1. Compare and contrast clinical health services to public health and epidemiology in terms of a) how they are defined b) goals c) their target focus and d) functions.
2. Managerial epidemiology is integrated through general management functions. Explain each of the management functions in terms of the managerial epidemiology i.e. what are the:
a. Planning functions example(s)?
b. Directing functions example(s)?
c. Controlling functions example(s)?
d. Organizing functions example(s)?
e. Financing function example(s)?
3. Describe the natural history of disease and disease progression from its inception to its resolution
4. What are some of the many epidemiologic contributions to quality assurance in healthcare and public health?
5. December 31 2009: A 48 year old male computer technician with hypertension smoker sedentary lifestyle who does not do any aerobic exercise enjoys fast food eating it three times per day with a family history of coronary artery disease (CAD) and a personal history of high cholesterol has a stressful deadline at work which requires him to travel 17 hours on a plan to go on location in Australia. Unfortunately he suffers an acute myocardial infarction in route to location and dies. He is now part of our epidemiology population mortality statistics. Calculate the U.S. Mortality Rates which includes our computer technician in terms of crude rate of mortality adjusted mortality rates and cause-Specific mortality rate using the 2009 statistics.
Input Data for Calculations:
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-2009 U.S. Census: 305529237 Total
-2009 U.S. Census: Males 148094000
-2009 U.S. Census: Females 153388000
Population by Age and Sex: 2009
Age Both sexes Male Female
Number Percent Number Percent Number Percent
.35 to 39 20445 6.8 10169 6.9 10275 6.7
.40 to 44 20877 6.9 10322 7.0 10556 6.9
.45 to 49 22712 7.5 11162 7.5 11550 7.5
.50 to 54 21654 7.2 10611 7.2 11043 7.2
.55 to 59 18755 6.2 9083 6.1 9671 6.3
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-2009 U.S. Deaths: 2436682
-2009 U.S. Male Deaths 1217047
-2009 U.S. Female Deaths 1219635
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2009 Deaths By Gender/Age All races male
All ages1217047
1-4 years14872
5-14 years2507
15-24 years.3244
25-34 years..22294
35-44 years29150
45-54 years46498
55-64 years.114615
65-74 years.183945
75-74 years.225740
75-84 years.311135
>=85 years.262839
Not stated206
2009 CVD/ Heart Attack Mortality
Male/Age
Age (All) 186464
35-44 55957
45-54 115615
55-64 276844
65-74 677598
Source: CDC (2009)
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Case Questions:
a. Calculate the Crude mortality rate for the entire U.S. in 2009.
b. Calculate a total adjusted mortality rates by gender for all men (males-only).
c. Calculate an age/sex adjusted mortality rate using the demographics of the diseased computer technician.
d. Compare b) morality rate calculated with c) mortality rate calculated. Is the adjusted mortality rate for males age 45-54 years of age higher or lower than for all males all ages?
e. Calculate a Cause-Specific mortality rate for deaths related to Cardiovascular Disease (Heart Attacks) using the demographics of our computer technician.
Answers should address all components of the question. Short answer essays just answer the question. Paraphrasing the question and using it in your response will ensure all parts are answered.
