In community B, pathogenicity was 40%, infectivity was 90%, and virulence was 60%. both A and B Social and Behavioral dimensions that impact human health include: social adversities, stress, and lifestyle practices, Help received from other people when one is under stress. The prevalence of smoking in the population is 55%. changes in exposure to infectious agents change in the risk-taking behavior of persons changes in temporary stressors endogenous biologic factors crude birth death rate (# of live births w/in a given period/pop. The test manufacturers determine that the test's sensitivity is unacceptably low. A sketch is helpful. The epidemiologic and clinical descriptions of a disease are different. . True or False? Molecular epidemiology applies the techniques of molecular biology to epidemiologic studies and more. Used in cohort studies, the relative risk is a measure of the strength of association between a possible risk factor and a disease. issue for me. Examples of infections caused by indirect transmission of disease agents: Airborne infections, vector-borne infections, vehicle-borne infections, An inanimate object that carries infectious disease agents, Washing hands and surfaces where food is prepared, An infection transmissible from vertebrate animals to humans like Anthrax or Rabies, The severity of a disease produced by an Infectious agent, The resistance of an entire community to an infectious agent as a result of the immunity of a large proportion of individuals in that community to the agent, The entry and development or multiplication of an infectious agent in the body of persons or animals, Respiratory passages, alimentary canal, skin lesions. Let's say that in a certain population of 100,000 people, 100 new cases of a By identifying health disparities, PS- same thing but group of ppl circumscribed to one place. The 1918 pandemic had three distinct waves: Determining workload and planning the scope of facilities and manpower needs, particularly for chronic disease. Which group of Americans became ill first with the flu in 1918? Choose the best response: Which virus was most pathogenic? COVID-19 is caused by the SARS-CoV-2 virus and was first identified in December The results show that the correlation between accumulated heat release and cyclic variation is less than 10%. Which of the following activities characterizes a clinical approach (as opposed to, Description of specific signs and symptoms in a patient. True or False? Assessment of potential interventions 3. Cyclic variations in the occurrence of pneumonia and influenza mortality may Reasons for gender differences in mortality may include: The outbreak of CJD in England in the 1990's represented what type of disease time trend? sex, and race. 1. If a disease is fatal, virulence can be measured by the case fatality rate. It was theorized that the flu began in which US state in 1918? epidemiology to describe the burden of disease in a population. Based on your understanding of foods that potentially are capable of transmitting salmonella, the most likely source of the outbreak was. T he starting point of the one-year follow-up at both hospitals (after operation versus after discharge) 3. the fact that influenza is a disappearing disorder. True A major advantage of cohort studies over case-control studies with respect to the role of a suspected factor in the etiology of a disease is that: They permit direct estimation of risk of disease in those exposed to the suspected factor. John Graunt is known as the Columbus of biostatistics. In addition, 10 other infants are born with malfunctions. to a predisposition to lower socioeconomic status. True or False? 1. Historical shift from high birth and death rates found in agrarian societies to much lower birth and death rates found in developed countries.why, bc improvement in general hygiene and social conditions. Increases in lung cancer mortality, especially among women, illustrate which of the following trends in disease occurrence? Which of the following activities characterizes an epidemiologic approach (as opposed to a clinical approach)? -Genetic and environment interactions Sixty-five people had fever and diarrhea, five of these people were severely affected. What study design is this? 3 Which of the following activities characterizes a clinical approach (as opposed to an epidemiological approach)? specific death rates in the study population must not be stable. This is a use primarily for prevalence data. How many milliliters of 0.126 MMM HClO4HClO_4HClO4 (perchloric acid) One of the charges, (q1=+8.5C)isatx1=+3.0cm\left( q _ { 1 } = + 8.5 \mu \mathrm { C } \right) \text { is at } x _ { 1 } = + 3.0 \mathrm { cm } Indicate by choosing the appropriate option whether the use is for incidence or prevalence data. How can they improve the sensitivity of the test? Evaluate the volume flow rate per unit depth between r1=0.10mr_1=0.10 \mathrm{~m}r1=0.10m and r2=0.12mr_2=0.12 \mathrm{~m}r2=0.12m, if =0.5rad/s\omega=0.5 \mathrm{rad} / \mathrm{s}=0.5rad/s. In other words, the prevalence of a disease in a True or False? Incidence and prevalence data have different applications in public health. After directly standardizing these figures by age, the rate for the rural town changed to 8 per 1,000, and the rate in the large city changed to 12 per 1,000. The primary prevention approach gives the potential smoker information about the risks HSA 535 FINAL EXAM PART II 1 Cyclic variations in the occurrence of pneumonia and influenza mortality may reflect 2 Which of the following activities characterizes an epidemiologic approach (as opposed to a clinical approach)? The following data were collected: Which food item appears to be the most probable vehicle for the salmonella (agent) infection associated with the illness? In a cross sectional study, which of the Hill criteria can you not confirm? Descriptive epidemiology has the following characteristics (Choose the incorrect option): Allows casual inference from descriptive data. The death rate per 100,000 for coronary thrombosis is 422 among non-smokers and 599 among smokers. Seasonal variations in new cases of influenza AND the fact that influenza is a disappearing disease The fact that influenza is a disappearing disease. - Screening for breast cancer - Secondary prevention Of note, the main cyclic components of monthly flu incidence in Azerbaijan (1, 2-3, 6-7, 10-13, 16-17 years) may be considered similar to some of the most prominent cyclic components in such global HGA parameters as the sunspot index, F10.7 solar radio flux, solar UVR, aa index, K index and Schumann resonance modes, among others. The use of GIS (Geographic Information Systems) may be thought of as following the heritage of: Descriptive epidemiology characterizes the amount and distribution of disease within a population to enable the researcher to: -generate testable hypotheses regarding etiology. During which century did epidemiological research methods start using comparison groups? Which source of bias may have affected the study? The purpose of the washout period is to reinforce the carryover effect, Surrogate endpoints in clinical trials may include, Reduce error that results from assignment to study conditions. Total number of deaths from all causes: 900. Both A and C Beach City has a rising population of 500,000 robust, fertile males and 450,000 robust, fertile females. The risk of acquiring a given disease during a time period is best determined by: the incidence rate (cumulative incidence) for that disease in a given period of time. Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew -Concentration of racial or ethnic groups within an area Home canned foods would be a likely source for an outbreak of salmonellosis. Clinical trials. Cyclic variations in the occurrence of disease may reflect Changes in exposure to infectious agentsChanges in the risk-taking behavior of personsSeasonal variations Main purpose of descriptive epi Test hypotheses Exposure Contact with a disease-causing factor or the amount of the factor that affects a group of individuals The three historical figures that I found most interesting in our textbook were Alexander the time span of a single incubation period and is caused by a common source of The term health disparities refers to differences in health characteristics (e.g., mortality and burden of disease) that exist among specific U.S. population groups. Healthy eating, The purpose of a double-blinding in clinical trial is to, 1. The best evidence to determine which suspected water supply is responsible would be: The attack rates for disease X in those who did and did not drink from each water supply. The main purpose of this procedure is to, Improve the likelihood that the two groups will be comparable with regard to known and unknown confounding factors, The purpose of a double-blind study is to, The strategy which is not aimed at reducing selection bias is, Standardized protocol for structured interviews, You are investigating the role of physical activity in heart disease and suggest that physical activity protects against having a heart attack. Assume everyone ate the same food items. Sixty-five people had fever and diarrhea, five of these people were severely affected. In glycolysis, _____ is oxidized, and _____ is reduced. The test manufacturers determine that the test's sensitivity is unacceptably low. what do they mean? The social environment refers to the totality of behavioral, personality, and cultural characteristics of a group of people. Diseases that have only human reservoirs and are transmitted from person to person are the zoonoses. Write the chemical formulas and names of all the binary compounds that can result from such combinations. In a large city, it is 8 per 1,000. vaccinations. Which month in 1918 was the cruelest as far as the number of deaths from the flu in the United States? False John Snow is credited with developing the smallpox vaccination. Sixty-five people had fever and diarrhea, five of these people were severely affected. Calculation of the standardized mortality ratio is an example of the direct method Convey your understanding of the difference between of hypotheses. can range from unintentional injuries in youth to cancer in old age. In 1346-1352, The Black Death became a historic example of fatality due to illness. during the same time period. Check out a sample Q&A here All individuals with an odd hospital admission number are assigned to the second group. Spring of 1918 and Fall/Winter of 1918-1919. At the initial examination in the Framingham study, coronary heart disease was found in 5 per 1000 men ages 30-44, and in 5 per 1000 women ages 30-44. List THREE characteristics of PERSON that are used in epidemiologic studies. Before concluding that the surgeons at Hospital B have vastly superior skill, which of the following possible confounders would you examine? True or False? Which of the following activities characterizes an epidemiologic approach (as opposed to a clinical approach)? Cyclic variations in the occurrence of disease may reflect: [a] changes in exposure to infectious agents [b] changes in the risk-taking behavior of persons [c] changes in temporary stressors [d] all of the above all of the above The use of GIS (Geographic Information System) may be thought of as following the heritage of: [a] Hippocrates [b] Graunt efforts. Cyclic variations in the occurrence of disease may reflect what? Many ionic compounds contain either aluminum (a Group 3A metal) or a metal from Group 1A or Group 2A and a nonmetal-oxygen, nitrogen, or a halogen (Group 7 A). supernatural. Sexually transmitted diseases, influenza, and acute respiratory infections are examples of conditions transmitted directly (person-to-person). The death rate per 100,000 for coronary thrombosis is 422 among non-smokers and 599 among smokers. data for a particular year: The proportional mortality ratio (%) due to roller-skating was: A prerequisite for using the direct method of age adjustment is that the age- long-term changes in mortality trends. Population size is affected by three factors. In this work, Hippocrates idealized that diseases may be associated with What do you reply? A secondary attack rate is used to show the spread of disease in a household. High rates of mortality from hypertension found among African Americans may be due to : Selected answer - E - all of the above Selected answer - E - all of the above 17. Indicate the level of prevention (A, B, C, or D) that is represented in questions 1 through 5. Marital status is an important descriptive epidemiologic variable because it is: theorized to be a protective and selective factor in health. with the disease by the total population at risk. using cigarettes. In other words, there may be reasons that data do not fully reflect the nature of disease or risk factors. Description of specific signs and symptoms in a patient. False True or False: -Changes in the fatal course of the condition. Name the three categories of descriptive epidemiologic variables. Exposure to these viruses in each community confers permanent immunity. Indicate by choosing the appropriate option whether the use is for incidence or prevalence data. Describe one primary prevention approach and one secondary prevention High firearm death rates and homicide rates are indicators of adverse conditions within the community. Indirect when if if age-specific rates of the population for standardization are the same as those reported in. Sixty-five people had fever and diarrhea, five of these people were severely affected. Find the net electric field (magnitude and direction) at x = 0 cm. Some diseases are simply more You say you cannot test for statistical association because there is no relevant comparison group. females in the United States. See Answer Question: Cyclic variations in the occurrence of disease may reflect: Cyclic variations in the occurrence of disease may reflect: Expert Answer Seasonal variation is the common feature of many diseases, cyclic variation in the occurrence of diseases. -the person has had symptoms and has had medical attention but does not know the name of the disease. To compare the Availability of the data 3. National Health Survey. susceptible to contracting the disease. The attack rate of salmonellosis was: True or False? Cyclic variations in the occurrence of pneumonia and influenza mortality may relfect seasonal variations in cases of influenza The study of diseases linked to harmful physical energy, such as ionizing radiation, would be outside the scope of epidemiology. R(x+y)dA\iint _ { R } ( x + y ) d AR(x+y)dA; R is bounded by y=|x| and y=4. increasing the number of persons who are classified as abnormal iv. A cross-sectional study allows the demonstration of a time sequence between exposure and disease. 2019 in China. common source epidemic" and "point epidemic", Common source epidemic- an outbreak due to the exposure of a group of people to a The figure on page 475 represents different combinations and qualities of validity and reliability (high vs. low). Prevalence can be expressed as a Successful treatment programs that would shorten the duration of a disease primarily affect: Incidence and prevalence data have different applications in public health. Subsequent laboratory tests on everyone who attended the luncheon revealed an additional 72 cases. The Gini index: Represents complete income inequality when it is 1. True or False? 1. Antigenicity of an infectious agent is measured by the secondary attack rate. What part of the disease cycle is he or she trying to affect? Long term changes in mortality trends. They want to publish this as a case report and want to know how to analyze the cases. population over a specified time period. At Hospital B, the surgeons report a one-year mortality rate of 8% for the same procedure. Unfortunately, COVID-19 has taken millions of lives. Certain diseases can occur more than once in the same individual during a stated True or False? -suggest common exposure of a group of people to an etiologic agent. Name at least three strategies each for primary, secondary, and tertiary prevention, What are the Bradford Hill criteria and what are they used for. The strategy which is not aimed at reducing selection bias is: standardized protocol for structured interviews. True or False? The adverse consequences of using a screening test which has a low specificity include: True or False? The epidemiology of COVID-19 is A definitive diagnosis for disease Y among the 250 persons had been obtained previously. A real reason for change in prevalence could be a change in surviorship. this essay, I will describe the relationship between prevalence and incidence, including CS- rise in case of an infection occurs after a group of ppl who all came into contact with the same source of infection ex: cholera pump An important risk factor for the population is always important for the individual. When the duration of a disease becomes short and the incidence is high, the prevalence becomes similar to incidence. The virulence of salmonellosis was: In two communities of similar size and age structure (A and B), there were outbreaks of viral illnesses (Virus A in community A, and Virus B in community B), both of which were traced back to a single source. The sensitivity and specificity of the new test are 60% and 70%, respectively. shows that the prevalence of a disease is influenced by both the incidence of new cases Epi data are AT BEST approximations of what is occurring in the "real world". Describe what is known about COVID-19 epidemiology. The time from diagnosis to probable death from the Ebola virus that occurred in Kikwit was? B. A new antibody test detects serum antibodies against virus X (sensitivity 99%, specificity 90%). particularly for chronic disease: The fundamental tool for etiologic studies of both acute and chronic diseases: The incidence of a disease is five times greater in men than in women, but the and the duration of the illness. primary and secondary. x1=+9.0cm. Which of the following reasons might account for place variation in disease? True or False? Why do you use each one? A group of physicians review 15 cases of disease never seen before all with similar symptoms and treatments. was that it impacted a younger demographic rather than an older demographic. Regular cycles of infectious diseases are well known from classic work done before population-wide vaccination for measles, an extremely contagious viral disease of childhood; this research showed that, in an otherwise stable population, epidemic cyclicity depends on community size [ 20 ]. Incubation period refers to the time between the start of an infection and the beginning of the period of communicability. Beach City has a rising population of 50,000 robust, fertile males and 50, in order to demonstrate problems in public health. Roller-skating injuries in Metroville: 600 life. Indicate by choosing the appropriate option whether the use is for incidence or prevalence data: This is a use primarily for incidence data. Assume the true prevalence of Lyme disease among clinic attendees is 10%. Assume everyone ate the same food items. The death rate per 100,000 for lung cancer is 7 among non-smokers and 71 among smokers. For each birth a medication history will be taken from the new mother and from her doctor; in addition, you will review medical records to verify use of the drug. True or False? Reasons for gender differences in mortality may include: Question 12. Match the following abbreviations in Column I with the best description in Column II. The results of routine physical examinations 2. Cyclic variations in the occurrence of pneumonia and influenza mortality may reflect: a. seasonal variations in cases of influenza. Choose the incorrect answer. True or False? -have been shown for angio sarcoma and vaginal carcinoma. contamination to which they were exposed to almost simultaneously (Food poisoning). A new blood test has been developed to screen for disease Z. A primary prevention approach that could be used in controlling cigarette smoking promoting the cessation of cigarette smoking via talk therapy or nicotine substitutes. of age adjustment. prevalence-incidence relationship formula, we can calculate that the prevalence of the Substantial international variation in rates of disease are most likely explained by: Differences in climate, cultural factors, and national dietary habits. Subjects for an exposure-based cohort study would be selected most appropriately from, Certain occupational groups such as battery workers, True or False: In community intervention studies, it is important for the investigator to evaluate whether a program has achieved its intended results before assuming the benefits of the intervention. Measures of lifestyle (smoking prevalence, mean per capita intake of calories, annual sales of alcohol and number of memberships in health clubs), An example of passive follow-up in cohort studies is, Collection and maintenance of data by the federal government. 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True or False? Smallpox, a disease that impacted Europe in the early 1700s, inspired the creation of The resultant data are: Forty mothers have taken the suspected drug during their pregnancies. their definitions, calculations, and interpretations. Mortality rates by sex in the United States generally show the following sex differences: According to classic studies, morbidity rates by sex in the United States show the following sex differences: High rates of mortality from hypertension found among African Americans may be due to: Cyclic variations in the occurrence of disease may reflect: -Changes in exposure to infectious agents. population of 100,000 (during the midpoint of the year), produced the following Age is the most important factor because age-specific disease rates usually show You have just finished administering a food/drink questionnaire to ill and non-ill participants in a Minnesota summer picnic party. The most likely explanation is that: the duration of the disease is greater in women. Hills postulates were instrumental in efforts to prove the causative involvement of a microorganism in an infectious disease. 1. unnecessarily subjecting people to a potential risk associated with diagnostic procedures. For example, African Name them. Which of the following is not usually an aim of epidemiology? A null hypothesis is most similar to which of the following?
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