04-NatlHxofDisPopScreen

04-NatlHxofDisPopScreen - 2/1/2011 Natural history;...

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Unformatted text preview: 2/1/2011 Natural history; population screening 1 Natural history of disease / population screening Principles of Epidemiology for Public Health (EPID600) Victor J. Schoenbach, PhD home page Department of Epidemiology Gillings School of Global Public Health University of North Carolina at Chapel Hill www.unc.edu/epid600/ 2/3/2004 2 SHE shouldnts (courtesy of www.flylady.net # 8: SHE's shouldn't let themselves get too tired Last week I was going over some homeschooling with my 11yo DD when I realized I hadn't seen or heard my fast-crawling 13-month old DD in a while. I said, "Anyone know where the baby is?" My older daughter just looked at me and said, "Mom?" Lo and behold, I'm nursing the baby! - in Colorado 9/24/2001 3 What not to say in your job interview Herb Greenberg, a leading authority on work- related personality testing, keeps a list of the dumbest things people have told his corporate clients during recent job interviews. (Cheryl Hall, Knight Ridder, Herald-Sun , 1/26/2003: F2) (Greenberg is the 73-year-old chief executive officer of Caliper, in Princeton NJ) 9/24/2001 4 Have you ever thought of saying I will definitely work harder for you than I did for my last employer. I dont think Im capable of doing this job, but I sure would like the money. Do you know of any companies where I could get a job I would like better than this one? 9/24/2001 5 Have you ever thought of saying Im quitting my present job because I hate to work hard. An apology for yawning I usually sleep until my soap operas are on. 2/1/2011 Natural history; population screening 6 Knowledge of the natural history of disease is fundamental for effective prevention Levels of prevention:- Primary prevent the disease [Primordial prevent the risk factors]- Secondary early detection and Rx- Tertiary treat and minimize disability Disease natural history and prevention 2/1/2011 Natural history; population screening 7 Phenomenon of disease- What is disease?- Natural history of disease Requirements for screening programs Detection of disease- Sensitivity- Specificity Interpreting diagnostic & screening tests- Predictive value Disease natural history & population screening 2/1/2011 Natural history; population screening 8 World Health Organization: a state of complete physical, mental, [and] social well-being and not merely the absence of disease or infirmity Phenomenon of health: what is health? 1/9/2007 Natural history; population screening 9 Difficult to define, e.g.: a type of internal state which is either an impairment of normal functional abilitythat is, a reduction of one or more functional abilities below typical efficiencyor a limitation on functional ability caused by environmental agents (C. Boorse, What is disease ? In: Humber M, Almeder RF, eds. Biomedical ethics reviews. Humana Press, Totowa NJ, 1997, 7-8 (quoted in Temple et al ., 2001) Phenomenon of disease: what is disease? 9/10/2002...
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This note was uploaded on 02/13/2012 for the course EPID 600 taught by Professor Staff during the Spring '08 term at UNC.

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04-NatlHxofDisPopScreen - 2/1/2011 Natural history;...

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