study designs Flashcards
case report / series
report on single patient , or series of reports on a few patients with outcome of interest
cross sectional study
observation of a population at a defined point in time
estimates prevalence
case control study
study a group with disease and a group without
aiming to establish potential causes
cohort study
follows a group over a period of time
looks at cause and incidence
systematic review and meta analysis
compiling of evidence from randomised control trials about the same topic
what are the 8 protected characteristics
age, disability, gender reassignment, marriage and civil partnership statis, race, religion and belief, Gender, sexual orientation
absolute vs relative measures
absolute = difference
relative = ratio/ gradient
2 examples of upstream intervention
national policy interventions and legislation/ regulation
e.g smoking ban in public places, sugar tax
2 examples of midstream intervention
media campaigns
community development
2 examples of downstream prevention
chairside advice
smoking cessation
model for delivering bad news
SPIKES
Setting - should be quiet and private
Patients perception - assess gap between patients perception of problem and actual problem
Invitation to ask questions - allows patient to clarify any points
Knowledge and information - informing patient about the problem
Empathy
Summarise
name 2 barriers to community water fluoridation
ethical/ moral considerations
political barriers - very vocal anti fluoriders
safety/ efficacy - concerns fluoride is toxic, fluorosis risk
how is incidence rate calculated
number of new cases in a period / total number at risk
(a percentage)
pros and cons of fluoridated salt
pros: little to no conscious action by individual, allows element of choice that water fluoridation does not
cons: mixed messages with other healthcare professionals (e.g cardiovascular)
pros and cons of fluoridated milk
pros: naturally healthy, important part of childs diet
cons: more expensive than water fluoridation, not all children like milk