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When we define an illness, we have a grave effect on those who are subject to it.
Similarly, the 10 syndrome definitions and 68 sub-syndrome definitions do not exactly define an illness or injury.
Perhaps junior doctors, who spend most of their time caring for patients with illnesses severe enough to warrant hospital admission, were less likely to define an illness as 'serious'serious
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But defining an illness by looking only at the minority who end up in hospital can be a big mistake.
In "Defining an Illness Is Fodder for Debate" (March 8), your reporter David Tuller correctly noted that the way an illness is defined can often determine what is found in studies of it.
Jean-Martin Charcot, an influential French physician, assigned his resident Georges Albert Édouard Brutus Gilles de la Tourette, a French physician and neurologist, to study patients at the Salpêtrière Hospital, with the goal of defining an illness distinct from hysteria and from chorea.
We adapted the method of Samet et al. (1992) to define a respiratory illness episode, the purpose being to identify discrete acute illnesses as opposed to persistent ongoing symptoms, such as a chronically runny nose.
This study revealed that the most commonly-used phrase among women to define and explain mental health problems was "problems of the mind" but only physical symptoms were defined as an illness.
"It wasn't as if someone said, 'There's this terrible disease, how can we help you?' " The National Institutes of Health, which defines a rare illness as one with fewer than 200,000 sufferers, estimates that there are 6,000 such ailments, which combined afflict 25 million people in the United States.
We defined a major illness as a condition that potentially caused serious damage to the household livelihood strategies with increased risk of impoverishment.
The psychiatrist meant that a fellow human being should not be defined by an illness.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com