGs)

1. Eradicate extreme poverty & hunger


2. Universal Primary Education


3. Promote gender equality and empower women


4. Reduce child mortality


5. Improve maternal health


6. Combat HIV/AIDS, malaria, and other diseases


7. Ensure environmental sustainability


8. Develop a global partnership for development

Morality

Beliefs and standards regarding what is right or wrong

Ethics

A branch of philosophy that examines the basis of right and wrong and seeks to provide reasons for recommending behavioral norms



Ethics is the THEORY, morality is the PRACTICE

Morality

Beliefs and standards regarding what is right or wrong



Ethics is the THEORY, morality is the PRACTICE

IRB

A committee established to review and approve research involving human subjects, to ensure accordance with all federal, institutional, and ethical guidelines

Clinical Equipoise

The assumption that there is no best treatment in a clinical trial

Principles of Bioethics

1. Respect for Persons/Autonomy


2. Non-malfeasance


3. Beneficence


4. Justice

Epidemiology

Incidence, distribution, and possible control of diseases and other factors relating to health

Incidence

Cases


__________


Persons/Time

Cumulative Incidence

#subjects developing condition during specific time


__________________________________________


# subjects at risk at beginning of follow up

Relative Risk

Incidence exposed


_________________________


Incidence nonexposed



RR= No association


RR>1 Positive association (risk factor)


RR<1 Negative association (protective)

Efficacy of a treatment

Incidence control - Incidence intervention


___________________________________________


Incidence control

Informed consent

Introduced at the Nuremburg Code, telling participants what they are getting themselves into

Global Burden of Disease

Disease burden produced by all diseases around the world


Regional and global research program that assesses mortality and disability for major diseases, injuries, and risk factors

DALYs

Measure of overall disease burden, expressed as the number of years lost due to ill-health, disability, or early death

Attributable risk

Rate of disease exposed --Rate of disease nonexposed

Epidemiological Transition

Transition from acute infections diseases to chronic, noncommunicable diseases

Reasons for epidemiological transition

1. Antibiotics


2. Better sanitation/ H2O treatment


3. Vaccines


4. Better nutrition


5. Less horse poop


6. Family planning


7. Less crowding


8. Increased milk pasteurization

Reasons for reemerging of infectious dz


1. Less vaccines


2. Antibiotic resistance


3. Global travel/commerce


4. Increase population into cities


5. Institutions


6. Poverty/inequality

Ways we carry infections dz

1. People


2. Animals


3. Insects


4. Things (food)

Quarantine

Separates and restricts movement of individuals who were exposed to contagious disease to see if they become sick

Isolation

Separates sick people with contagious disease from who are not sick

International Health Regulations

1. Require countries to report certain diseases


2. Protocols to countries to respond to outbreaks

Surveillance

Watch dz patterns over time--> determine burden, patterns, detect outbreaks

4 Diseases countries are required to report

1. TB


2. New strains of Influenza


3. Polio


4. HIV/AIDS

Glaucoma

Increased pressure within the eyeball, causing gradual loss of sight

Cataract

Lens of eye becomes progressively opaque, resulting in blurred vision

Onchocerciasis

River blindness, Parasitic worms, bite of blackflies, breed in rivers, migrate to the eye and cause blindness

Trachoma

Caused by bacteria, roughening of inner surface of eyelids, leading to pain, breakdown of outer surface or cornea, possible blindness

VIsion 2020

Eliminate avoidable blindness by 2020

Stunting

Low height for age

Wasting

Low weight for height

Underweight

Low weight for age

Stigma

Mark of enduring condition or attribute that is negatively valued by society

Felt Stigma

Perception of societal norms of the stigmatized condition

Symbolic stigma

Pre-existing prejudice toward those groups who have been hardest hit by the disease

Prejudice vs. Discrimination

Prejudice is an attitude, individual evaluation or judgement of a group



Discrimination is a behavior, treatment of individuals based on their membership in a group

Direct causes of maternal mortality

1. Hemorrhage


2. Sepsis


3. Eclampsia


4. Obstructed labor


5. Unsafe abortion

Indirect causes of maternal mortality

1. Parity (# of children)


2. Low educational attainment of women


3. Poor access to healthcare/family planning


4. Early marriage/age of pregnancy


5. Domestic violence and rape


6. Long-standing gender inequities

UN definition of Slum

1. Access to improved water


2. Access to improved sanitation


3. Sufficient living area


4. Durability of housing


5. Security of tenure