Medical Health center, Singapore

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13/09/2021

addiction
n.
a state of dependence produced either by the habitual taking of drugs or by regularly engaging in certain activities (e.g. gambling). People can develop physical and psychological symptoms of dependence, which include a strong desire to take the substance or exercise the behaviour, impaired capacity to control such behaviour or substance taking, a physical or psychological withdrawal state, evidence of tolerance development, social and mental preoccupation with substance use or the given behaviour, and persistent use despite harmful consequences. Treatment is directed to gradual withdrawal of the drug or behaviour with the aim of partial or total abstinence. See also alcoholism, tolerance.

13/09/2021

acatalasia
n.
a rare inborn lack of the enzyme catalase, leading to recurrent infections of the gums (gingivitis) and mouth. There are two variants: Japanese (Takahara disease) and Swiss (asymptomatic).

13/09/2021

abruptio placentae
(placental abruption) bleeding from a normally situated placenta causing its complete or partial detachment from the uterine wall after the 24th week of gestation. There may be varying degrees of shock; disseminated intravascular coagulation is a further complication. Abruptio placentae is often associated with hypertension and pre-eclampsia.

13/09/2021

advance statement, decision, or directive
a legally recognized decision or statement made by a capacity capable adult that identifies any specific or general treatments the patient does not want in the event that he or she loses capacity. Advance decisions are very specific, should be informed, made voluntarily, and must be shown to be valid and applicable to the medical situation that arises. Such a decision could enable a critically ill patient to refuse potentially life-saving treatment (a decision known colloquially as a living will). The formal term for a living will is an advance directive. An advance statement is more general and simply indicates the sort of treatment the patient may or may not wish to undergo. Under the Mental Capacity Act 2005 statements are less binding than decisions. Advance decisions and statements cannot be used to demand treatment but only to refuse treatment and/or express preferences. Advance directives do not apply to basic care, such as nutrition, hydration, and cleanliness.

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