Hadpop Flashcards

1
Q

What are the 4 values of public health?

A

Health as a right
Health equity
Empowerment
Inclusiveness

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2
Q

What are the 3 domains of public health?

A

Health improvement
Health protection
Improving healthcare services

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3
Q

What are some examples of achievements in public health?

A

Vaccinations
Eradication of small pox
Seatbelts
Workplace safety

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4
Q

What are some challenges to public health?

A

Antibiotic resistance
Obesity
Ageing population
Money

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5
Q

What are the 3 levels of prevention in health promotion and what do they consist of?

A

Primary prevention - aims to prevent a disease from occurring

Secondary prevention - aims to detect and track a disease at an early stage

Tertiary prevention - aims to minimise the effects of a disease and prevent complications

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6
Q

What is critical appraisal?

A

A systematic way of assessing the validity, results and usefulness of published research reports

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7
Q

What is PICO?

A
A process that helps to formulate a clinical question
P -patient/population
I - intervention
C - comparison
O - outcome
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8
Q

What are the 5 As of evidence based medicine, in order?

A
Ask
Acquire
Appraise
Apply
Assess
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9
Q

Rank the following types of study design in order from least to most qualitative - cohort studies, RCTs, cross sectional, case report, systematic review and case control

A

Case report - cross sectional - case control - cohort - RCTs - systematic review

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10
Q

What are the 3 determinants of population in any country?

A

Births
Deaths
Migration

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11
Q

Define incidence

A

The number of new cases of a particular disease at a particular point in time in a specific location

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12
Q

Define prevalence

A

The total number of existing cases of a disease at a particular point in time in a specific location

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13
Q

What are the 4 types of variables? Describe them

A

Continuous - a numeric value between a certain set of real numbers
Discrete - a numeric value that only consists of integers
Ordinal - a categorical variable that can be ranked
Nominal - a categorical variable that can’t be ranked

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14
Q

What is cumulative incidence?

A

The at risk population that becomes diseased over a specified time period

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15
Q

In what 5 ways can health promotion be implemented?

A
Medicine
Behavioural change
Education
Empowerment
Social change
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16
Q

What is a confounding factor? Give 2 examples

A

A variable that is independently associated with the exposure and disease but is not on the casual pathway between exposure and outcome

Examples: age, gender, ethnicity, social economic background

17
Q

What are the 4 methods of random sampling?

A

Simple random sampling
Stratified sampling
Cluster sampling
Systematic sampling

18
Q

What are the 3 necessities required in order for an outbreak to occur?

A

Infective agent
Host
Environment

19
Q

What are the 4 associations between exposure and outcome?

A

Chance
Bias
Confounding
Real

20
Q

What is the null hypothesis and what is its value?

A

The assumption that there is no relationship between the variables been tested in an the experiment
Always equals 1

21
Q

What is the p value and what does it mean when it is >0.05?

A

The calculated probability of obtaining the results or something more extreme if the null hypothesis is true

> 0.05 means that you do not reject the null hypothesis

22
Q

What is the 95% confidence interval?

A

The range of values in which you are 95% certain that the true population value lies in

23
Q

Give some examples of websites that can be used to obtain good medical information, research papers, articles etc

A
Cochrane
Pubmed
Google scholar
NHS
NCHI
24
Q

What is the definition of a clinical trial?

A

Any research study that prospectively assigns human participants or groups of humans to one or more health related interventions to evaluate the effects on health outcomes

25
Q

What is the definition of safety?

A

The ability of an intervention not to harm

26
Q

What 3 characteristics do clinical trials need to have?

A

Fair

Controlled

Reproducible

27
Q

What is blinding and what are the different types?

A

Blinding - preventing a person involved in the study from knowing which treatment a participant is receiving

Single blinding
Double blinding
Triple blinding

28
Q

What are the advantages and disadvantages of RCT?

A

Advantages - unbiased distribution of confounders, blinding and randomisation

Disadvantages - expensive, volunteer bias and ethically problematic at times

29
Q

What are some advantages of cohort studies over routinely available data?

A

Able to study exposures and personal characteristics that are not routinely available
You can obtain more detailed information on outcomes and exposures
You can collect additional data on potential confounding factors

30
Q

Why are cohort studies better than case-control studies?

A

They study a range of different outcomes
They study rare exposures
They establish that the exposure precedes the outcome

31
Q

What are some disadvantages of cohort studies?

A
Take a long time
Usually large and resource intensive
Risk of high number of loses
Results take a long time to finalise
Not good for rare diseases 
Difficulty with confounding factors 
Have potential for bias