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This User’s Guide is a resource for investigators and stakeholders who develop and review observational comparative effectiveness research protocols. It explains how to (1) identify key considerations and best practices for research design; (2) build a protocol based on these standards and best practices; and (3) judge the adequacy and completeness of a protocol. Eleven chapters cover all aspects of research design, including: developing study objectives, defining and refining study questions, addressing the heterogeneity of treatment effect, characterizing exposure, selecting a comparator, defining and measuring outcomes, and identifying optimal data sources. Checklists of guidance and key considerations for protocols are provided at the end of each chapter. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews. More more information, please consult the Agency website: www.effectivehealthcare.ahrq.gov)
The second edition of this internationally acclaimed title is the ideal handbook for those involved in conducting epidemiological research. The objective of most epidemiological studies is to relate exposure to putative causal agents to the occurrence of a particular disease. The achievement of this objective depends critically on accurate measurement of exposure. This book reviews principles and techniques that can be applied to measuring a wide range of exposures, including demographic, behavioral, medical, genetic, and environmental factors. The book covers questionnaire design, conducting personal interviews, abstracting information from medical records, use of proxy respondents, and measurements from human specimens and in the environment. It gives a comprehensive account of measurement error and the estimation of its effects, and the design, analysis, and interpretation of validity and reliability studies. Emphasis is given to the ways in which the validity of measurements can be increased. Techniques to maximize participation of subjects in epidemiological studies are discussed, and ethical issues relevant to exposure measurement are outlined.
What agents should be measured? How should measurement be performed and what averaging time should be used for the measurement? What sampling strategy should be employed to characterize exposures across individuals, locations, and time? What durations of exposure should be characterized? What statistical descriptors should be used to relate exposure to effect? Exposure Assessment for Epidemiology and Hazard Control examines various approaches to answering these and other important questions. Other topics discussed include the measurement of current exposures (e.g., vapors, gases, aerosols, and complex mixtures); the application of toxicological relationships, including biological markers and sample models; an epidemiological evaluation of exposure-effect relationships, including new methods for effect evaluation and models for population exposure estimates; and strategies for exposure assessment, such as biological sampling interpretation through toxicokinetic processes. This important new volume contains essential information for industrial hygienists, epidemiologists, occupational health physicians, toxicologists, and immunologists.
This groundbreaking work, now available in paperback, has helped to shape the emerging discipline of molecular epidemiology. Molecular Epidemiology has proven useful to epidemiologists unfamiliar with the terminology and techniques of molecular biology as well as to the molecular biologist working to understand the determinants of human disease and to use that information to control disease. This book demonstrates how molecular epidemiology utilizes the same paradigm as traditional epidemiology in addition to using biological markers to identify exposure, disease, or susceptibility.
This handbook provides a comprehensive overview of recent developments in research on the relationship between occupational trajectories over the life course and health. It uncovers the impact of far-reaching changes of work and employment, as evidenced by increased flexibility, discontinuity, and technological innovation, and offers insights into recent theoretical and methodological developments addressing this challenge. In its main parts, it presents the best evidence to readers about the following topics: early life influences on (un)healthy work, chronic exposure to occupational risks; nonstandard employment and poor health; work continuation with chronic disease; occupational determinants of healthy aging. In its final part, it discusses policy implications of current knowledge and points to the need of developing new solutions in research and practice, not least in times of climate crisis and the new pandemic. The important handbook has been prepared by a distinguished editorial team, with chapters written by prominent international experts. Despite its continuous reference to scientific knowledge it addresses its content to a broader, non-specialized readership.
This book highlights the multiple ways of telling stories of radiation exposure; they include stories about Japan, Australia, the United States, the Canadian Arctic, and more, and they probe the framing of major incidents such as Three Mile Island, Chernobyl, and Fukushima. All the chapters in this book are written by authors who participated in our work at Oregon State University and have benefited from hearing not only from scientists but also from those whose lives were directly affected by the history of radiation exposure. The question ‘What is at stake when researching and narrating the histories of radiation exposure?’ is discussed, but the book does not reinforce existing frameworks, such as legal decisions or government policies, but rather highlights what narrative framings accomplish and commit by scrutinizing them with rigorous research, varied approaches, and, above all, listening to those whose lives were most affected by exposure. Previously published in Journal of the History of Biology Volume 54, issue 1, April 2021