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Tuesday, December 13, 2016

CONCEPT OF SPECTRUM EPIDEMIOLOGY: SPECTRUM OF DISEASE


By: Andi Agus Mumang, S.KM
The concept of epidemiology spectrum is divided into two major groups namely:
  • Clinical focus is a phase that requires treatment measures undertaken by medical personnel (medical area)
  • Subclinical focus is a phase that requires preventive measures carried out by epidemiologists (area epidemiology).


The role of epidemiology is very dependent on people's perceptions of pain so it more inclined to identification risk factors for people's health status. This stage is called stage pre-pathogenesis and pathogenesis. Furthermore, is the stage of clinical response Identification of risk factors through the efforts of early diagnosis, this stage also focused on efforts to impede the progress of a disease, The most important thing here is the detection of high-risk factors that significantly. As it is a highly qualified competence for an epidemiologist.

Spectrum Disease Overview 

No
Spektrum Penyakit
Clinical
Subclinical
1
Awal Penyakit (Disease Inception)


Prepatogenesis (Prepathogenesis)


Patogenesis (Pathogenesis)


Progress Patologi (Pathological Progression)



2
Respon Klinis (Clinical Response)


Ringan (Mild)



  

Sedang (Moderate)




Berat (Several)




3
Gejala Sisa (Squelae)


Penyembuhan (Convalenscene)




Remisi/Kekambuhan (Remission/Recurance)




Perkembangan tak terhenti (Unremitting Progression)




4
Kematian (Death)







                                          Spectrum Disease Modification Overview

Exposure
to Etiological
agent

Pathologis changes
Symptoms
Usual time of diagnosis
Death







Subclinic manifestations

Clinical Illness
Health optimal
Healthsuboptimal

short-range sick
long-range sick
Epidemiology area

Clinical area

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