Stat: From 1 Different Sources
An abbreviation (for statim) meaning straightaway – usually applying to a request by a doctor for a drug to be given without delay.
Repeated attacks of ASTHMA, with no respite between the spasms, usually lasting for more than 24 hours. The patient is seriously distressed and, untreated, the condition may lead to death from respiratory failure and exhaustion. Continuous or very frequent use of nebulised bronchodilators, intravenous corticosteroid treatment, and other skilled medical care are urgently required.... status asthmaticus
Repeated epileptic ?ts (see EPILEPSY) with no return to consciousness between them. Breathing stops between each ?t and the body is deprived of oxygen which causes damage to the brain. Urgent medical attention is required to control the condition, or the patient may suffer permanent brain damage.... status epilepticus
See DWARFISM.... short stature
A group of LIPID-lowering drugs used to treat primary hypercholesterolaemia – a condition in which the concentrations of LIPOPROTEINS in the blood plasma are raised, increasing the likelihood of affected individuals developing coronary heart disease. Statins act by competitively inhibiting an ENZYME called 3-hydroxy-3methylglutaryl coenzyme A (HMG CoA) reductase. This enzyme plays a part in the synthesis of CHOLESTEROL, particularly in the LIVER. Statins are more e?ective than other classes of drugs in lowering body concentrations of LDL-cholesterol but less e?ective than ?brates in reducing triglyceride concentration. Their use results in signi?cant reductions in heart attacks (myocardial infarctions) and other adverse cardiovascular events, such as STROKE. Recent research shows that drugs which reduce lipid concentrations may prevent as many as one-third of myocardial infarctions and deaths from coronary disease. Statins are valuable in preventing coronary events in patients at increased risk of those conditions. They should be used in conjunction with other preventive measures such as low-fat diets, reduction in alcohol consumption, taking exercise and stopping smoking. Among statin drugs available are atorvastatin, cerivastatin sodium, ?uvastatin, pracastatin sodium and simvasatin. (See HEART, DISEASES OF; HYPERLIPIDAEMIA.)... statins
Systematically tabulated information concerning births, marriages, divorces, separations and deaths, based on registrations of those vital events.... vital statistics
Long-term unconsciousness caused by damage to areas of the brain that control higher mental functions. The eyes may open and close, and there may be random movements of the limbs, but there is no response to stimuli such as pain. Basic functions such as breathing and heartbeat are not affected. There is no treatment to reverse the situation, but, with good nursing care, survival for months or years is possible.... persistent vegetative state
See LIVING WILL.... advance statements about medical treatment
A statistic commonly used to reflect the reliability of a measurement scale. See “reliability”.... alpha (i) statistic
See NEUROSIS.... anxiety state
The extent to which an individual is able to perform activities that are associated with the routines of daily living. See “activities of daily living”; and “instrumental activities of daily living”.... functional status
The state of health of an individual, group or population. It may be measured by obtaining proxies, such as people’s subjective assessments of their health; by one or more indicators of mortality and morbidity in the population, such as longevity; or by using the incidence or prevalence of major diseases (communicable, chronic or nutritional).... health status
A list of diagnoses and identifying codes used by medical practitioners and other health care providers. The coding and terminology provide a uniform language that permits consistent communication on claim forms. Data from earlier time periods were coded using the appropriate revision of the ICD for that time period. Changes in classification of causes of death in successive revisions of the ICD may introduce discontinuities in cause of death statistics over time.... international statistical classification of diseases and related health problems, tenth revision (icd-10)
Statistical techniques designed to be used when the data being analysed depart from the distribution that can be analysed with parametric statistics.... nonparametric statistics
This is an executive agency of the UK government formed by an amalgamation in 1990 of the Central Statistical O?ce and the O?ce of Population Censuses and Surveys (OPCS). The ONS compiles and publishes statistics on national and local populations, including their social and economic situation and contributions to the country’s economy. It also records the demographic patterns of births, marriages and deaths, including the medical cause of death. The former OPCS organised a national ten-yearly census and ONS is carrying on this activity. The census is based on the actual presence of individuals in a house or institutions on a given night. The ?gures provide government departments and local authorities with information for planning services.... office for national statistics (ons)
Statistical techniques designed for use when data have certain characteristics.... parametric statistics
Health status is usually obtained from survey data by asking the respondent if his/her health is excellent, very good, good, fair or poor (or similar questions).... self-rated health status / perceived health status
Major government schemes to ensure adequate health services to substantial sectors of the community through direct provision of services.... state medicine (health care systems)
See “probability”.... statistical significance
The science and art of collecting, summarizing and analysing data that are subject to random variation. The term is also applied to data themselves and to summarizations of data.... statistics
A jellyfish balance organ, usually consisting of a calcium or magnesium carbonate crystal, the movement of which against surrounding cilia enables the medusa to determine its position in the water.... statocyst
A mathematical formula (or function) that is used to determine if the difference between outcomes of a treatment or intervention and a control group is great enough to conclude that the difference is statistically significant. Statistical tests generate a value that is associated with a particular P value. Among the variety of common statistical tests are: F, t, Z, and chi-square. The choice of a test depends upon the conditions of the study, e.g. what type of outcome variable is used, whether or not the subjects are randomly selected from a larger population, and whether it can be assumed that the outcome values of the population have a normal distribution or other type of distribution.... statistical test
Umbrella term for bodies whose responsibilities are set out in law by the state.... statutory sector
Acute or chronic, mild or severe.
Pathological anxiety is caused by a mood of fear, the resolution of which is usually psychological or spiritual. Apart from wise counselling it is sometimes necessary to give relaxants to reduce tension. Causes may be fatigue, low blood pressure, emotional exhaustion, autonomic imbalance, endocrine disturbance (hyperthyroidism, pre-menstrual tension), stress, conflict, schizophrenia, depression. Symptoms: dry mouth, increased sweating, fainting attacks, rapid heartbeat, shortness of breath. Prolonged consumption of strong tea, coffee and other caffeine drinks leads to a deficiency of Vitamin B1 which manifests as general anxiety, even agoraphobia.
Alternatives:– Passion Flower, German Chamomile, Lime Blossom, Skullcap, Oats, Cowslip, Damiana, Dogwood, Valerian, Wild Lettuce, Motherwort, Pulsatilla.
In cases of anxiety the heart is involved – whether physically or otherwise. A ‘heart sustainer’ may give the patient an unexpected ‘lift’ enabling him to cope.
Motherwort tea. Combine equal parts: Motherwort (heart), Balm (gentle nerve relaxant), Valerian (psycho-autonomic). 1-2 teaspoons in each cup boiling water; infuse 10-15 minutes; 1 cup 2-3 times daily.
Powders. Formula. Motherwort 2; Passion Flower 1; Valerian half. Dose: 500mg (two 00 capsules or one-third teaspoon) 2-3 times daily.
Tinctures. Combine, Oats 3; Hawthorn 1; Valerian 1. Dose: 1-2 teaspoons in water or honey thrice daily. Anxiety before menstruation. Evening Primrose Oil capsules. OR: Liquid Extract Pulsatilla BHP (1983) 3-5 drops, thrice daily.
Anxiety with obvious heart symptoms. Hawthorn 6; Valerian 1; Cactus 1; Holly 1; Hyssop 1. (Dr A. Vogel)
Bach Flower remedies: Rescue remedy.
Biostrath. Kava kava of special value.
Diet. Low salt, low fat, high fibre. Avoid alcohol, coffee, sugar and refined foods. Alfalfa tea for remineralisation.
Supplements. Vitamin B-complex, Magnesium, Zinc. 2-3 bananas daily for potassium.
Supportive: Relaxation technique: yoga, etc. ... anxiety states
Assessment of a population’s health that relies on the collection of data on birth and death rates and on the causes of death.... statistics, vital
(ASSR) an objective test of hearing that measures the electrical activity in the auditory nerve and *brainstem following sound stimulation using a modulated continuous tone.... auditory steady state response
see DSM.... diagnostic and statistical manual of mental disorders
(HES) (in England) a database containing data on all admissions to NHS hospitals and admissions of NHS patients treated elsewhere. See record linkage.... hospital episode statistics
(in England and Wales under the Mental Capacity Act 2005) a legally recognized decision or statement by an adult with *capacity identifying any specific or general treatment the patient does not want in the event that he or she loses capacity. An advance directive or decision (formerly often called a living will) should be informed, made voluntarily, and must be valid and applicable to the medical situation that arises; at the extreme it can constitute an advance refusal of potentially life-saving treatment. It cannot, however, be used to demand future treatment and does not apply as long as the person retains capacity. An advance statement is a more general and less legally binding expression of the person’s values and views on the sort of treatment he or she may or may not wish to undergo. Directives and statements can raise ethical questions: for example, should life-saving treatment refused in advance nevertheless be given if it could restore the patient to a quality of life with which he or she was content before losing capacity.... advance directive, decision, or statement
(HHS) a state of extreme hyperglycaemia seen in type 2 diabetes accompanied by dehydration that can be severe, typically triggered by illness in a patient with type 2 diabetes or a patient with previously unknown type 2 diabetes. It was previously known as hyperosmolar non-ketotic hyperglycaemia (HONK). Emergency hospital treatment is required to control blood glucose levels and to treat the dehydration and the underlying precipitating cause. There is a significant mortality, especially in the elderly and patients with other disorders (e.g. vascular disease). While insulin is required as part of the initial emergency treatment, the patient often does not need insulin in the longer term, when well.... hyperosmolar hyperglycaemic state
(MSE) a full psychiatric examination of signs and symptoms, which takes place during a psychiatric interview and should apply only to signs and symptoms elicited at that time; it should not take into account historical information. The examination is usually divided into the following subheadings: appearance and behaviour, speech, mood, *affect, thought and perception, *insight, and orientation. Usually it also includes a *risk assessment.... mental state examination
(MCS) a disorder of consciousness distinct from *persistent vegetative state (PVS) and locked-in syndrome (see vegetative state). Unlike PVS, patients with MCS have partial preservation of conscious awareness although the level of awareness frequently fluctuates over time.... minimally conscious state
(MMSE) a brief 30-point questionnaire that is used to screen for cognitive impairment in the diagnosis of dementia. It is also used to estimate the severity of cognitive impairment and to follow the course of cognitive changes in an individual over time, thus making it an effective way to document response to treatment. It tests functions including arithmetic, memory, and orientation.... mini-mental state examination
a state of disordered mood that combines elements of *mania and *depression; it is a common feature of *bipolar affective disorder. Symptoms include overactivity, flight of ideas, depressed mood, and suicidal *ideation.... mixed affective state
a scoring system used to quantify a patient’s activity level and general wellbeing in order to assess the patient’s suitability for chemotherapy or for taking part in a clinical trial. Commonly used systems include the WHO performance scale, scoring from 0 (fully active, feeling well) to 4 or 5 (very ill or near to death), and the Karnofsky scale, scoring from 0 (very ill) to 100 (feeling well).... performance status
n. the provision by a local authority of a statement of *special educational needs for children attending school who have mental or physical disabilities severe enough to require extra help at school.... statementing
a medical certificate that replaced forms Med 3 and Med 5 in April 2010 (see Appendix 8).... statement of fitness for work
(NS-SEC) an occupational classification of the national population that was developed to replace older systems based on social classes and socio-economic groups. The groupings are intended to stratify the population according to different forms of employment: households are classified according to the occupation of the household reference person (the person renting, owning, or otherwise responsible for accommodation). The NS-SEC is used for official surveys and statistics, including the *census. The analytic version of the classification has eight classes and is the version used for most analyses.... national statistics socio-economic classification
the reflex maintenance of muscular tone for posture.... static reflex
n. any one of a class of drugs that inhibit the action of an enzyme involved in the liver’s production of cholesterol (see HMG CoA reductase). Statins can lower the levels of *low-density lipoproteins (LDLs) by 25–45% and are used mainly to treat hypercholesterolaemia but also to reduce the risk of coronary heart disease in susceptible patients. Muscle inflammation and breakdown (see rhabdomyolysis) is a rare but serious side-effect of statins. The class includes *atorvastatin, fluvastatin, *pravastatin, rosuvastatin, and *simvastatin.... statin
enlargement of the thymus gland and other parts of the lymphatic system, formerly believed to be a predisposing cause to sudden death in infancy and childhood associated with hypersensitivity to drugs or vaccines.... status lymphaticus
benefit payable to employees who are unable to work because of illness.... statutory sick pay
the clinical condition of unawareness of the self or the environment. The patient breathes spontaneously and has a stable circulation and sleep/wake cycles. It results from extensive damage to the cerebral cortex and thalamus while the brainstem and hypothalamus remain intact. The commonest causes are traumatic brain injury (e.g. road-traffic accidents) and cardiopulmonary arrest. Conditions that mimic the vegetative state include the psychiatric state of *catatonia and the locked-in syndrome, resulting from damage to the brainstem, in which the patient is conscious but unable to speak or make any movements of the body except for blinking and upward eye movements. See also persistent vegetative state.... vegetative state
Health Encyclopedia