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Occupational Epi
Mainolfi
42
Medical
Graduate
03/29/2012

Additional Medical Flashcards

 


 

Cards

Term
Varriance caculation of binomail
Definition
probablity of sucess and failure and number of trials
Term
Prognostic Bias
Definition
Bias that occur at cohort study beginning when either the exposes or unexposed varies in the ways the (other than exposure) that may determine the outcome
Term
Range
Definition
difference between highest and lowest
Term
Precision
Definition
how well an instrument does what it is designed to do. With of the CI
Term
Efficiency
Definition
increases precision by reducing random errors
Term
Reliability
Definition
consistency in measurement
analogous to precision
Term
Validity
Definition
Strength of conclusions.
can be represented by how little or much systematic error the study has

analogous to accuracy
Term
lead time
Definition
results from false assumption that the length of survival increases in screened cases when in fact the diagnosis is being made earlier
Term
Length Bias
Definition
results from occurance of higher proportion
Term
Cohort Bias
Definition
shared experiences of group followed over a period of time
Term
Berkson's Bias
Definition
Hospitalized patients with given outcome often different from non-hospitalized in case -control study
Term
Volunteer Bias
Definition
study subjects have a lower morbidity for a given outcome
Term
Random Missclassification bias
Definition
misclasification of exposure that is independent of disease status.
Term
Incidence
Definition
# new cases/population at risk in given time frame

- can be used as a measure of risk
Term
Prevalence
Definition
# people with disease/ number of people in the population

(TP +FN)/ (TP+TN+FP+FN)

- represents burden of disease
In a steady state scenario prevelance = incidence * duration of the disease
Term
Mortality Rate
Definition
# death all causes
- good estimator of disease incidence when the duration of disease is short
- differs from case fatality rate in that the denominator includes the entire population including disease fee
Term
Fetal Mortality
Definition
stillbirths per 100o birth greater than 28 weeks
Term
Neonatal mortality rate
Definition
number of deaths in the first 28 days of life per 1000 live births in one year
Term
Infant mortality rate
Definition
number of deaths under the age of one per 1000 live births per year
Term
Perinatal mortality rate
Definition
Number of deaths between 28 weeks gestation and one week of life per 100 total births in 1 year
Term
Standardized Mortality ratio (SMR)
Definition
observed numbers of deaths per year / expected number of deaths per year
Term
Sensitivity
Definition
ability of a screening test to correctly identify those who have the disease of intrest

a/a+c TP/(TP+FN)
Term
Specificity
Definition
ability of screening test to correctly identify those without the disease of interest.


d/b+b TN (FP+TN)
Term
Efficacy
Definition
rate of disease in the placebo group - rate of disease in the vaccine group
Term
Attributable risk
Definition
risk in exposed - risk in the unexposed
Term
Relative Risk
Definition
risk in exposed + risk in the unexposed
- used in cohort studies
Term
Odds ratio
Definition
used in case control
good for rare diseases

OR = ad/bc
Term
Hills criteria
Definition
Temporal relationship
Strength of association
Dose
Replication
Plausibility
Alternate explanation
Consistency
Term
Cohort studies
Definition
- better with short latency
- good for multiple outcomes
Term
Case Control
Definition
- better for long latency
- good for multiple exposures
Term
Nondiffrential Misclasification
Definition
results in attenuation of the RR or OR towards 1
Term
Confounder
Definition
associated with exposures and outcome but is not caused by the exposure of intrest

- can be decreased in design phase with randomization, matching or restriction
- Can be decreased in the analysis phase by stratified analysis, adjustment multivariate analysis
Term
Crude birth rate
Definition
# births in a given time/ mid year population
Term
Fertility rate
Definition
# births in given time / mid year population of women age 15-44
Term
False Positive rate
Definition
FP / (TN + FP)
Term
Shapiro
Definition
Test for normality of data
Term
Control Trials
Definition
o. Animal Studies : pharmakokinetics and dynmaics
i.) Human studies
ii.) effacacy trial: one center
iii.) Multicenter trials
iv.) post marketing surveillance
v.) transnational research
Term
Population Attributable Risk
Definition
Ip - Io = Incidence in the population - Incidence in the unexposed = population value due to exposure.

Or Prevelance (RR-1) / Prevelance (RR-1) +1

= IDRp - IDRo = Incidence density Ratio population - Incidence density Ratio exposed
Term
Incidence density
Definition
Rate
Term
Crossover Study
Definition
Several treatments given to people in sequence.

Advatage is power

Can be Blocked or linked
Term
Crossover bias
Definition
Benifit from the first treatment carries over.

Pevent w / washout pd.

Evaluate with placebo
Term
Epi Triad
Definition
Agent, environment , host
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