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Epidemiology
Exam 2
25
Health Care
Undergraduate 4
11/07/2011

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Cards

Term
model for public health is aimed at protecting______
Definition
public welfare
Term
model for medicine is aimed at protecting
Definition
welfare of individual
Term
nuremberg code
Definition
voluntary consent is essential. experiments only should occur in clear scientific rationale. 1st international document for consent.
Term
declaration of helinski was made by
Definition
world medical association
Term
declaration of helinski states that _____. and is based on______. and lead to_______.
Definition
statement of ethical principles for medical research, based on Nuremberg code. milestone towards implementation of IRB process
Term
the belmont report issued by
Definition
national commission for protection of human subjects
Term
what are the 3 points of the belmont report
Definition
1. respect for person: decision making up to subject (informed consent)
2. benficence: max benefits, reduced risks
3. justice: fairness in distribution of benefits and risk(fair selction of subjects)
Term
main ethical issues in human subject research?
Definition
safety, informed consent, privacy and confidentiality, how adverse effects are to be handled, avoid bias
Term
elements of informed consent
Definition
purpose, sponsor, investigators, methods/procedures, risks/benefits potential, avoid manipulation or coercion
Term
duties of epidemiologists
Definition
AVOID CONFLICTS OF INTEREST, WIDEN SCOPE OF EPI, PURSUE RESPONSIUBILITIES W/ DUE DILIGENCE, SUBMIT STUDIES FOR ETHICAL REVIEW, COMMUNICATE EHTICAL REQUIREMENTS TO COLLEAGUES, maintain public trust
Term
if you are doing a survey, yes you need approval, or what is "exempt" status?
Definition
people remain annonymous
Term
what is "expedited" review
Definition
minimal risk, common clinical procedure
Term
publication
Definition
research is not complete until reported
Term
define policy
Definition
a set of principles guiding decision-making
Term
public policy
Definition
policy of governments
Term
health policy:
Definition
health promotions, health protection/services
Term
policy issues and risk: what are the objectives?
Definition
all should refelct societal values
1. what % of population should be protected?
2. what level of risk will society take/pay for?
3. who should make decisions about risk??
Term
policy makers need to know:
Definition
what specific actions can be taken?
before spending monday on an intervention: specfic cost savings, reduction in risk/prevalence
Term
major role of epidemiology
Definition
serve as a basis for developing policies that affect human health, including prevention sand control of disease
Term
epidemiologic studies provide findings relevant to
Definition
clinical practice, community health, population approaches to disease prevention and health promotion, directly applicable to alleviate problems of human health
Term
how is epi the "basic science" of prevention?
Definition
indentify pop at risk, analyze costs/benefits of reducing causal factor, assess strength of evidence, identify any generalizations
Term
how much is needed to justify primary prevention?
Definition
severity of condition, costs involved, strength of evidence, difficulty of reducing factor
Term
how much is needed to justify secondary prevention?
Definition
severity of disease, can we detect earlier by screening? is it invasive/$$/harmful??
Term
what is a macroenvironment exposure? an example? prevention?
Definition
it is an exposure that affects population i.e. air pollution. easier to control through legislation/regulation
Term
what is a microenvironemnt exposure?
Definition
exposure affecting a specific individual. i.e. diet, smoking. greater challenge of modifying lifestyle
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