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81 Cards in this Set
- Front
- Back
CDC
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Centers for Disease Control and Prevention
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AIDS
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Acquired Immune Deficiency Syndrome
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HIV
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Human Immunodeficiency Syndrome
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GRID
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Gay Related Immune Deficiency Syndrome
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MADD
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Mothers Against Drunk Driving
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MMWR
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Morbidity and Mortality Weekly Report
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IOM
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Institute of Medicine
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UCS
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Union of Concerned Scientists
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CDC
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Centers for Disease Control and Prevention
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EPA
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Environmental Protection Agency
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FDA
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Food and Drug Administration
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DHHS
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Department of Health and Human Services
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NIH
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National Institutes of Health
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OSHA
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Occupational Safety and Health Administration
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NACCHO
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National Association of County and City Health Officials
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CMS
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Centers for Medicare and Medicaid Services
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AHRQ
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Agency for Healthcare Research and Quality
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IHS
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Indian Health Service
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NCHS
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National Center for Health Statistics
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NCI
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National Cancer Institute
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CPSC
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Consumer Product Safety Commision
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NHIS
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National Health Interview Survey
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NHANES
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National Health and Nutrition Examination Survey
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BRFSS
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Behavioral Risk Factor Surveillance System
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SEER
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Surveillance, Epidemiology, and End-Results
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EMS
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Eosinophilia Myalgia Syndrome
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HPDP
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Health Promotion Disease Prevention
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EEE
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Eastern Equine Encephalitis
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CHD
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Coronary Heart Disease
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FDI
|
Food Distributors International
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HRQOL
|
Health Related Quality of Life
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DHHS
,role? |
Dept. of Health and Human Services
-fed. reg. of other agencies...supplies fed. taxes to CDC, NIH, FDA, CMS, AHRQ, IHS |
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NIH
,role? |
National Institutes of Health
-funded by DHHS -fed. focal pt. for med. research in US |
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CDC
,mission |
Centers for Disease Control and Prevention
-to work with partners -to promote hlth and qol by preventing and controlling disease, injury, and disability |
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FDA
,mission? |
-Food and Drug Administration
-concerned with safety of medicine, food, cosmetics, etc. |
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CMS
,mission? |
-Centers for Medicare and Medicaid Services
-to achieve effective, up-to-date HC coverage and to promote qlty care for beneficiaries |
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AHRQ
-mission? |
-Agency for Healthcare Research and Quality
-supports research -to improve outcomes -reduce costs -address safety -broaden access to services -improve practices |
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IHS
-mission? |
Indian Health Service
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IHS PRIMARY FN
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operates hosp. and clinics for native amer.
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CDC PRIMARY FN
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-statistics
-MMWR -the MAIN assessment and epidemiologic tool -crisis-oriented |
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AHRQ PRIMARY FN
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support research for HC qlty and cost
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NIH primary fn
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like cdc assessment but provides longer view of res. history
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FDA primary function
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regulation of food and drugs
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EPA primary function
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-H2O, pollution
-prime agency for environment |
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Dept. of Agriculture primary fn?
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-food stamps
-nutrition -school lunches -standards of meat safety |
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Dept. of labor primary fn
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-workplace safety
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Dept. fo VA primary fn
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-have their own medical and hlth svcs
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dept of defense primary fn
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MC for armed forces
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3 dominant federally funded programs under DHHS?
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CDC
NIH FDA |
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ASTHO
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Association of State and Territorial Health Officers
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Bill to Law procedure
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Local Community presents idea>>>> Congresman >>>>> Congress >>>>> House of Representatives >>>>> Senate >>>> President
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NCHS
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National Center for Health Statistics
-part of CDC -Data analysis -vital stats |
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CPSC
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Consumer Product Safety Commission
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NHIS
Describe |
,assess prevalence
,self-report |
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NHANES
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-assess prevalence and risk factors
-same goal as nhis but more accurate because not self-report -exams done by traveling practitioners |
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Describe BRFSS
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-unlike nhanes and nhis this is not carried out by nchs
-this is carried out by local st ph depts -self report like nhis to assess prevalence and risk factors |
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What reaches a farther range of people, nhis or nhanes
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nhis, about 50000
nhanes, about 5000 people, 15 counties or so |
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PAR
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population at risk
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epidemiology?
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the study of the distribution and determinants of disease frequency in human populations?
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incidence vs prevalence
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incidence, killed or heal quickly
prevalence, chronic illness |
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Cholera cause?
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contaminated drinking h2o
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hepatitis cause
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contaminated food/water
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cryptosporidiosis cause
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contaminated water
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legionnaires disease cause
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microrgs. in AC
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EMS cause
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found in hlth food l-tryptophan
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spain 1981
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toxic oil syndrome
,similar to EMS |
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epid. surveillance process
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informant >>>> local HD >>>>> state HD >>>>> CDC
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usefulness of incidence
usefulness of prevalence |
incidence=cause
prevalence=useful in assessing the societal impact of a disease and planning HC services |
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kingston newburgh study
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fluoridation
, intervention study |
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physicians hlth study
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aspirin, hd
beta-carotene, cancer -intervention study |
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Polio vaccine study
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-intervention
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2 types of obs. studies
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-descriptive>who, where, when
-analytical> how and why |
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name the two types of analytical studies
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cohort and case control
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3 ex.s of cohort studies
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1. framingham heart study
2. doll and hill 3. hammond and horn |
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Framingham heart study
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id risk factors for hd
-HBP, chol., smoking -examined middle age pop. of framingham -two years later examined again -repeat every two years -a COHORT study |
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Doll and Hill
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-COHORT study
-brit. phys.s smoking and lung cancer -used questionnaires and then death records |
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Hammond and horn
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-Cohort study
-smoking and lung cancer in USA -larger then doll and hill -obtained smoking history monitored death -confirmed and extended doll and hill |
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cohort study tells what
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RR
-ratio of incidence of exposed versus incidence in unexposed |
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RR #s
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formula = a(a+b)/c(c+d)
RR of 1.0 = no association RR < 1.0 = decreased risk from exposure RR > 1.0 = increased risk from exposure |
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2 examples of case-control studies
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Reyes syndrome-salicylate use in infants
british breast cancer study -oral contraceptives and breast cancer |
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case control study
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OR
Odds ratio -ration of exposed to nonexposed cases/ ratio of exposed to nonexposed controls |