NEW QUIZ Flashcards

1
Q

study of the occurrence and distribution of health conditions such as disease, death, deformities or disabilities on human populations

A

Epidemiology

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2
Q

Uses of Epidemiology

A

a) To study the history of the health populations and the rise and fall of disease and changes in their character

b) To diagnose the health of the community and the condition of the people: to measure the distribution and dimension of illness in terms of incidence, prevalence, disability and mortality; to set health problems in perspective and to define their relative importance; and to identify groups needing special attention.

c) To study the work of health services with a view of improving them. Operational research shows how community expectations can result in the actual provisions of service.

d) To estimate the risks of disease, accident, defect and the chances of avoiding them

e) To identify syndromes by describing the distribution and association of clinical phenomena in the population

f) To complete the clinical picture of chronic disease and describe their natural history.

g) To search for causes of health and disease by comparing the experience of groups that are clearly defined by their composition, inheritance, experience, behavior and environments

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3
Q
  • Disease development does not rest on a single cause. Health condition result from a multitude factors.
A

Multiple Causation Theory/Ecologic Triad

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4
Q

Ecologic Triad highlights not only the host’s and agent’s roles in disease development but also regards the ________.

A

role of the environment as important in disease causation

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5
Q

The three elements of the ecologic triad interact with one other in an attempt to maintain an _____. Any major change in any one of the factors may bring about a disturbance in the equilibrium provoking the appearance of a health problem

A

equilibrium

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6
Q

– any element, substance or force, either animate or inanimate, the presence or absence of which may serve as stimulus to initiate or perpetuate a disease process. This happens only when the agent comes in contact with a susceptible host and under proper environmental conditions

agent
host
environment

A

Agent of a disease

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7
Q

any organism that harbors and provides nourishment for another organism

agent
host
environment

A

host

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8
Q

– (for community as a host)

probability of a group or community developing an epidemic upon introduction of an infectious agent

A

Herd immunity

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9
Q

sum total of all external conditions and influences that affects the life and development of an organism

agent
host
environment

A

environment

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10
Q

environmental that composed of inanimate surroundings such as the geophysical conditions or the climate

physical environment
biological environment
socio-economic environment

A

physical environment

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11
Q

makes up the living things around us such as the plant and animal life

physical environment
biological environment
socio-economic environment

A

biological environment

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12
Q

may be in the form of level of economic development of the community, presence of social disruption

physical environment
biological environment
socio-economic environment

A

socio-economic environment

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13
Q
  • aids in identifying agent-host-environmental factors that influence their development, characteristic signs and symptoms during their different periods of progression, and approaches to preventing and controlling their effects on human
A

Natural Life History of Disease

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14
Q

Natural Life History of Disease Period

A

Pre-pathogenesis and Pathogenesis

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15
Q

– the host was not able to overcome the stimuli (e.g. smoking or elevated serum levels), it starts to produce changes in the tissues of humans (e.g. atherosclerosis in the coronary vessels)

Pre-pathogenesis
Pathogenesis

A

Pathogenesis

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16
Q

– man is exposed to a predisposing factor or stimuli which would caused the disequilibrium such as the host resistance or susceptibility, agent virulence, toxicity, quantity or changes in the environment

Pre-pathogenesis
Pathogenesis

A

Pre-pathogenesis

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17
Q

Pathogenesis examples

A
  • Early pre-pathogenesis
  • Discernible early disease
  • Advanced Disease
  • Convalescence
  • Recovery or Disability/Chronic State/Death
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18
Q

refers to identification of potential problems so that the nurse can minimize or probably even eradicate possible disability or deformity in a population-at-risk to a negative exposure

A

prevention

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19
Q

directed to the healthy population, focusing on prevention of emergence of risk factors (primordial prevention) and removal of the risk factors or reduction of their levels (specific protection). It aims to strengthen the host resistance, inactivate the agent (source of infection) or interrupt the chain of infection through environmental manipulation/ modification and prevention of spread to human reservoirs and other susceptible human hosts. Health promotion activities include provision of proper nutrition, safe water supply and waste disposal system, vector control, promotion of a healthy lifestyle and good personal habits

Primary prevention
Secondary prevention
Tertiary prevention

A

Primary prevention

20
Q

aims to identify and treat existing health problems at the earliest possible time. Interventions include screening, case-finding, disease surveillance, prompt and appropriate treatment

Primary prevention
Secondary prevention
Tertiary prevention

A

Secondary prevention

21
Q

limits disability progression. The nurse attempts to reduce the magnitude or severity of the residual effects of both infectious diseases and non-communicable ones. Day care centers and sheltered workshops are examples of pportunities to achieve the objective of tertiary prevention in mental illness and drug abuse

Primary prevention
Secondary prevention
Tertiary prevention

A

Tertiary prevention

22
Q

concerned with disease distribution and frequency

A

descriptive epidemiology

23
Q

Aspects Involved in descriptive Epidemiology:

A
  • Observation and Recording of Existing Patterns of Occurrence of Disease
  • Condition.
24
Q

presumptive identification of unrecognized diseases or defects through the application of diagnostic test or laboratory examinations and clinical assessment.

A

Screening

25
Q

Types of Screening Programs

A

Single Screening Test
Multiphasic Screening Test

26
Q

– only one condition is being identified, such as giving a group of prisoners a TB skin test

Single Screening Test
Multiphasic Screening Test

A

Single Screening Test

27
Q

a battery of test is used at one time to detect several disease conditions, such as height and weight measurement, audiometry, and vision screening of all students at a school fair

Single Screening Test
Multiphasic Screening Test

A

Multiphasic Screening Test

28
Q

– done to look for previously unidentified cases of diseases

Case finding
Sensitivity
Specificity

A

Case finding

29
Q

– proportion of the persons with a disease who test positive on a screening test. It measures the probability of the test correctly identifying a positive case of a diseas

Case finding
Sensitivity
Specificity

A

Sensitivity

30
Q

proportion of persons without a disease who have negative results on a screening test. It measures t he probability of correctly identifying non-cases

Case finding
Sensitivity
Specificity

A

Specificity

31
Q

characteristics of the afflicted persons (intrinsic char.)

A

person

32
Q

basis for determining the community’s reaction against disease invasion since it represents the immunity and susceptibility levels of individuals comprising the population. The immunity level is inversely proportional to the susceptibility level

A

herd immunity

33
Q

a situation when there is a marked upward fluctuation in disease
Incidence. When the proportion of the susceptible are high compared to the
proportion of the immunes

epidemic
endemic
sporadic
pandemic

A

epidemic

34
Q

implies the habitual presence of disease in a given geographic location accounting for the low number of both immunes and susceptible

epidemic
endemic
sporadic
pandemic

A

endemic

35
Q

when disease occurs every now and then affecting only a small number of people relative to the total population

epidemic
endemic
sporadic
pandemic

A

sporadic

36
Q

there is a simultaneous occurrence of epidemics of the same Disease in several countries of international perspective

epidemic
endemic
sporadic
pandemic

A

pandemic

37
Q

– represents opportunities for progressive transfer or
transmission of an infectious agent to a susceptible host and depends on the frequency of contact, and facility of transmission

A

Exposure or Contact rate

38
Q

probability of contact between the source of infection and the susceptible host and depends upon the number of sources of infection, the number of immunes and location of the source of infection

chance
place
time

A

chance

39
Q

characteristics of the place where the cases came from (extrinsic char.)

chance
place
time

A

place

40
Q

when the disease was initially recognized (temporal pattern)

chance
place
time

A

time

41
Q

– characterized by simultaneous exposure of a large number of susceptible to a common infectious agent

Common Source Epidemic
Propagated Epidemic

A

Common Source Epidemic

42
Q

– caused by a person-to-person transmission of disease agent

Common Source Epidemic
Propagated Epidemic

A

Propagated Epidemic

43
Q

– refers to changes in disease frequency over a period of many years

A

Secular variation

44
Q

– attempts to analyze the causes or determinants of disease through hypothesis testing

Analytical Epidemiology
Intervention/Experimental Epidemiology
Evaluation Epidemiology

A

Analytical Epidemiology

45
Q

– answers questions about the effectiveness of new methods for controlling diseases or for improving underlying conditions

Analytical Epidemiology
Intervention/Experimental Epidemiology
Evaluation Epidemiology

A

Intervention/Experimental Epidemiology

46
Q

– attempts to measure the effectiveness of different
health services and programs

Analytical Epidemiology
Intervention/Experimental Epidemiology
Evaluation Epidemiology

A

Evaluation Epidemiology

47
Q

Steps in Epidemiological Investigation

A

1) Establish fact of presence of epidemic
2) Establish time and space relationship
3) Relate to characteristic of the group of community
4) Correlate all data obtained