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Epidemiological Research: An Introduction (Paperback, 2012 ed.)
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Epidemiological Research: An Introduction (Paperback, 2012 ed.)
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Having last year published "Up from Clinical Epidemiology &
EBM" and also "Epidemiological Research: Terms and Concepts,"
Miettinen now - this time with collaboration from his junior
colleague I. Karp - brings out this further introduction into
epidemiological research; and he is now working on an introduction
into clinical research, for publication next year. It evidently is
Miettinen's felt time to crystallize the basic understandings he
has come to as the culmination of a half-century of concentrated
effort to advance the theory of epidemiological and
'meta-epidemiological clinical' research. In accord with its title,
this book focuses on research to develop the knowledge-base for
preventive medicine, which mainly is knowledge about the causal
origin -etilogy, etiogenesis - of illness. It first illustrates how
wanting this knowledge still is, despite much research; and it then
aims to guide the reader to more productive etiogenetic research.
This book places much emphasis on the need to assure relevance by
principles-guided objects design for the studies, which now remains
conspicuously absent from epidemiologists' concerns. And as for
methods design, this book exposes the fallacies in the still-common
'cohort' and 'case-control' studies, defines the essentials of all
etiogenetic studies, and then addresses the true options for design
in this framework of shared essentials. A good deal of attention is
also given to the still commonly-held, very major, twin fallacies
that screening for an illness is a preventive intervention, to be
studied by randomized trials, and that research on it can imply
rational guidelines or recommendations regarding decisions about
the screening. While Miettinen already is regarded as 'the father
of modern epidemiology,' he now appears to have become the father
also of post-modern epidemiology, where 'epidemiology' still means
epidemiological research.
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