Experimental Epidemiology
1st Clinical trial
Basic steps in RCT
Randomization & its method
Manipulation/ Intervention
Types of RCT
Phases in Clinical trial
Hierarchy of epidemiological study
Randomization is the process by which allocation of subjects to treatment groups is done by chance, without the ability to predict who is in what group. It is done in clinical trials. This presentation describes the methods of randmization used in clinical trials.
Randomization is the process by which allocation of subjects to treatment groups is done by chance, without the ability to predict who is in what group. It is done in clinical trials. This presentation describes the methods of randmization used in clinical trials.
A meta-analysis is the use of statistical methods to summaries the results of the studies. Meta-analyses are conducted to assess the strength of evidence present on a disease and treatment. The results of a meta-analysis can improve precision of estimates of effect, answer questions not posed by the individual studies, settle controversies arising from apparently conflicting studies, and generate new hypotheses. In particular, the examination of heterogeneity is vital to the development of new hypotheses.
An epidemiological experiment in which subjects in a population are randomly allocated into groups, usually called study and control groups to receive and not receive an experimental preventive or therapetuic procedure, maneuver, or intervention .
What is Cohort?
Indication and Elements of Cohort Study.
What is Relative risk and Attributable risk, and its interpretation?
Advantages & disadvantages of Cohort study.
Difference between Case control & Cohort study.
Epidemiology - Definition, History, Aims, Approach, Uses/Purpose.
"The study of the distribution and determinants of
health related states in specified populations , and
the application of this study to control of health
problems."
A meta-analysis is the use of statistical methods to summaries the results of the studies. Meta-analyses are conducted to assess the strength of evidence present on a disease and treatment. The results of a meta-analysis can improve precision of estimates of effect, answer questions not posed by the individual studies, settle controversies arising from apparently conflicting studies, and generate new hypotheses. In particular, the examination of heterogeneity is vital to the development of new hypotheses.
An epidemiological experiment in which subjects in a population are randomly allocated into groups, usually called study and control groups to receive and not receive an experimental preventive or therapetuic procedure, maneuver, or intervention .
What is Cohort?
Indication and Elements of Cohort Study.
What is Relative risk and Attributable risk, and its interpretation?
Advantages & disadvantages of Cohort study.
Difference between Case control & Cohort study.
Epidemiology - Definition, History, Aims, Approach, Uses/Purpose.
"The study of the distribution and determinants of
health related states in specified populations , and
the application of this study to control of health
problems."
I. INTRODUCTION
DEFINITION
HISTORY
NEED TO STUDY BIOSTATISTICS
SAMPLING
METHODS OF PRESENTATION OF DATA
METHODS OF SUMMARIZING THE DATA
: Measures of Central Tendency
: Mean
: Median
: Mode
: Measures of Dispersion
: range
: Mean deviation
: Standard deviation
: Coefficient of variation
CORRELATION & REGRESSION
NORMAL DISTRIBUTION AND NORMAL CURVE.
METHODS OF ANALYZING THE DATA
SUMMARY & CONCLUSION
Screening for disease or Early detection of disease is detecting a disease at an earlier stage than would usually occur in standard clinical practice.
This denotes detecting disease at a pre-symptomatic stage, at which point the patient has no clinical complaint ( no symptoms or signs) and therefore no reason to seek medical care for the condition
Early detection of disease is beneficial and that intervention at an earlier stage of the disease process is more effective or easier to implement than a later intervention
MedicReS Winter School 2017 Vienna - Ethics of Cancer Trials - Adil E. ShamooMedicReS
A Comprehensive Introduction to the Ethical Issues at stake in the conduct of Cancer Research
Adil E. Shamoo, Ph.D.
University of Maryland School of Medicine
toxicology study according to OECD guidelines, organisation for economic co-orporation and developement, jasdeep singh , maharaja ranjit singh punjab technical university bathinda
This module has prepared for the postgraduate medical students in any specialty. Last 10 questions are MCQ which is very important for FCPS part 1 (all subjects)
All about Clinical Trials_Katalyst HLSKatalyst HLS
Introduction to All about Clinical Trials of Pharmaceuticals, Bio-Pharmaceuticals, Medical Devices, Cosmeceuticals and Foods.
Contact:
"Katalyst Healthcares & Life Sciences"
South Plainfield, NJ, USA
info@KatalystHLS.com
cohort study is clinical study design. particular form of longitudinal study that samples a cohort group of people. type of panel study.
cohort study represent fundamental designs of epidemiology in field of medicine, social science & psychology.
CANDIDATES FOR HIPPOCAMPAL SPARING14MethodologyTo evaluate .docxhumphrieskalyn
CANDIDATES FOR HIPPOCAMPAL SPARING 14
Methodology
To evaluate which patients would be higher priority candidates for hippocampal sparing, 3,000 participant treatment plans were evaluated via a cross-sectional differential research method. The method of research used in this study is considered differential and cross-sectional because groups of participants are different ages are compared on a set of variables and because participates of this study were assigned to groups based on preexisting factors.
Patients over the age of 18 and parents of participants under the age of 18 were asked to take part in the research. The aim of research was explained to them and informed consent was obtained by all participants prior to participating in the study. It was explained to participants, or parents of the participants, that data was going to be collected based on the treatment they received and that no additional experimentation with radiation was to be added to their treatment for the benefit of the research study, therefore, there was no additional risk to their treatment plan implemented by this differential research study. The study was subject to external review several credible institutions including the American Society for Therapeutic Radiology and Oncology (ASTRO).
Participants. Participants of this study were subjects who required WBRT and were evaluated in two categories. The two categories were based on treatment intent and will be separated into preexisting palliative and prophylactic categories. With age thought to be the most influential variable, participants in each category were further categorized into two subcategories based on age. Subjects of this study included subcategory A participates who were required to be 25 years of age and younger and subcategory B participants who were required to be 26 years old age and older based on prior research on brain development studies done by Giedd & Rapoport.
The cumulative sample size for the research study was 2,000 participants. 500 subcategory A and 500 subcategory B participants were included in each intent category. Subject exclusions included patients who were on hospice care, those on a concurrent chemotherapy regimen during their radiation therapy treatment and patients who had a treatment plan change after beginning their initially recommended treatment.
Treatment Intent
Total Number of Participants
A: Under 25
B: Over 25
Prophylactic
500
500
Palliative
500
500
Table 1. Visual representation of participants.
Data Collection Method. Data was collected from 20 Radiation Oncologist between 21 different cancer centers over a course of 18 months between January 2014 and June 2015. Two Oncologists at each cancer center participated in the study by collecting research and all had an average of 3 new WBRT patients per month. Each cancer center then treated an average of 6 new WBRT patients per month, 2,000 of which agreed to participate in the study. Data was collected from each ph ...
Descriptive Epidemiology (including Measurement in epidemiology)Dr. Animesh Gupta
Basic measurement in epidemiology
Incidence & Prevalence
Tools of measurement in epidemiology
Epidemiological methods
Descriptive epidemiology.
Distribution of disease in term of Time, Place and Person
Epidemiological Exercise for Undergraduate Medical Students. The exercise is based on Cohort Study, Case control study, Horrock's apparatus, Vital Indices.
It is an acute viral infection caused by an RNA virus belonging to Picornaviridae family under enterovirus genera.
It primarily infects human alimentary tract but may infect the CNS resulting in varying degrees of paralysis & possibly death.
It is discussed in the following headings:
1. Epidemiology of Poliomyelitis in children
2. Clinical spectrum of poliomyelitis
3. Clinical features/presentation of poliomyelitis in children
4. Treatment of Poliomyelitis in children
5. Prevention of Poliomyelitis in children
6. Eradication strategy of Poliomyelitis in children
A study design is a specific plan or protocol for conducting the study, which allows the investigator to translate the conceptual hypothesis into an operational one
Obesity is defined as an abnormal growth of the adipose tissue and or enlargement of fat cell size (hypertrophic obesity) or increase in fat cell number (hyperplastic obesity).
Obesity is often expressed in terms of body mass index (BMI)
Dengue is a self limited acute febrile condition and sometimes
haemorrhagic, primarily transmitted to the humans from
infected Aedes species ( Ae. aegypti or Ae. albopictus ).
Dengue Syndrome will be discussed in following headings
1.Epidemiology
2. Manifestation
3. Clinical presentation,
4. Diagnosis
5. Treatment
6. Prevention & Control
Infection caused by three closely related nematodes (W. bancrofti, B. malayi & B. timori) & transmitted to man by bite of infective mosquitos & clinically characterized by-
Lymphangitis, lymphadenitis, elephantiasis of genitals, legs & arms or
Pulmonary esonophilia or Filaria arthritis
CLINIC PRESENTATION
MANAGEMENT
PREVENTIVE MEASURES
FILARIALSURVEY
Malaria epidemiology, clinical features & treatmentDr. Animesh Gupta
Malaria is a protozoal disease caused by infection with
parasites of the genus Plasmodium and transmitted by
certain species of infected female Anopheles mosquito.
Concept of Association, Causation and Correlation
Association - Spurious, Indirect & Direct
Multi-factorial causation
Guidelines for Judging causality
Additional Criteria for Judging causality
Different types of epidemiological methods
Salient features of case control study
Steps for conducting case control study
Matching
Odds ratio
Bias in case control study
Advantages & disadvantages in case control study
Screening is defined as the search for unrecognized disease or defect by means of rapidly applied tests , examinations or other procedures in apparently healthy individuals
Rheumatic Heart Disease (RHD) is one of the major causes of cardiovascular disease, accounting for nearly 25-45% of the acquired heart disease.
Rheumatic Fever (RF) is a febrile disease affecting connective tissue (heart) & joints. It is caused due to infection of the throat by group-A beta hemolytic streptococci.
It is NOT a communicable disease but results from communicable disease(streptococcal pharyngitis).
RF is the common cause of acquired heart disease in childhood and adolescence.
IMNCI (Integrated Management of Neonatal and Childhood illness) is an integrated approach to child health that focuses on the well-being of the whole child.
IMNCI strategy is one of the main interventions under RCH-II/NRHM, that focuses on Preventive, Promotive and Curative aspects of program.
NACP (National AIDS Control Programme) launched on February 12 ,2014. The Objectives was:
- Reduce new infections by 50% (2007 Baseline of NACP III)
- Comprehensive care, support and treatment to all persons living with HIV/AIDS
The general shift from acute infectious and deficiency diseases characteristic of underdevelopment to chronic non-communicable diseases characteristic of modernization and advanced levels of development is usually referred to as the "epidemiological transition".
According to WHO, Ergonomics is defined as “ that branch of community medicine, which deals with the study of health promotion, health protection & maintenance of highest degree of physical, mental & social well-being of workers in all occupations”
It is the study of humans at work in order to understand the complex relationship among people, machines, job demands and work methods in order to minimize gaps between task demands and human capacities in activities of work and daily living. [Maxcy-public health]
Ergonomics as the science of “designing the job to fit the worker, instead of forcing the worker to fit the job. [International Ergonomics Society]
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
The Gram stain is a fundamental technique in microbiology used to classify bacteria based on their cell wall structure. It provides a quick and simple method to distinguish between Gram-positive and Gram-negative bacteria, which have different susceptibilities to antibiotics
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
MIP 201T & MPH 202T
ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS By - AKANKSHA ASHTANKAR
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Best Ayurvedic medicine for Gas and IndigestionSwastikAyurveda
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
2. EPI DEMO LOGOS
Upon, on People, population, man the Study of
The study of anything that happens to
people
“That which befalls man”
4/25/2020Dr. Animesh Gupta Epidemiology - RCT 2
17. 4/25/2020Dr. Animesh Gupta Epidemiology - RCT 17
Incidence of positive and negative results are compared in both
groups and differences if any are tested for statistical significance
19. 4/25/2020Dr. Animesh Gupta Epidemiology - RCT 19
Firstly : Subject
Variation
on the part of
participants ,who
subjectively feel better
or report improvement
if they knew they were
receiving a new form
of treatment.
Secondly : Observer
Bias
Investigator measuring
outcome will be
influenced if he knows
before hand the
procedure or therapy
the patient has been
subjected to.
Thirdly : Bias In
Evaluation
Investigator
subconsciously
gives a favorable
report of the
outcome
21. 4/25/2020Dr. Animesh Gupta Epidemiology - RCT 21
SINGLE
BLIND TRIAL
Participant is
not aware
whether he
belongs to study
or control group.
DOUBLE BLIND
TRIAL
Neither the doctor
nor participant is
aware of group
allocation and the
treatment received
TRIPLE BLIND
TRIAL
The participant,
the investigator
and the person
analyzing the
data are all
“blind”.
24. Patients
Random Assignment Exposed to specific
Treatment
Unexposed to
specific treatment
Observation
Compare
Outcome
Compare
Outcome
Exposed and
Unexposed
to treatment
CONCURRENT PARALLEL STUDY DESIGN
CROSS-OVER TYPE OF STUDY DESIGN
Time
Patients
Random Assignment Exposed to
specific
Treatment
Unexposed to
specific treatment
Observation
Time 4/25/2020Dr. Animesh Gupta Epidemiology - RCT 24