Term
model for public health is aimed at protecting______ |
|
Definition
|
|
Term
model for medicine is aimed at protecting |
|
Definition
|
|
Term
|
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
|
|
Term
what is "expedited" review |
|
Definition
minimal risk, common clinical procedure |
|
|
Term
|
Definition
research is not complete until reported |
|
|
Term
|
Definition
a set of principles guiding decision-making |
|
|
Term
|
Definition
|
|
Term
|
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 |
|
|