Exam 1 study guide.docx - SOC 1043 Introduction to Public...

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SOC 1043 Introduction to Public Health Summer 2017 / Instructor: Laurie Gleason Exam 1 Study Guide Concern about runaway costs, lack of access, and questionable quality of care has led to an increasing interest in studying the medical care system and its effectiveness, efficiency, and equity, leading to a science called health services research. What was used as a treatment for almost any illness by 18th-century physicians? The use of bleeding by 18 th century physicians as a treatment for almost any illness. Pg77 What are strengths and weaknesses of each of the major types of epidemiologic study? 1.intervention advantage is that the experimenter chooses who is in which group. Randomized, double blind, placebo control Is idea when conducting clinical trials. disadvantage is that only a limited number of interventions lend themselves to being tested in clinical trials 2. cohort study- Advantages is that investigations can link exposures to results by observation without having to intervene in the life of the study subjects (the most accurate of these studies) peoples decide whether they belong to the exposed or control group. disadvantages it consists of a lager number 3. Case- Control the advantages is that it is cheaper and faster disadvantages is that it is the least accurate approach and when dealing with something complex like hearth disease there could be a lot of causes that lead to that one particular cause. What surgical procedure was performed on more than half of all children in the 1930s through the 1950s in the belief that the operation prevented rheumatic fever? Similarly, tonsillectomies were performed on more than half of the children in the 1930’s through the 1950’s in the belief that the operation prevented rheumatic fever. A county may normally record only a few cases of hepatitis each year; this represents the endemic level, or the background level, in a population. True How has the Tuskegee syphilis study contributed to ethically-conducted clinical trials? This study raised a number of ethical issues the major one being that the men were deceived. They were not told what syphilis was or that they were part of a study, and they were led to believe that they were receiving treatment. One of the subjects got a spinal tap which is a painful procedure that uses needles to withdraw fluid from the spine which can cause a harmful side effects. Many taught the study was racist and lead many African Americans to distrust clinical trials.
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