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40 Cards in this Set

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Epidemiology

A quantitative discipline that study the distribution and determinants of health-related states among specified populations and the application of that study to the control of health problems



Definition

Epidemiology

Frequency and pattern with health events in a pop

Concerned with

Frequency

Refers to:


- # of health events in a pop


- rs of that # to size of pop

Define


Occurence

Pattern

Occurence of health-related events by tpp

Define


Math

Time

Patterns of time that may influence disease or injury occurence

When? Nasabi na diyan sa statement

Place

Patterns include geographic variation, urban/rural differences, work sites or schools

Where? Other word for location

Personal

Chars include demog factors wc may be related to risk of illnes, injury, or disability



Age


Sex


Marital stat


Socioeconomic stat



Behaviors


Envi expo

Who?/what?

Descriptive epidemiology

Charrizing health events by tpp

Type of epi

Determinants

Factors, event, cah or definable entity, brings change in a health condition or other defined char

Pinaka unang lesson sa lab

Causes

Influence the occurence of disease and other health related events

Determinants


English of dahilan

Uses of epi

1 assessing the community's health


2 making indiv decisions


3 documenting the complete clinical picture of the illness


4 searching for causes to prevent future outbreaks

Enumeration, apat yan, uses

Assessing the comm's health

- Sources of data must be identified and analyzed by tpp


- gather data baseline for future comparison after intervention to eva efficiency and effectiveness of the intervention


- descriptive epi (on other flashcard)

Uses of epi #1

Making indiv decisions

Influence indiv's behavior, lifestyle, personal and social acts



Establish health literacy -> 1° -> decreased morbidity

Uses of epi 2

Descriptive epi

What = actual and potential hralth probs in comm



Where= are they occuring (geographic distrib)



Which pops are at risk (demog/envi distrib)



Wc probs have declined over time (frequency/rate)



Wc probs have declined over time (frequency/rate)



Wc probs are increasing (frequency/rate)



Wc probs are increasing (frequency/rate)


Type of epi


Uses of epi 1

Action: quit smoking

Epi finding: increased risk of lung cancer among smokers

Wag na manigarilyo

Analytic epidemiology

Provide why and how



To search for determinants

Type of epi


Anachem

Action: low salt, low fat diet; active lifestyle

Epi finding: exercise and prop diet reduce the risk of heart diseases

Tatlo yan low low active

Action: use of contraceptives; monogamy

Epi finding: increased risk of hiv associated w/ certain sexual related behaviors

Condoms, pills, guy to guy

Searching for causes to prevent future outbreaks

Goal: idenrify a cause so appropriate public health action migjt be taken to prevent such cause

Uses of epi 4


Google yung nga dahilan

Documenting the complete clinical picture of the illness

When investigating, epi rely on health-care providers and lab ppl to establsh proper diagnosis of indiv patients



Some diseases are hard to diagnose



Unveils whole clinical pic of a disease where new type of agent causes a new disease



Understand natural history of diseases and their symptomatology for more effective management

Uses of epi 3


Picture picture ng kumpleto yung sakit ganern

Core epidemiologic functions

Descriptive epi


Analytic epi



1 surveillance


2 field investigation


3 analytic studies


4 evaluation


5 linkages


6 policy dev

Enumeration, anim yan, core

Descriptive epi

Surveillance and field investigation

Tupe of epi


Part 3

Analytical epi

Analytic studies


Eva


Policy dev

Type of epi


Part 3

Surveillance

Monitoring the community to gather info about the sun prob



"Information for action"



Info from coll data help guide public health decisikn making and action



Info is summarized into case studies/series, health surveys, mortality and morbidity rates and id of disease rates and patterns


- disseminate and interpret data to public and health care providers



Gathered info portray the ongoing patterns and burden of disease


- action(investigation, control, preventive measures) can be applied effectively

Part 3 1

Field investigation

First action when we receive surveillance report



With 3 types


1 phone call


2 healthcare facility visits


3 house-to-house visits



"Shoe leather epi"



Id addtnl unreported or unrecognized ill persons who might continue to spread infection



Id sources or vehicles of infection tjat can be controlled or eliminated


Ex: escherichia coli

Part 3 2

Phone call

confirm or clarify circumstances

Tyoes of field investigation 1

healthcare facility visits

id outpatient and admitted cases


Tyoes of field investigation 2

house-to-house visits

in a particular community

Types of field investigation 3

Analytic studies

Test hypothesis obtained from surveillance field investigations



valid comparison group = hallmark of an analytic epigic study



Must be skilled in


Design


Conduct


Analysis


Interpretation


Part 3 3

Design

1 det app research strategy and study design


2 write justifications and protocols


3 calculating sample sizes


4 inclusion/exclusion criteria


5 choosing an app comparison group


6 designing questionnaires

Analytic study 1, anim yan

Conduct

1 IRB securing clearances and approvals, adhere app ethical principles


2 data gathering abstracting recs, interview, handling specimens

Analytic study 2, dalawa lang yan

Analysis

1 baseline patient characteristics describing the characteristics of the subjects


2 calculation of rates, creation of comparative tables


3 (relative risks kr odd ratios) computation of measures if association


4 test of significance

Analytic study 3, apat yan

Evaluation

Process of det relevance, effectiveness, efficiency, and impact of activities with established goals

Part3 4, process

Effectiveness

(Actual)Ability of program to produce expected results in the field

Efficacy

Ability to produce results under ideal conditions

Efficiency

Ahility of the program to produce intended results with a minimum expenditure of time and resources

Interpretation

study findings into perspective and making sound recommendations



Epi should be knowledgeable about the subj and strengths and weakness of the study

Analytical study 4, define lang

Linkages

Field epi is multidisciplinary



Composed of laboratorians, infection control personnel or othe clinical staff, computer information specialist

Part3 5

Laboratorians

Medtechs, biochemists, microbiologists



Process samples to aid in the identification of causative agents


Diagnosis of diseases

Epidemiology

Basic science of public health

Epi