David Christie - Epidemiology: an introductory text for medical and other health science students
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Epidemiology: an introductory text for medical and other health science students
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Epidemiology : An Introductory Text for Medical and Other Health Science Students
author
:
Christie, David.; Gordon, Ian; Heller, Richard F.
publisher
:
University of New South Wales
isbn10 | asin
:
print isbn13
:
9780868404004
ebook isbn13
:
9780585346250
language
:
English
subject
Epidemiology.
publication date
:
1997
lcc
:
RA651.C47 1997eb
ddc
:
614.4
subject
:
Epidemiology.
Page iii
Epidemiology
An Introductory Text for Medical and Other Health Science Students
Second Edition
David Christie
MD, FRACP, FAFOM University of Newcastle
Ian Gordon
MSc, PhD University of Melbourne
Richard Heller
MD, FRCP, FRACP, FFPHM, FAFPHM University of Newcastle
Page iv
Published by UNIVERSITY OF NEW SOUTH WALES PRESS LTD Sydney 2052 Telephone (02) 9398 8900 Fax (02) 9398 3408
D. Christie, I. Gordon, R. Heller Second edition published in 1997 First edition published in 1987 First edition reprinted with minor amendments 1990, 1994
This book is copyright. Apart from any fair dealing for the purpose of private study, research, criticism or review, as permitted under the Copyright Act, no part may be reproduced by any process without written permission from the publisher.
National Library of Australia Cataloguing-in-Publication entry:
Christie, David, 1935. Epidemiology, an introductory text for medical and other health science students. 2nd ed. Bibliography. Includes index. ISBN 0 86840 400 4 1. Epidemiology. I. Gordon, Ian, 1956. II. Heller, Richard F. III. Title.
614.4
Design: Mango Design Group Managing Editor: Nada Madjar Printer: Ligare, Riverwood, NSW Production Manager: Di Quick Publisher: John Elliot
Page v
Contents
Foreword to the First Edition
vii
Preface
ix
Acknowledgements
x
Abbreviations
x
Chapter 1 Introduction
1
Chapter 2 Measuring Health: Mortality
10
Chapter 3 Measuring Health: Morbidity
20
Chapter 4 Mortality and Morbidity: Comparisons of Time and Place
26
Chapter 5 Risk and Cause
37
Chapter 6 Introduction to Research: Surveys or Cross-Sectional Studies
53
Chapter 7 Longitudinal Studies
64
Chapter 8 CaseControl Studies
79
Chapter 9 Randomised Controlled Trials
90
Chapter 10 Diagnostic Tests
104
Chapter 11 Random Variables and Distributions
115
Chapter 12 Statistical Inference
125
Chapter 13 Sample Size
137
References
144
Index
149
Page vii
Foreword to the First Edition
'NEXT PATIENT, PLEASE!'and then we do our best to diagnose and treat whoever walks in. The consultation is the central activity of medicine, and for some doctors it is the whole of medicine: they never take off their clinical blinkers. What this book does is indicate how a wider outlook can get better resultsbetter use of our limited medical resources, a reduction in the burden of end-stage incurable disease, and it is intellectually more interesting and professionally more satisfying.
'Why did this patient fall ill now with this disease? How might the illness have been prevented? How many more people are there, out there in the community, with the same condition, undiagnosed? Would screening help? How efficient is the diagnostic process anyway? And can we believe the remarkable therapeutic claims of the glossy advertisements? What really happens to our patients in the longterm?'
Questions such as these extend the horizon of thinking. They make the practice of medicine more interesting, and they help us to move out of the purely passive 'next patient, please!' mode into a more informed and critical mode of thinking. They are the starting point for medical planning, setting priorities and making better use of our efforts and resources.
These questions are epidemiological. They should be an integral part of every doctor's thinking, but to frame them clearly and to get the right answers calls for specific skills and understanding. This book provides them, and it does so in a clear, no-nonsense, readable way. It will help its readers to be more complete doctors.
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