Chronic Disease and Disability Overview
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Questions and Answers

What is one method that individuals with disabilities use to handle interactions with normals?

  • Conceal their disability completely
  • Use humor to reduce tension (correct)
  • Engage in serious discussions without any humor
  • Avoid making eye contact
  • Who among the following is considered wise according to Goffman's concept of stigma?

  • Anyone who sympathizes with those who are stigmatized
  • An individual pretending to be normal
  • Normals accepted by the stigmatized due to their understanding (correct)
  • A person without any disability
  • In Nagi’s Disablement Process, what does the 'origin' construct primarily focus on?

  • The social perception of disability
  • Attitudes towards disfigurements
  • Functional limitations experienced by individuals
  • Chronic health conditions (correct)
  • Which of the following is a risk factor commonly associated with chronic diseases?

    <p>Tobacco use</p> Signup and view all the answers

    What does the 'society level' in Nagi's Disablement Process pertain to?

    <p>Activity limitations faced by an individual</p> Signup and view all the answers

    Where in the United States are most chronic diseases predominantly found?

    <p>Southern states</p> Signup and view all the answers

    What factor plays a role in explaining health and disease discrepancies across different races?

    <p>Socioeconomic status and access to healthcare</p> Signup and view all the answers

    What is an attribute that leads to stigmatization according to Goffman?

    <p>A disability that causes social rejection</p> Signup and view all the answers

    Which demographic is at higher risk for obesity?

    <p>Non-Hispanic Blacks</p> Signup and view all the answers

    What is the reported percentage of the population that is obese?

    <p>42%</p> Signup and view all the answers

    Which of the following is NOT a complication of diabetes?

    <p>Asthma</p> Signup and view all the answers

    What trend was observed in mental health expenditures from 1986 to 2014?

    <p>Retail prescription drugs have gone up</p> Signup and view all the answers

    Which group has the highest rate of major depression?

    <p>Biracial individuals</p> Signup and view all the answers

    What lifestyle change can help mitigate the risk of diabetes?

    <p>Healthier diet</p> Signup and view all the answers

    Which region of the country is noted for having the greatest disease burden?

    <p>The South</p> Signup and view all the answers

    How is obesity medicalized?

    <p>Surgery and medication</p> Signup and view all the answers

    What is the primary focus of the precautionary principle in risk management?

    <p>To ensure new products are proven safe before public use</p> Signup and view all the answers

    What does the statement 'The dose makes the toxin' imply?

    <p>Any substance can be toxic if the exposure is sufficient</p> Signup and view all the answers

    Which of the following health consequences is associated with landfilling waste?

    <p>Congenital abnormalities</p> Signup and view all the answers

    What is the primary focus of the social constructionist approach to opioid addiction?

    <p>Understanding societal definitions and perceptions of the problem.</p> Signup and view all the answers

    What best describes the permissive principles in risk management as practiced in the US?

    <p>There is an emphasis on demanding proof of harm before restricting products</p> Signup and view all the answers

    What constitutes environmental injustice according to the principles of Environmental Justice?

    <p>Disproportionate exposure to environmental health hazards.</p> Signup and view all the answers

    How can manufactured doubt affect product circulation?

    <p>It allows products to continue being sold despite safety concerns</p> Signup and view all the answers

    What are Superfund sites?

    <p>Contaminated sites requiring long-term clean-up.</p> Signup and view all the answers

    Which state has the highest number of Superfund sites?

    <p>New Jersey</p> Signup and view all the answers

    What does the Brownfields Initiative aim to achieve?

    <p>Redevelop contaminated sites for productive use.</p> Signup and view all the answers

    What types of chemicals are classified as Endocrine Disrupting Chemicals (EDCs)?

    <p>Heavy metals and synthetic hormones.</p> Signup and view all the answers

    How many Superfund sites exist within the United States?

    <p>1,340</p> Signup and view all the answers

    What does the term 'manufactured risks' refer to?

    <p>Hazards that result from human activities and technological advancements.</p> Signup and view all the answers

    What is required for pre-market approval of class 3 medical devices by the FDA?

    <p>Conduct large randomized, multicenter trials</p> Signup and view all the answers

    Which entity is responsible for monitoring the 'notified bodies' in the EU medical device approval process?

    <p>Competent authorities</p> Signup and view all the answers

    What is a key difference between the regulatory processes for pharmaceuticals and medical devices?

    <p>Pharmaceuticals can be evaluated using randomized clinical trials</p> Signup and view all the answers

    Why are women considered most at risk regarding medical devices?

    <p>They have higher rates of implant failures and stronger reactions</p> Signup and view all the answers

    What distinguishes pharmaceuticalization from medicalization?

    <p>Pharmaceuticalization primarily focuses on medical drugs</p> Signup and view all the answers

    What is one characteristic of the FDA's 510(k) process?

    <p>Involves demonstrating substantial equivalence to a predicate device</p> Signup and view all the answers

    Why might medical device effectiveness be considered more complex than pharmaceutical effectiveness?

    <p>Factors affecting medical devices are often mechanical rather than chemical</p> Signup and view all the answers

    How does the EU determine the approval of medical devices?

    <p>Based on the CE mark of conformity</p> Signup and view all the answers

    What was a major assumption regarding the pharmaceutical industry's regulations before the 1970s?

    <p>Patient safety was a primary concern for companies</p> Signup and view all the answers

    Which aspect of medical devices requires greater attention during their marketing and adoption?

    <p>Training, education, service, and maintenance</p> Signup and view all the answers

    What is the primary focus during the Acute stage of schizophrenia?

    <p>Hallucinations and increased anxiety</p> Signup and view all the answers

    Which class of medical devices includes items such as elastic bandages and tongue depressors?

    <p>Class 1 devices</p> Signup and view all the answers

    What is a key feature of Phase 3 in drug trials?

    <p>Randomized controlled trials with a large participant pool</p> Signup and view all the answers

    In the context of differences between men and women regarding mental illness diagnoses, which group has the highest rate?

    <p>African American women</p> Signup and view all the answers

    Which of the following is a characteristic of Class 2 medical devices?

    <p>Potentially higher risk requiring additional safety controls</p> Signup and view all the answers

    During drug trial Phase 1, how many human subjects are typically involved?

    <p>20-100</p> Signup and view all the answers

    Which of the following devices is classified as Class 3?

    <p>Pacemakers</p> Signup and view all the answers

    What is the primary goal of Phase 2 in clinical drug trials?

    <p>Determine the drug's effectiveness compared to a control</p> Signup and view all the answers

    Which of the following statements about drug trial phases is NOT true?

    <p>Phase 1 determines the maximum safe dose.</p> Signup and view all the answers

    What is a common misconception regarding the funding of pharmaceutical research?

    <p>Pharmaceuticals focus heavily on marketing costs.</p> Signup and view all the answers

    Which of the following best describes the Prodromal stage of schizophrenia?

    <p>Early signs of social withdrawal without acute symptoms</p> Signup and view all the answers

    What distinguishes Class 1 medical devices from Class 2 and Class 3 devices?

    <p>Lowest potential for harm and simpler design</p> Signup and view all the answers

    During which phase of drug trials are randomized controlled trials most critical?

    <p>Phase 3</p> Signup and view all the answers

    What is a characteristic of medical devices classified as Class 2?

    <p>Required to meet special labeling requirements and performance standards</p> Signup and view all the answers

    Study Notes

    Chronic Disease and Disability

    • Goffman's stigma concept:
      • People with disabilities may view "normals" as ignorant, but not malicious, and may downplay offenses with humor or reduce tension by breaking the ice.
      • Disclosure etiquette is used to discuss severe conditions.
      • People with disabilities may choose to portray themselves as "normal" to ease interaction.
    • Who determines who is stigmatized?
      • Attributes deeply discredited by society lead to rejection of individuals.
      • Stigmatized persons bear the stigma; normals do not.
      • Wise normals are recognized by stigmatized individuals for their understanding.
    • Nagi's Disablement Process:
      • Aims to define and conceptualize disability through a process of change.
      • Outlines a framework with domains like pathology, impairment, functional limitations, and societal disability.

    Nutrition/Obesity/Diabetes

    • Risk factors for obesity and diabetes:
      • Non-Hispanic blacks have a higher risk of obesity compared to other groups.
      • Older age increases risk.
      • Increased central body fat is a risk factor.
      • Smoking and low fitness levels are risks.
    • Increased risk due to ethnicity: Hispanic, African American, and Asian individuals have a higher risk of type 2 diabetes compared to other racial groups.
    • Prevalence of obesity.
      • 42% of people are obese.
      • 1 in 3 people are overweight.
    • Health conditions associated with obesity and diabetes: Cardiovascular risks, hypertension, CHD, heart failure, cardiac steatosis, ECG findings, atrial fibrillation, stroke, cancer, and various other complications.

    Mental Health

    • Mental health trends 1986-2014: Increased outpatient care, retail prescription drugs, and inpatient care decreased while suicide rates for men were found to the be highest; biracial men have the highest depression rates. Asian is the lowest.

    Pharma & Medical Devices

    • Drug trial phases:
      • Pre-clinical (animal studies)
      • Phase 1 (small human trials)
      • Phase 2 (more subjects, focus on specific disorders)
      • Phase 3 (large, randomized, controlled trials)
    • Medical device classes (example types):
      • Class 1: simple devices like elastic bandages
      • Class 2: medical thermometers
      • Class 3: heart valves, implants require more rigorous testing.

    Environmental Exposure and Health

    • Environmental justice: equal treatment under environmental regulations regardless of race, income, color, or national origin.
    • Environmental racism: racial discrimination in environmental policy impacting communities of color disproportionately through locations such as Environmental Defense Centers.
    • Superfund Sites: contaminated sites requiring cleanup, with locations concentrated in specific areas such as NJ.
    • Environmental risks are stratified based on social factors such as race, socioeconomic status, and geographical location, risk factors for hazards are categorized.

    Miscellaneous

    • Colonialism: relates to the broader issue of colonization and its lasting implications for health, including health consequences stemming from environmental problems.
    • Manufacturing of doubt: relating to products, and marketing to gain profit. Ethical considerations and the need to prove that products are safe and do not harm consumers is important, and those that have a proven history of doubt or harmful actions need scrutiny.

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    Description

    Explore the key concepts of stigma in relation to disabilities, as introduced by Goffman. Understand Nagi's Disablement Process and learn about risk factors for obesity and diabetes. This quiz covers essential knowledge regarding chronic diseases and their societal implications.

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