Lecture 4; Introduction To Epidemiological Investigations Flashcards

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1
Q

What is epidemiology?

A

The study of distribution and determinants of health-related states or events (including disease) and the application of this study to the control of diseases and other health problems

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2
Q

What are the various methods used to carry out epidermiological investigations? (2)

A
  • surveillance and descriptive studies can be used to study distribution
  • analytical studies are used to study determinants.
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3
Q

What is the difference between statistics and probability?

A

Statistics; given the information you have, what can you infer about the population

Probability; given the population what can you infer about a small group

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4
Q

Why is a sample drawn?

A

To enable inference about the population

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5
Q

What should a sample for a study be?

A

-as representative as possible

Remember that all samples drawn from the same population vary

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6
Q

What is prevalence?

A

Prevalence=incidence x duration of disease

It is a proportion not a rate (like taking a slice of cake)

(You cannot get over 100% prevalence because it is a proportion, there are no units- it counts people- people divided by people, the denominator is persons not persons per time because we look at point prevalence, study is a cross-sectional survey ie there is no follow up)

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7
Q

What is incident rate? How do you calculate it?

A

-measuring new cases

(Counts cases not people, need to know time-period at risk-and cases and people)

Incidence rate= New events/ (person x time in years)=events per person per time (yr)

Ie 300/50,000x1.5=0.004 heart attacks per worker per year
Therefore 4 heart attacks per 1,000 workers per year

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8
Q

What does p-y mean?

A

Person years

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9
Q
What happens to prevalence if you:
A)increase incidence
B)cure more patients
C)kill more patients
D)keep them alive longer
A

A) increase prevalence
b) lower prevalence
C) lower prevalence
D) increase prevalence

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10
Q

Remember that what you see (observation) is not always what you expect (the tendency)

A

.

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11
Q

What is our observed value?

A

Our best estimate of the true or underlying tendency

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12
Q

What is a hypothesis?

A

A statement that an underlying tendency of scientific interest that takes a particular quantitative value

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13
Q

What is the p-value?

A

When you perform a hypothesis test in statistics, a p-value helps you determine the significance of your results. … The p-value is a number between 0 and 1 and interpreted in the following way: A small p-value (typically ≤ 0.05) indicates strong evidence against the null hypothesis, so you reject the null hypothesis.

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14
Q

If the p value is greater than or equal to 0.5 what does this mean?

A

We have not rejected the null hypothesis

***Does not mean the hypothesis has been proven

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15
Q

When might p value not work?

A

If your sample size is too small (ie 3 coin tosses)

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16
Q

Remember that statistical significance is not the same as clinically important!

A

.

17
Q

The observed value will always be within the 95% confidence interval, it cant be anywhere else

A

.

18
Q

What is a confidence interval?

A

An estimate of the precision of the observed values in the sample