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Research is clear that charges of this sort deter the poor and the elderly – the very people who need the NHS most – and as a result they present later with more advanced illness.
In our experience, and others, male patients are typically late to receive cART, have more advanced illness, and have worse clinical outcomes [20].
Concerns among patients with more advanced illness are often different to earlier stages, as patients reframe their priorities in the face of impending death [ 8].
Interventions to support this approach include nurse-led and cognitive behavioural therapy (CBT), which appears to be successful in the early stages of MS [ 44, 45], but has not been tested in more advanced illness or across ethnically diverse populations.
It may, however, reflect either the more advanced illness in this population at ART commencement compared to North American ones, or higher levels of exposure to pathogens in the South African environment.
Those who had a low income, more advanced illness at diagnosis (stage ⩾2), aggressive lymphoma, having received chemotherapy and greater impact of cancer at the initial survey had more PTSD symptoms at follow-up.
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The search algorithm represents the program's criteria for selecting which patients to output as potentially having deteriorating health due to one or more advanced illnesses and a likelihood of unmet supportive and palliative care needs.
Sepsis-associated encephalopathy (SAE) parallels the failure of other organs in more advanced septic illness [ 3].
The population who seek testing may be in the more advanced stages of illness than those who postpone.
Case finding in Latvia remains passive, as persons with tuberculosis become known only after seeking care, often with more advanced or debilitating illness [ 19].
New chemotherapy regimens and improvement in surgical techniques have now allowed surgically treating patients with liver metastases in more advanced stages of illness.
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more advanced diseases
more general illness
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more perilous illness
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more secondary illness
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more urgent illness
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com