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Incidence Rate
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# of new cases in a time period/# ppl at risk in the time period
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Cumulative Incidence
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# new cases over a specified time period /# ppl at risk at the beginning of the interval (example: all new undergraduate cases of flu from Sep-Aug/# undergraduates enrolled in Sep)
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Incidence Density
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Uses "people time"; # new cases of disease over a specified time/the sum of time periods of observation of each person observed for all or part of the time period specified
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Prevalence
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Prevalence = incidence X durationPrevalence = # disease cases present at a specified time/ # persons in pop'n at specified time
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Point Prevalence
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Snapshot at one point in time"Do you currently have cancer?"
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Period Prevalence
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Snapshot of a time periodAll must have had the disease during defined period (existing + new cases)"Have you had cancer in the past 5 years?"
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Bathtub Analogy
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Water going in the tub = incidenceWater in the tub = prevalence
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How do we increase prevalence?
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- More ppl get the disease- Detection methods become more sensitive- Increase screening- Reduced death (cure) of disease- Improve tx to lengthen duration before death
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How do we decrease prevalence?
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- Fewer ppl get the disease- Death rates increase- Cure rates increase- Less sensitive method for detection applied- Coding changes
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Primary Prevention
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Prevent develop of disease - immunizations, environmental exposure decrease/eliminated
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Secondary Prevention
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Finding the disease early to reduce effects - Screening
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Tertiary Prevention
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After disease has occurred, reduce impact - PT after severe burning
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Mortality Rates
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Special kind of incidence rateRisk of death in a given time period
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Annual Mortality
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# deaths from all causes in one year/# ppl in population at midyear
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Age-Specific Mortality
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# deaths from all causes in 1 year at a specific age/# ppl in pop'n at that age at midyear
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