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119
Health Care
Undergraduate 4
05/14/2013

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Cards

Term
What is the leading COD for those aged 15-24
Definition
Injury
Term
Injury is ____
Definition
acute
Term
If an injury is chronic it is a ___
Definition
disease
Term
What is an injury?
Definition
physical damage resulting from a brief encounter where outside energy exceeded the body's level of tolerance
Term
Define level of tolerance
Definition
amount of pain you can endure before injury
Term
What are the 3 vital elements?
Definition
air, water, and heat
Term
Most injuries are a result of exposure to what?
Definition
mechanical energy
Term
What month is safety month?
Definition
June
Term
What is the purpose of the 9 core competencies?
Definition
help implement and plan programs; provide a common base of knowledge
Term
What are the 4 categories injuries are sorted by?
Definition
mechanism (type of energy); intent, location, nature and severity
Term
An injury is any ____ or ___ damage to the body resulting from ___ ___ to (name 5 types of energy)
Definition
unintentional, intentional, acute exposure, thermal, electrical, mechanical, chemical, radiation
Term
What are the 2 major attributes of unintentional injuries?
Definition
unintended causes; undesirable effects
Term
What is the purpose of intentional injury?
Definition
to cause harm
Term
Aside from exceeding the body's level of tolerance, injuries can also be the result of what?
Definition
the disruption of the body's ability to maintain internal energy regulation due to absence of heat or oxygen
Term
What are the 3 characteristics of unintentional injury?
Definition
degree of expectedness avoidability, and intention
Term
List and describe the 3 types of injury prevention
Definition
primary, secondary, tertiary
Term
ID:
mitigation of death, disability and or property damage
Definition
injury control
Term
Define accident
Definition
unavoidable acts of fate
Term
If we can ___ injuries we can ____ injuries
Definition
predict; prevent
Term
What is the proper name for an MVA?
Definition
MVC (crash not accident)
Term
75 percent of injuries are because of what kind of energy?
Definition
mechanical
Term
Injuries are the leading COD for what age group?
Definition
1-44
Term
What is the referent age used for YPLL?
Definition
75
Term
How do you calculate YPLL?
Definition
Referent age- Age at Death
Term
Why is eval often cut out of the program planning process?
Definition
Its expensive
Term
What are the 4 steps of the public health model?
Definition
define problem, id risk and protective factors, develop interventions, eval interventions
Term
T/F:
Evaluation only occurs at the end of a program
Definition
False; it should occur throughout so the change in participants can be attributed to the program
Term
ID:
increases lijelihood of someone being a victim of unintentional injury
Definition
risk factor
Term
Define protective factor
Definition
decreases chance of someone being a victim of unintentional injury
Term
Define protective factor
Definition
decreases chance of someone being a victim of unintentional injury
Term
What is the definition of injury epidemiology?
Definition
study of why some get injured and some do not
Term
Describe Dr. William Haddon (3)
Definition
PH physician and epidemiologist; founder of injury prevention field; developed haddon matrix
Term
Describe the Haddon Matrix
Definition
does not only focus on prevention but on how to reduce losses due to injury
Term
Describe the epidemiological triangle of infectious disease
Definition
agent (disease organism); host (affected person); environment (physical and social)
Term
What are the 3 time-course categories of an injury event?
Definition
pre-event (will an event with the potential to cause injury occur), event (will injury occur), and post event (what will the outcome be)...Primary, secondary, and tertiary prevention
Term
What is the value of the Haddon Matrix?
Definition
encourages brain storming of wide range of possible factors the can increase or decrease likelihood of injury
Term
How does the Haddon Matrix take the focus off the individual?
Definition
discouraging victim blaming
Term
What is the most important thing when using the Haddon Matrix?
Definition
making a comprehensive list of risk factors
Term
Describe the 10 Haddon Countermeasures
Definition
Provides guidelines for possible control programs, centers on how to reduce damages, not a formula
Term
What are the 3 E's of Injury Prevention?
Definition
engineering Education and enforcement
Term
What is the most important category used when classifying injuries?
Definition
age
Term
Where does injury rank on the leading CODs for the US?
Definition
5th
Term
What questions are asked when analyzing fatal and non-fatal injuries?
Definition
Who, What, Where, When, Why, How (mechanism)
Term
What are the 3 levels of data systems?
Definition
National, state, local
Term
What is the most comprehensive data system for mortality data?
Definition
National Vital Stats System
Term
What are 3 issues with state and community data?
Definition
not complete, not available, and varies by location
Term
What is the ICD system?
Definition
International Classification of Diseases System; standardizes data and promotes comparability through use of coding rules
Term
What is the importance of standardized data?
Definition
reliable data gives basis for prevention efforts; defines more precisely the domain of injuries; gives circumstances of the injuries
Term
What method is most often used to gather qualitative data?
Definition
interviews
Term
Total injury and death figures do not become meaningful until they are transformed into _____
Definition
rates; (ratios or percentages)
Term
An average of data is meaningless without what?
Definition
info about the variation of measures that make it up
Term
How many definitions of drowning are there?
Definition
33
Term
Correlation ____ ____ Causation
Definition
is not
Term
What are the 4 possibilities that explain why 2 factors could be related?
Definition
A causes B; B causes A; Both A and B are caused by C; A and B are independent and the association is by chance
Term
A statistical association ____ IDs the cause
Definition
Never
Term
Why does correlation not prove causation?
Definition
It only proves that 2 things move together but does not state why
Term
What is the first step of a needs assessment?
Definition
collect data to determine need of population: ID goals,problems and conditions the program should address
Term
What is the best way to present data?
Definition
Using graphs
Term
ID:
formed when groups come together and work towards a common goal
Definition
Coalition
Term
ID:
groups of individuals that represent stake holders and members of the target pop
Definition
advisory boards
Term
What is the main benefit of a coalition?
Definition
Bring in perspective of other experts
Term
What are the 3 categories of coalition membership?
Definition
Stakeholders, community opinion leaders, other interested parties
Term
What are 3 types of planning tools used for injury prevention?
Definition
Hanlon Method, Bracketology, and Haddon Matrix and countermeasures
Term
Describe the Hanlon Method
Definition
Basic Priority Rating System (BPRS); that prioritizes problems based on siz, severity an potential effectiveness of interventions
Term
What are the 4 components of the Hanlon Method?
Definition
Size, Seriousness, estimated effectiveness of intervention; PEARL factors (Propriety, Economic Feasibility, Acceptability, Resource availability, legality
Term
What are the 3 categories of intervention?
Definition
education, legislation/enforcement, and engineering/technology
Term
What is the difference between a goal and an objective?
Definition
goals are broad and immeasurable. Objectives are measurable and more specific
Term
What is the SMART acronym?
Definition
Specific, Measurable, Attainable, Realistic, Time frame
Term
What 4 forces need to be considered when planning interventions?
Definition
Social, cultural, political, and economic forces
Term
Why is it important to evaluate programs?
Definition
To determine if the program was appropriate, cost/time effective and what glitches there were
Term
When should evaluation begin?
Definition
at the beginning of the planning stage
Term
What are the 4 types of evaluation?
Definition
formative, process, impact, outcome
Term
ID:
the process of testing programs, etc before they are put into effect
Definition
Formative eval
Term
What is the purpose of a formative eval?
Definition
ensures quality
Term
define process eval
Definition
tests whether the program reached the target population in the way they planned to; conducted as soon as program is implemented
Term
Which type of eval is conducted as several points throughout the program?
Definition
process eval
Term
Define an impact eval
Definition
assessing program's progress toward its goals
Term
Which evaluation method helps show the population's change in knowledge?
Definition
Impact eval
Term
T/F:
The impact eval is done at the end of the program
Definition
False. before and after
Term
Describe an outcome eval
Definition
measuring whether or not a program met its ultimate goal
Term
ID:
measures changes in preventative behaviors and in morbidity/death
Definition
outcome eval
Term
Which type of eval asses behavior change?
Definition
outcome eval
Term
What are the 3 qualitative tools for eval?
Definition
focus groups, interviews, participant observation
Term
What is a quantitative tool for eval?
Definition
survyes
Term
What are 5 barriers to evaluation?
Definition
money, staff and capabilities, length of time given to program, availability of consultants, policies limiting ability to get info from public
Term
*What are the steps involved in any eval?
Definition
statement of objective, target pop defined, collected info, suitable methods, design and test instruments, collect info, process info, analyze processed info, eval report
Term
What are the 4 P's?
Definition
Product, price, place, promotion
Term
What is the difference between policy and laws?
Definition
laws are policies all policies are not laws
Term
Define lobying
Definition
trying to influence policy makers in regards to a specific cause
Term
What is the difference between education and lobbying?
Definition
in education you don't want ppl to vote a certain way. Lobbying is about politics
Term
What is the leading cause of unintentional death for all age groups?
Definition
MVC
Term
T/F;
If a crash takes longer to make impact there is a greater chance for survival
Definition
True
Term
What areas of the body are involved in the leading causes of fatality?
Definition
HEad, neck, chest, abdomen
Term
What was an unlisted risk factor for MVC that should have been added?
Definition
distracted driving
Term
What 2 age groups are most likely to be involved in MVC?
Definition
16-19; 75 and over
Term
Why are females said to be the worst drivers?
Definition
Because cars are made to cater to the body composition of men
Term
During what time of day do most MVCs occur?
Definition
during the day
Term
Fatal crashes occur in what type of environment?
Definition
rural
Term
Most MVCs occur on what type of surface?
Definition
dry
Term
Seat belts reduce injury by ___ % and fatality by ___%
Definition
69%; 45%
Term
What age group is most likely to speed by larger incriments?
Definition
16-24
Term
What are the 3 stages of the license system for beginning drivers?
Definition
learner's permit, provisional license, full license
Term
What is the difference between the toxic dose of a poison and the threshold dose?
Definition
Toxic: causes poisoning; Threshold is smallest amount that causes harm
Term
Acute exposure to a poison is how long?
Definition
<24 hrs
Term
How many unintentional poisoning deaths occur each year?
Definition
19K
Term
Who is more accurate in treating poisons? Hospitals or the PCC?
Definition
PCC (94%) vs the hosptial's 64% accuracy
Term
Why is poisoning data incomplete?
Definition
Not all poisoning results in seeking of medical care or death so data is incomplete
Term
What are the 4 ways poison can enter the body?
Definition
inhalation, absorption, ingestion and injection
Term
What is the leading cause of poisoning in US for all ages?
Definition
CO
Term
The majority of poisonings occur via what manner?
Definition
ingestion
Term
What are the 2 categories of injected poisons?
Definition
intentional (drugs) and unintentional
Term
What are the 2 types of effects of poisonings?
Definition
Local and systemic (blocks O2, nerve messages, damages orggans)
Term
What age group is most likely to suffer from a poisoning (children)
Definition
<6
Term
What are 4 risk factors for a poisoning?
Definition
Age, interruption of family patterns, gender, time of day
Term
What age group is most likely to suffer from a poisoning? From a poisoning fatality?
Definition
males 14>; black males
Term
When did the Poison Prevention Packaging Act pass?
Definition
1970
Term
Why is Ipecac Syrup no longer used to treat poisoning?
Definition
because it brings the poison back up and can burn the GI tract
Term
ID:
Leading COD unintentional in US
Definition
CO
Term
What are the 4 phases of CO poisoning?
Definition
flu, delirium, coma, death
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