Study Designs and Research Bias Analysis

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Questions and Answers

What term best describes a situation where a disease's prevalence is more or less constant over time?

  • Sporadic
  • Outbreak
  • Endemic (correct)
  • Pandemic

What would likely happen to the prevalence of a disease if a new program successfully reduces its incidence in a population where prevalence has been constant?

  • It would have no effect on prevalence
  • It would decrease prevalence of the disease (correct)
  • It would increase prevalence of the disease
  • It would increase mortality of the disease

If a large number of healthy individuals immigrated into a population with a constant prevalence of a disease, what impact would this have on the prevalence?

  • It would have no effect on prevalence
  • It would increase prevalence of the disease
  • It would decrease mortality of the disease
  • It would decrease prevalence of the disease (correct)

Which of the following terms refers to a disease that occurs sporadically and irregularly in certain regions?

<p>Sporadic (B)</p> Signup and view all the answers

Dengue fever is considered endemic to certain regions. Which of the following is a characteristic of an endemic disease?

<p>It is consistently present in a specific location (C)</p> Signup and view all the answers

What term describes a disease that is consistently present at a low level in a particular region or population?

<p>Endemic (A)</p> Signup and view all the answers

Which term best describes a disease that spreads rapidly, affecting a large number of people within a community?

<p>Epidemic (C)</p> Signup and view all the answers

What does the term 'outbreak' refer to in terms of disease spread?

<p>A sudden increase in disease cases (B)</p> Signup and view all the answers

Which term indicates a disease spread across multiple countries or continents?

<p>Pandemic (B)</p> Signup and view all the answers

Which term is used for diseases that occur irregularly and not at a consistent level?

<p>Sporadic (D)</p> Signup and view all the answers

Which of the following is included in indirect transmission?

<p>Vectorborne (B), Foodborne (C)</p> Signup and view all the answers

What is the definition of active immunity?

<p>The development of immunity from previous exposure or vaccination (D)</p> Signup and view all the answers

Which of the following describes passive immunity?

<p>Immunity gained from a person to person transaction (C)</p> Signup and view all the answers

The method by which an infectious agent is transported to a susceptible host is known as:

<p>Vector (C)</p> Signup and view all the answers

A study where children are assigned to either a new vaccine or a current vaccine to monitor effects is an example of which type of study?

<p>Randomized controlled trial (B)</p> Signup and view all the answers

Which of the following is NOT a mode of transmission for infectious agents?

<p>Surface contact (B)</p> Signup and view all the answers

Which type of immunity is generally considered long-lasting?

<p>Active immunity (B)</p> Signup and view all the answers

What is a common characteristic of vehicleborne transmission?

<p>Spread via contaminated food or water (A)</p> Signup and view all the answers

What is the numerator of prevalence in epidemiology?

<p>Total number of cases of a disease in a population (A)</p> Signup and view all the answers

Which of the following best describes the purpose of epidemiology?

<p>To identify the causes of diseases and combat their spread (C)</p> Signup and view all the answers

Cumulative incidence indicates all except which of the following?

<p>Total cases of a disease at a single point in time (A)</p> Signup and view all the answers

Prevalence as a morbidity indicator reflects which of the following?

<p>All existing cases of disease within a defined population at a given time (B)</p> Signup and view all the answers

In the context of epidemiological indicators, all are true about cumulative incidence except:

<p>It accounts for all cases irrespective of the onset time. (D)</p> Signup and view all the answers

Which of the following is NOT a component of the objectives of epidemiology?

<p>Creating entertainment content related to health (D)</p> Signup and view all the answers

Regarding prevalence, which statement is inaccurate?

<p>It only includes cases diagnosed in the last year. (C)</p> Signup and view all the answers

Which of the following is an example of a morbidity indicator?

<p>Prevalence rate of chronic conditions in a community (C)</p> Signup and view all the answers

What does the term 'distribution' refer to in the definition of epidemiology?

<p>Agent, host, environment (A), Who (B), Where (C), When (D)</p> Signup and view all the answers

What does 'determinants' generally include in the context of epidemiology?

<p>All of the above (D)</p> Signup and view all the answers

Which of the following is not part of the epidemiologic triad?

<p>Study of endemic diseases (D)</p> Signup and view all the answers

What is health surveillance primarily concerned with?

<p>Collection and interpretation of data (D)</p> Signup and view all the answers

What does the 'iceberg phenomenon' in epidemiology signify?

<p>Lower registered incidence rate than true (D)</p> Signup and view all the answers

When analyzing surveillance data by age, which age group is generally preferred for analysis?

<p>Adults 18-65 (C)</p> Signup and view all the answers

In the context of epidemiology, what does 'agent' refer to?

<p>The pathogen causing the disease (B)</p> Signup and view all the answers

Which of the following is a component of the epidemiological triad?

<p>Agent (A)</p> Signup and view all the answers

Health surveillance primarily helps in?

<p>Identifying health trends (B)</p> Signup and view all the answers

What does the term 'risk factors' refer to in epidemiology?

<p>Variables increasing disease probability (B)</p> Signup and view all the answers

What type of prevention is represented by prostate cancer screening?

<p>Secondary prevention (A)</p> Signup and view all the answers

What type of prevention is physiotherapy and associated medical therapy following a stroke?

<p>Tertiary prevention (B)</p> Signup and view all the answers

Which of the following describes the type of prevention associated with measles vaccination?

<p>Primary prevention (B)</p> Signup and view all the answers

For breast cancer and cervical cancer screening in women, what type of prevention is being utilized?

<p>Secondary prevention (A)</p> Signup and view all the answers

What classification applies to skin contact with an open fire leading to burns?

<p>Sufficient cause (C)</p> Signup and view all the answers

How is the measles virus classified regarding its role in causing measles?

<p>Necessary (C)</p> Signup and view all the answers

What type of cause is Vibrio cholerae in relation to cholera?

<p>Necessary (A)</p> Signup and view all the answers

Which classification describes the association of smoking with lung cancer?

<p>Not necessary, not sufficient (A)</p> Signup and view all the answers

What describes the activity that involves comparing the frequency of brain cancer among anatomists to the general population?

<p>Distribution (C)</p> Signup and view all the answers

What does marking on a map the residences of children born with birth defects near a hazardous site represent?

<p>Distribution (D)</p> Signup and view all the answers

To which category does the activity of graphing congenital syphilis cases over time belong?

<p>Distribution (C)</p> Signup and view all the answers

What classification is represented when recommending antibiotics for contacts of a meningitis case?

<p>Application (C)</p> Signup and view all the answers

How is the activity of calculating cumulative incidence categorized?

<p>Rate (D)</p> Signup and view all the answers

What type of rate is calculated when finding the attack rate from a defined period?

<p>Rate (C)</p> Signup and view all the answers

What type of measure is point prevalence when calculated for a specific date?

<p>Proportion (A)</p> Signup and view all the answers

Signup and view all the answers

What is indicated by having a constant prevalence of a disease over time?

<p>The incidence is balanced by cures or deaths. (A)</p> Signup and view all the answers

What would likely happen to disease prevalence if many healthy individuals move into a community with a constant disease prevalence?

<p>It would decrease due to a dilution of infected individuals. (A)</p> Signup and view all the answers

Which term best describes a disease that is consistently present in a specific geographic area?

<p>Endemic (B)</p> Signup and view all the answers

How would a program that reduces the incidence of a disease impact its prevalence if the latter has remained constant?

<p>It would decrease prevalence over time. (A)</p> Signup and view all the answers

Dengue fever is classified in certain regions as which of the following?

<p>Endemic (C)</p> Signup and view all the answers

What is the measure of association commonly used in case-control studies?

<p>Odds ratio (B)</p> Signup and view all the answers

In the study investigating the association between Hypertension and Stroke, how is relative risk calculated?

<p>(60/60+40)/(25/25+75) (A)</p> Signup and view all the answers

Which formula represents the calculation of the odds ratio in the study on Hypertension and Stroke?

<p>(60<em>75)/(25</em>40) (A)</p> Signup and view all the answers

What does a risk ratio compare in epidemiological studies?

<p>Incidence between exposed and unexposed groups (A)</p> Signup and view all the answers

Why is the confidence interval important in epidemiological studies?

<p>It provides a range of values for potential measures of association. (A)</p> Signup and view all the answers

What is indicated by a high odds ratio in a case-control study?

<p>A strong association between the exposure and outcome (A)</p> Signup and view all the answers

When calculating relative risk, what does a ratio less than one signify?

<p>Reduced risk in the exposed group (D)</p> Signup and view all the answers

In epidemiological studies, what is the main goal of calculating incidence?

<p>To assess the risk of developing a disease over time (C)</p> Signup and view all the answers

Which of the following options represents indirect transmission?

<p>Vectorborne transmission (B)</p> Signup and view all the answers

What does passive immunity entail?

<p>Immunity transferred from another person (B)</p> Signup and view all the answers

What term describes the mode of transport for an infectious agent to a susceptible host?

<p>Vehicle (A)</p> Signup and view all the answers

In a study where children receive either a new or current vaccine, what type of study is this?

<p>Randomized controlled trial (D)</p> Signup and view all the answers

Which of the following does NOT define passive immunity?

<p>Development from active infection (B)</p> Signup and view all the answers

Which immunity is typically longer-lasting?

<p>Active immunity (A)</p> Signup and view all the answers

What is considered a vector in the context of disease transmission?

<p>An organism that transmits pathogens (D)</p> Signup and view all the answers

What type of study design is exemplified by the Iowa Women’s Health Study, which involved collecting exposure and lifestyle information from a large cohort to assess cancer occurrence?

<p>Cohort study (B)</p> Signup and view all the answers

The study comparing MMR vaccine history between children with and without pervasive development disorder in Britain is an example of which type of study?

<p>Observational case-control study (B)</p> Signup and view all the answers

What reflects the design of the study where women in a health maintenance organization received different rotavirus vaccinations and reported side effects?

<p>Clinical trial (A)</p> Signup and view all the answers

The American study investigating the association between MMR vaccine history and pervasive development disorder is classified as which type of study?

<p>Case-control study (D)</p> Signup and view all the answers

In the study comparing HIV infection's effect on mortality among people with TB in India, what type of study might best describe this research?

<p>Cohort study (C)</p> Signup and view all the answers

Which type of study is represented by a research design that assesses the vaccine history of children with and without disorders at a single point in time?

<p>Cross-sectional study (B)</p> Signup and view all the answers

When researchers collect exposure data from a large sample of women over years to establish cancer risk, what is this study type categorized as?

<p>Cohort study (B)</p> Signup and view all the answers

What type of study design best describes investigations that begin with an outcome and look back at exposures?

<p>Case-control study (B)</p> Signup and view all the answers

Which of the following is NOT an objective of epidemiology?

<p>Conducting moral evaluations of populations (D)</p> Signup and view all the answers

What does cumulative incidence NOT reflect?

<p>The proportion of the population already affected by the disease (B)</p> Signup and view all the answers

Which of the following best describes prevalence in epidemiology?

<p>The number of existing cases over a specified time in a given territory (D)</p> Signup and view all the answers

What is the numerator in the calculation of prevalence?

<p>Number of existing cases of a disease (A)</p> Signup and view all the answers

Which of the following options does NOT describe cumulative incidence?

<p>Includes historical prevalence data (B)</p> Signup and view all the answers

Prevalence acts as a morbidity indicator by reflecting what?

<p>All cases of a disease in a population over a certain time (B)</p> Signup and view all the answers

What type of morbidity indicator does prevalence represent?

<p>The proportion of sick individuals in a population at a given time (D)</p> Signup and view all the answers

Which of the following best characterizes the cumulative incidence?

<p>It quantifies the risk of developing a disease over a specific timeframe (B)</p> Signup and view all the answers

What is the relative risk of gun violence in the city with relaxed gun laws?

<p>5.0 (D)</p> Signup and view all the answers

What is the relative risk of gun violence in the city with strict gun laws?

<p>0.2 (D)</p> Signup and view all the answers

What does a relative risk of 5.0 indicate about gun violence in the two cities?

<p>Gun violence is five times more likely in the city with relaxed laws. (A)</p> Signup and view all the answers

If a city has 10 shootings in a population of 100,000, what is its incidence rate of gun violence?

<p>0.1% (C)</p> Signup and view all the answers

Which of the following best describes the incidence of gun violence in a population with strict gun laws?

<p>Lower than in populations with relaxed laws (B)</p> Signup and view all the answers

How do relaxed gun laws potentially influence gun violence rates?

<p>By increasing access to firearms (B)</p> Signup and view all the answers

What might be a confounding factor affecting the analysis of gun violence between the two cities?

<p>Population demographic differences (D)</p> Signup and view all the answers

If a study finds a relative risk of 50 for a particular exposure, what does this imply?

<p>The exposure significantly increases the risk of the outcome (C)</p> Signup and view all the answers

What calculation is used to determine the odds ratio (OR)?

<p>(a<em>d)/(b</em>c) (A)</p> Signup and view all the answers

Which of the following factors can lead to increased gun violence in communities?

<p>Increased availability of firearms (C)</p> Signup and view all the answers

In assessing gun violence, which population characteristics are crucial for accurate analyses?

<p>Age and historical crime rates (C)</p> Signup and view all the answers

What does a relative risk below 1 indicate in epidemiological studies?

<p>Decreased risk of the outcome (D)</p> Signup and view all the answers

In comparing gun violence data, what does the term 'incidence' specifically refer to?

<p>The number of new cases occurring in a specific time frame (A)</p> Signup and view all the answers

Which factor can falsely elevate the perception of gun violence in a city?

<p>Extensive media coverage of isolated incidents (B)</p> Signup and view all the answers

What term describes the consistent presence of a disease within a specific population or geographic area?

<p>Endemic (C)</p> Signup and view all the answers

If a new program reduces the incidence of a disease that has been stable for years, what is the likely immediate effect on prevalence?

<p>It would decrease prevalence (C)</p> Signup and view all the answers

What impact would a large influx of healthy individuals into a population with a consistent prevalence of a disease likely have?

<p>It would decrease prevalence of the disease (A)</p> Signup and view all the answers

Dengue fever is considered endemic to specific regions. Which of the following accurately describes an endemic condition?

<p>It is consistently present at a stable rate (C)</p> Signup and view all the answers

What is the expected effect on mortality if the prevalence of a disease remains constant while a new program reduces incidence?

<p>It would not affect mortality (C)</p> Signup and view all the answers

What is the attack rate among those who drank vodka?

<p>10/11 (A)</p> Signup and view all the answers

What is the attack rate among those who ate apple pie?

<p>46/184 (D)</p> Signup and view all the answers

What is the attack rate among those who did not eat orange?

<p>5/100 (A)</p> Signup and view all the answers

Which of the following corresponds to a situation where a specific food item is linked to a higher rate of illness?

<p>Attack rate (C)</p> Signup and view all the answers

Why is calculating attack rates important in epidemiology?

<p>To identify the source of an outbreak (D)</p> Signup and view all the answers

Which statistical measure is used to assess the immediate impact of foodborne illnesses?

<p>Attack rate (A)</p> Signup and view all the answers

What does a higher attack rate indicate about a specific food item?

<p>It may be contaminated or hazardous. (C)</p> Signup and view all the answers

When analyzing attack rates, which of the following factors is least relevant?

<p>Weather conditions during consumption (C)</p> Signup and view all the answers

Which of the following is considered a form of indirect transmission?

<p>Foodborne infection (D)</p> Signup and view all the answers

What is the primary difference between active and passive immunity?

<p>Active immunity can be developed through vaccination. (C)</p> Signup and view all the answers

Which mode of transport refers to an external agent transmitting an infectious agent to a susceptible host?

<p>Vector (C)</p> Signup and view all the answers

In the study where children receive different vaccines and are monitored for effects, what type of study is being conducted?

<p>Randomized controlled trial (C)</p> Signup and view all the answers

What is the characteristic of passive immunity?

<p>It is short-term and immediate. (B)</p> Signup and view all the answers

Which of the following does NOT describe an aspect of vehicleborne transmission?

<p>Transmits agents via droplets (D)</p> Signup and view all the answers

What accurately defines an infectious agent's path to a susceptible host?

<p>Transmission (B)</p> Signup and view all the answers

What type of study does the Iowa Women’s Health Study represent?

<p>Cohort study (C)</p> Signup and view all the answers

The study comparing MMR vaccine history among children with pervasive development disorder exemplifies which type of study?

<p>Observational case-control study (D)</p> Signup and view all the answers

What does the trial described with women in a health maintenance organization primarily illustrate?

<p>Experimental study (B)</p> Signup and view all the answers

The study of children’s MMR vaccine history led by American investigators is an example of which type of study?

<p>Observational case-control study (B)</p> Signup and view all the answers

Which aspect is investigated in the study addressing HIV infection and mortality among individuals in India?

<p>The association between two diseases (D)</p> Signup and view all the answers

Which type of study could best be described as 'not an analytical or epidemiologic study'?

<p>Observational cross-sectional study (B)</p> Signup and view all the answers

What type of study design is defined when researchers look back at records to compare exposure and disease occurrence?

<p>Case-control study (D)</p> Signup and view all the answers

Which methodological approach is used when researchers gather data from a population at a singular point in time?

<p>Cross-sectional study (D)</p> Signup and view all the answers

What was the population of City A in April 2000?

<p>3500 (A)</p> Signup and view all the answers

Which mathematical expression represents the population of City A minus a certain value in April 2000?

<p>12/3500-15 (B)</p> Signup and view all the answers

What would 50/3500-20 represent in the context of City A's population?

<p>A decrease in population statistics (B)</p> Signup and view all the answers

In addition to being 12/3500, how else is the statistic regarding City A's population framed?

<p>12/3500+15 (C)</p> Signup and view all the answers

What significance does the expression 15/3500 hold in the context of demographics?

<p>Indicates a specific demographic segment (D)</p> Signup and view all the answers

What mathematical overview can be understood from the expression 20/3500?

<p>Proportion of the population affected by a certain condition (B)</p> Signup and view all the answers

Which of the following expressions indicates a comparative rate for City A's population?

<p>27/3500 (A)</p> Signup and view all the answers

How is the term 'population' defined in relation to City A?

<p>The number of individuals residing in the city (B)</p> Signup and view all the answers

What term best describes a disease that is consistently present at a low level in a specific area?

<p>Endemic (B)</p> Signup and view all the answers

Which term describes a sudden increase in the number of cases of a disease above what is normally expected in that population?

<p>Outbreak (A)</p> Signup and view all the answers

What is the definition of a pandemic?

<p>A worldwide epidemic affecting a large number of people (C)</p> Signup and view all the answers

Which of the following statements best describes a sporadic disease?

<p>It appears infrequently and irregularly in a population (D)</p> Signup and view all the answers

Which term accurately describes a disease that has a significant global impact and crosses international borders?

<p>Pandemic (C)</p> Signup and view all the answers

What historical event is characterized by a large death toll due to influenza in 1918-1919?

<p>Pandemic outbreak (A)</p> Signup and view all the answers

Which of the following best defines an epidemic?

<p>A widespread occurrence of an infectious disease in a community (A)</p> Signup and view all the answers

What is a characteristic of a disease that is labeled as zoonotic?

<p>It can be transmitted from animals to humans (B)</p> Signup and view all the answers

What may account for the decrease in the total annual prevalence rate of long-term disease X from 105.6 to 70.4 per 100 thousand population?

<p>Higher mortality rates explaining the drop in prevalence (B), Emergence of new treatments that enhance patient longevity (C)</p> Signup and view all the answers

Which epidemiologic term best describes the situation without new cases of Ebola virus in a specified timeframe?

<p>Incidence (D)</p> Signup and view all the answers

What is a key reason that can lead to low prevalence of a disease in a population?

<p>The introduction of effective vaccination programs (A)</p> Signup and view all the answers

In health statistics, what does a cumulative incidence rate provide insight into?

<p>The likelihood of developing a disease over time (B)</p> Signup and view all the answers

When analyzing epidemiological data, which age group categorization is typically preferred?

<p>5-year age groups for balanced comparisons (D)</p> Signup and view all the answers

What type of study is the Iowa Women's Health Study an example of?

<p>Cohort study (D)</p> Signup and view all the answers

The study comparing MMR vaccine history among children with and without pervasive development disorder is classified as which type of study?

<p>Observational case-control study (A)</p> Signup and view all the answers

What type of study design was employed when subjects received one of two types of new rotavirus vaccine?

<p>Experimental study (C)</p> Signup and view all the answers

In the study comparing MMR vaccine history in children with pervasive development disorder, what was the outcome regarding the association found?

<p>No significant association was found (D)</p> Signup and view all the answers

What is the primary characteristic of an observational cross-sectional study?

<p>Data is collected at one specific point in time (B)</p> Signup and view all the answers

Which type of study focuses on the relationship between exposure to a potential risk factor and an outcome over time?

<p>Cohort study (D)</p> Signup and view all the answers

What describes the design of the study investigating the effect of HIV infection on mortality among individuals with TB?

<p>Cohort study (A)</p> Signup and view all the answers

What is a significant limitation of observational studies compared to experimental studies?

<p>They do not show temporal relationships (A)</p> Signup and view all the answers

What does the term 'determinants' generally include in epidemiology?

<p>Causes (A), Risk factors (B), Sources (C), Agents (D)</p> Signup and view all the answers

Which option is NOT part of the epidemiologic triad?

<p>Symptoms (C)</p> Signup and view all the answers

The 'iceberg phenomenon' in epidemiology signifies that:

<p>The registered incidence is lower than the true incidence (B)</p> Signup and view all the answers

In epidemiology, when analyzing surveillance data by age, which age group is typically preferred for analysis?

<p>Older adults aged 65 and above (C)</p> Signup and view all the answers

The epidemiologic triad includes which factors?

<p>Agent, host, environment (C)</p> Signup and view all the answers

What characterizes health surveillance?

<p>Observation and reporting of health data patterns (B)</p> Signup and view all the answers

Which of the following statements about the data of City A is true?

<p>City A's population remained constant at 3500 until 2000. (B)</p> Signup and view all the answers

What is the significance of the year 2000 for City A?

<p>It is the year when the population record was noted. (B)</p> Signup and view all the answers

Which fraction represents the population of City A in April 2000?

<p>12/3500 (D)</p> Signup and view all the answers

If the stated population of City A were to decrease, which of the following would still be accurate?

<p>The data may not reflect current population trends. (B)</p> Signup and view all the answers

Which fraction does not accurately represent City A's April 2000 population?

<p>50/3500 (A)</p> Signup and view all the answers

Considering City A's population data, which conclusion can be drawn?

<p>The population data can fluctuate based on various factors. (B)</p> Signup and view all the answers

What does the term '3500' specifically indicate in the context of City A?

<p>The recorded population during a specific time. (B)</p> Signup and view all the answers

What does the odd ratio measure in the context of obesity and diabetes type 2 studies?

<p>The association between exposure to one variable and the odds of an outcome (C)</p> Signup and view all the answers

Which calculation accurately represents the relative risk in studies associating obesity with diabetes type 2?

<p>(85/85+15)/(25/25+75) (D)</p> Signup and view all the answers

What defines a cohort study compared to a case-control study?

<p>Subjects are enrolled based on exposure status in cohort studies (B)</p> Signup and view all the answers

In which type of study does the patient not know what treatment they are receiving, while the health provider does?

<p>Single blind (B)</p> Signup and view all the answers

What is the risk ratio in the study of obesity and diabetes type 2 as represented by this formula: (85/85+15)/(25/25+75)?

<p>Risk of obesity among diabetics relative to non-diabetics (B)</p> Signup and view all the answers

What is a major purpose of conducting cohort studies?

<p>To establish causation by observing different effects of exposure (D)</p> Signup and view all the answers

What term describes a substance that appears to be a drug but has no therapeutic effect?

<p>Placebo (C)</p> Signup and view all the answers

What is the purpose of signing an 'informed consent' for patients receiving a placebo?

<p>To allow use of a placebo while documenting consent for treatment (D)</p> Signup and view all the answers

In cross-sectional studies, what best describes the participants?

<p>Participants are surveyed at one point in time regarding their health (B)</p> Signup and view all the answers

What classification applies to participants with varying severity of a disease in cohort studies?

<p>Cohort (B)</p> Signup and view all the answers

What type of risk measure is represented by 'Attributable risk'?

<p>Difference in incidence rate between exposed and unexposed groups (D)</p> Signup and view all the answers

A study focused on the chronic effects of obesity related to diabetes type 2 belongs to which epidemiological category?

<p>Cohort study (A)</p> Signup and view all the answers

What concept is primarily involved in determining the likelihood of developing a disease in a cohort study?

<p>Incidence rate (C)</p> Signup and view all the answers

Which of the following best describes the role of researchers in a clinical trial?

<p>To assign and monitor patients under controlled conditions (A)</p> Signup and view all the answers

What is measured by the epidemiological term 'risk factors'?

<p>Health outcomes attributable to specific exposures (A)</p> Signup and view all the answers

What type of prevention is characterized by educating diabetic patients about healthy habits to prevent foot complications?

<p>Tertiary prevention (A)</p> Signup and view all the answers

Which type of prevention does rubella immunization represent?

<p>Primary prevention (B)</p> Signup and view all the answers

What type of cause is Treponema pallidum in relation to syphilis?

<p>Necessary cause (A)</p> Signup and view all the answers

Which of the following activities best describes graphing the number of malaria cases over a period?

<p>Distribution analysis (C)</p> Signup and view all the answers

Which of the following activities involves analyzing the frequency of clinical signs among children with chickenpox?

<p>Distribution description (B)</p> Signup and view all the answers

What type of prevention is high blood pressure screening among individuals over age 50 classified as?

<p>Secondary prevention (B)</p> Signup and view all the answers

In the context of HIV infection leading to AIDS, what type of cause is HIV considered?

<p>Necessary cause (A)</p> Signup and view all the answers

Which classification accurately describes the activity of marking water sources near cholera cases on a map?

<p>Distribution mapping (B)</p> Signup and view all the answers

What is the term for the measure that indicates the number of new cases of a disease within a defined period?

<p>Cumulative incidence (B)</p> Signup and view all the answers

What type of rate would you calculate when determining the attack rate from a defined period?

<p>Incidence rate (A)</p> Signup and view all the answers

Which describes the situation where the prevalence and mortality of a disease are both high?

<p>Worsened public health outcomes (C)</p> Signup and view all the answers

Which fraction represents a proportion?

<p>Cases of disease to total population (B)</p> Signup and view all the answers

What type of data representation involves summarizing demographic characteristics of an affected population?

<p>Distribution analysis (C)</p> Signup and view all the answers

If a new health initiative successfully reduces incidence in a stable population, what can be expected regarding prevalence?

<p>Decrease in prevalence (D)</p> Signup and view all the answers

What is the classification of a gene mutation associated with Tay-Sachs disease in terms of causality?

<p>Necessary cause (B)</p> Signup and view all the answers

Flashcards

Incidence

The number of new cases of a disease in a population during a specific time period.

Point prevalence

The total number of cases of a disease in a population at a specific point in time.

Period prevalence

The number of cases of a disease in a population over a specific period of time.

Mortality rate

The number of deaths from a disease in a population during a specific time period.

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Lifetime prevalence

The total number of cases of a disease in a population during a lifetime.

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Primary prevention

Actions taken to prevent a disease from occurring in the first place.

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Secondary prevention

Actions taken to detect a disease early and prevent it from progressing.

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Tertiary prevention

Actions taken to manage a disease and prevent complications once it has already developed.

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Sufficient cause

A risk factor that is both necessary and sufficient to cause a disease.

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Necessary cause

A risk factor that is necessary but not sufficient to cause a disease.

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Epidemiology

The study of the distribution and determinants of health-related states or events in specified populations, and the application of this study to the control of health problems.

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Determinant

Any factor that brings about a change in a health condition.

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Prevalence

The number of existing cases of a disease or event in a population at a specific point in time.

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Rate

The ratio of the number of cases of a disease or event in a population to the number of persons at risk in that population.

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Proportion

The ratio of the number of cases of a disease or event in a population to the total number of persons in that population.

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Ratio

The ratio of the number of cases of a disease or event in two or more populations.

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Relative risk

A measure of association between a risk factor and a health outcome.

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Morbidity rate

The number of cases of a disease or event in a population during a given time period.

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What is epidemiology?

The study of the distribution and determinants of health-related states or events in specified populations, and the application of this study to control health problems.

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What are the three aspects of 'distribution' in epidemiology?

The "distribution" in epidemiology encompasses three aspects: when, where, and who.

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What are some examples of determinants in epidemiology?

Determinants in epidemiology include anything that could influence health outcomes, including causes, sources, risk factors, and agents.

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What is the epidemiologic triad?

The epidemiologic triad is a model that highlights the interaction between host, agent, and environment in disease development.

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What is health surveillance?

Health surveillance is a systematic collection, analysis, and interpretation of data on health-related events, used to monitor health trends and guide public health interventions.

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What is the 'iceberg phenomenon' in epidemiology?

The iceberg phenomenon in epidemiology describes the fact that the registered incidence of a disease is often lower than the true incidence, as many cases remain undetected or unreported.

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When analyzing surveillance data by age, which age groups are preferred?

For analyzing surveillance data by age, 5-year age groups are preferred because they provide a balance between detail and stability.

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What makes a population resistant to disease outbreak?

A population that has a high proportion of individuals who have previously been exposed to and recovered from the same disease, having created herd immunity. This is because there are fewer susceptible individuals for the disease to spread through.

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How do populations become more susceptible to disease outbreak?

Factors that can lead to increased spread of a disease include a high density of people in a population, lack of access to basic healthcare, and poor sanitation and hygiene practices.

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How does disease spread through direct contact?

Disease transmission through direct contact occurs when a susceptible individual comes into direct contact with an infected person such as kissing or touching.

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Epidemic

A disease that spreads rapidly and affects a large number of people in a community, population, or region.

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Endemic

A disease that is consistently present at a low level but limited to a particular region or population.

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Outbreak

A sudden increase in the number of cases of a disease in a specific area or population.

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Sporadic

The occurrence of a few isolated cases of a disease in a population.

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Pandemic

A global epidemic that affects a large number of people across multiple continents.

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Droplet spread

Transmission of infectious agents through the air, such as coughs, sneezes, or talking.

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Vectorborne

Transmission of infectious agents through living organisms, like insects or animals.

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Airborne

Transmission of infectious agents through the air over long distances, like dust particles containing germs.

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Vehicleborne

Transmission of infectious agents through inanimate objects, like contaminated water or food.

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Foodborne

Transmission of infectious agents through contaminated food or drinks.

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Active immunity

The resistance to a specific disease obtained through exposure to the causative agent.

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Passive immunity

The temporary resistance to a specific disease obtained from antibodies acquired through outside sources, like injections.

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Mode of transport

The mode by which an infectious agent travels from a source to a susceptible host.

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Combating disease spread

The development of strategies and methods to prevent disease spread. This includes things like vaccinations, public health campaigns, and sanitation improvements.

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Identifying disease causes

The process of pinpointing the root cause of a disease, identifying the factors that contribute to its development.

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Disease description

A detailed description of a specific disease, including its symptoms, progression, and potential complications.

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Morbidity forecast

Predicting the likelihood of disease outbreaks or trends, helping to prepare for potential public health challenges.

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Cumulative incidence

The number of new cases of a disease occurring in a specific population during a defined period.

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Prevalence's Numerator

The number of people with a specific disease in a defined population at a particular time.

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Prevalence as a Morbidity Indicator

Prevalence reflects the burden of a disease in a population at a specific time, considering all cases regardless of when they occurred.

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Randomized Controlled Trial

A study that randomly assigns participants to receive either a new treatment or a standard treatment, to compare the effectiveness and side effects of both.

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Which objective is NOT central to epidemiology?

The objectives of epidemiology, especially its core goal, include all of the following EXCEPT one.

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What does cumulative incidence NOT measure?

Cumulative incidence reflects the risk of becoming sick with a specific disease. It encompasses all new cases within a defined population over a specified time period. However, it does not directly measure the average risk across different population groups.

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What does prevalence encompass?

Prevalence, also known as morbidity, is a type of morbidity indicator. It captures all existing cases of a particular disease within a specific population, territory, and time period, irrespective of when these cases occurred.

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What is the numerator for Prevalence?

The numerator for prevalence is the number of people who currently have a particular disease in a specified population at a given point in time.

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Why is prevalence an important morbidity indicator?

Prevalence is a key morbidity indicator because it reflects the overall burden of a disease within a population at a specific time, regardless of when the cases occurred.

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Observational cohort study

A type of study that observes a group of individuals over time to see how their exposure to a specific factor affects their health outcomes.

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Observational case-control study

A type of study that compares a group of individuals with a disease to a group without the disease to identify factors that may have contributed to the disease.

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Observational cross-sectional study

This type of study looks at a single point in time, collecting data from a group of individuals to assess their health status and exposure to factors of interest.

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Experimental study

A type of study where researchers assign participants randomly to different groups, one receiving a treatment or intervention and the other receiving a placebo or standard treatment. They then closely monitor the effects of the intervention.

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Clinical trial

This type of study is a specific type of experimental study where researchers use a control group to compare the effectiveness of a new drug or treatment to an existing one.

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Observational case study

This type of study is a type of observational research that focuses on a particular individual with a rare disease, condition, or experience. It provides in-depth information about the specific case being studied.

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Descriptive study

This type of study observes a group of people over time, but does not aim to measure a relationship between exposure and outcome. The goal is to describe the occurrence of diseases or events within a population.

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Non-analytical or non-epidemiologic study

This type of study is one that is not designed to examine relationships between variables or to understand how factors contribute to health outcomes, it may simply collect information about health events or situations without rigorous study design or analysis.

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What is an Odds Ratio (OR)?

A measure of association used in case-control studies that compares the odds of exposure among cases (those with the disease) to the odds of exposure among controls (those without the disease).

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What is Relative Risk (RR)?

The ratio of the incidence of a disease in an exposed group to the incidence of the disease in an unexposed group.

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What is the OR formula for hypertension and stroke in the given study?

The formula for calculating the Odds Ratio in a case-control study analyzing the association between hypertension and stroke is (6075)/(2540).

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What is the RR formula for hypertension and stroke in the given study?

The formula for calculating the Relative Risk (RR) in a study analyzing the association between hypertension and stroke is (60/60+40)/(25/25+75).

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What is a Confidence Interval (CI)?

A confidence interval (CI) is a range of values that is likely to contain the true population parameter.

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What is a confidence interval (CI)?

A confidence interval (CI) is a range of values that is likely to contain the true population parameter.

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Odds Ratio

A way of measuring the effect of a treatment or exposure on a health outcome by comparing the odds of the outcome occurring in an exposed group to the odds of it occurring in an unexposed group.

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Epidemiologic Triad

A model illustrating the interaction of host, agent, and environment in disease development. It helps visualize how a disease emerges and spreads.

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Health Surveillance

A systematic process of collecting, analyzing, and interpreting data on health-related events. It helps track health trends and guide public health interventions.

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Iceberg Phenomenon

A situation where the registered incidence of a disease is often lower than the true incidence due to undetected or unreported cases.

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Herd Immunity

The resistance of a population to a disease outbreak due to a high proportion of individuals with immunity. It often arises from vaccination or previous exposure to the disease.

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Airborne Transmission

Transmission of infectious agents through the air over long distances, often carried by dust particles.

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Attack Rate for Vodka Drinkers

The proportion of people who drank vodka and got sick from a total number of those who drank vodka.

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Attack Rate for Apple Pie Eaters

The proportion of people who ate apple pie and got sick from a total number of those who ate apple pie.

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Attack Rate for Non-Orange Eaters

The proportion of people who did not eat oranges and got sick from a total number of those who did not eat oranges.

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What is Attack Rate?

The attack rate is a measure of the frequency of illness in a population during a specific time period. It is calculated as the number of new cases of a disease divided by the number of people at risk.

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Direct Transmission

Direct transmission involves the spread of a disease through direct contact between an infected person and a susceptible person.

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Examples of Direct Transmission

Examples of direct transmission include kissing, touching, and sexual contact.

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Indirect Transmission

Indirect transmission involves the spread of a disease through an intermediary, such as a contaminated object or a vector.

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Examples of Indirect Transmission

Examples of indirect transmission include airborne transmission, droplet transmission, vehicleborne transmission, and vectorborne transmission.

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Observational Study

A study that observes groups of individuals over time, with no direct intervention or manipulation of exposure. Researchers look for relationships between factors and health outcomes.

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Cohort Study

A study that follows a group of people with a shared characteristic (like exposure to a specific factor) over a period of time to see how their health outcomes evolve.

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Case-Control Study

A study that compares individuals with a disease (cases) to individuals without the disease (controls) to identify potential risk factors or causes of the disease.

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Cross-Sectional Study

A study that collects data from a group of people at a specific point in time to assess their current health status and exposure to factors of interest.

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Case Study

A study that focuses on a single individual with a rare disease, condition, or experience, providing detailed insights into that specific case.

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Population

The number of people living in a city or town at a specific point in time.

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Point in Time

The year and month when a population figure was recorded.

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City A

A city with a population of 3500 people.

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Population in April 2000

The population of City A in April 2000 was 3500 people.

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Population Change

A change in the population of a city or town overtime.

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Mortality

The number of deaths from a disease in a population during a specific time period.

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Zoonotic

A disease that is transmitted from animals to humans.

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Cluster

A cluster of cases of a disease that occur in a specific time and place.

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What is 'distribution' in epidemiology?

In epidemiology, "distribution" refers to the who, when, and where of a health event or condition, helping to understand its patterns and characteristics.

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What are 'determinants' in epidemiology?

Determinants encompass all factors that influence health outcomes, including causes, sources, risk factors, and agents.

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Define 'health surveillance'.

Health surveillance is a systematic process of collecting, analyzing, and interpreting health-related data to monitor health trends and guide public health interventions.

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Describe the 'iceberg phenomenon' in epidemiology.

The "iceberg phenomenon" refers to the idea that the registered incidence of a disease is often lower than the true incidence, as many cases go undetected or unreported.

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What makes a population more susceptible to disease outbreaks?

Factors like high population density, limited healthcare access, poor sanitation, and lack of hygiene contribute to increased disease spread.

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Define 'direct transmission'.

Direct transmission occurs when a susceptible individual comes into direct contact with an infected person, such as kissing or touching.

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What is a 'descriptive study'?

Descriptive studies observe a group of people over time but don't aim to establish a relationship between exposure and outcome. They primarily describe the occurrence of diseases.

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What are 'observational studies'?

Observational studies involve observing groups of individuals over time, without directly intervening or manipulating exposure. They aim to identify relationships between factors and health outcomes.

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Attack Rate

A measure of the frequency of illness within a particular population during a defined time period, represented by the ratio of new cases to the number of individuals at risk.

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Odds Ratio (OR)

A measure of association used in case-control studies to compare the odds of exposure between cases (those with the disease) and controls (those without).

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Relative Risk (RR)

The ratio of the incidence of a disease in an exposed group to the incidence in an unexposed group.

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Placebo

A harmless inactive substance given under the guise of a real drug, used to isolate the effects of the treatment being investigated during a clinical trial.

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Single Blind

A type of study where the patient does not know what treatment they're receiving, but the doctor does.

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Double Blind

A study where neither the patient nor the doctor knows which treatment is being assigned.

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Triple Blind

A study where the patient, the doctor, and the researchers are all unaware of the treatment assignment.

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Cohort

In a study, a group of people with a shared characteristic, such as a particular health condition, are followed over time to observe their health outcomes.

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Control Group

A group of individuals without a specific disease, used as a comparison in a study to understand the health outcomes of those who have the disease.

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Study Notes

Study Notes

  • Data is presented in a table format.
  • The table appears to contain various study details.
  • Columns likely include study specifics (e.g., type, design, researcher bias).
  • Rows likely contain information for multiple studies.
  • Data on researcher bias is potentially included.
  • Further analysis or interpretation is required to understand the purpose of the table.
  • A column heading suggests a focus on the type of study.
  • Another potential column heading may imply a classification of bias.
  • Some rows may contain values like 44-6/4 or similar, possibly representing study identifiers or codes.
  • The table likely includes data on researcher bias.
  • Potential identifiers or codes for studies are present (e.g., 44-6/4).

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