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Glossary of terms








               Absolute risk or risk     The  probability  of  a  disease  or  an  event/outcome  occurring  (e.g.  an  adverse
                                         reaction to the drug being tested) in a group of people without the disease or
                                         event/outcome during a specified time period. Risk and rate are two different
                                         measures of incidence, but the distinction between them is relatively recent and
                                         many old studies have used the two words interchangeably. Studies that compare
                                         two or more groups of patients may report results in terms of the relative risk.
               Acidosis                  A  term  used  to  describe  processes  tending  to  lead  to  a  blood  pH  less  than
                                         7.36. When the pH is less than 7.36, this is referred to as acidaemia. Clinicians
                                         sometimes use the terms acidaemia and acidosis interchangeably.
               Acute gastroenteritis     See gastroenteritis.
               Acute-phase proteins      Blood markers of an inflammatory response
               Anthropometric measures   Measurements of the human body or its parts to enable comparisons between
                                         individuals  of  different  ages,  sexes  and  races  to  be  made,  to  determine  the
                                         difference between normal and abnormal development.
               Antidiarrhoeal            A drug that provides symptomatic relief from diarrhoea. These include adsorbent
                                         agents  (e.g.  kaolin,  smectite  and  activated  charcoal),  bismuth  salicylate,
                                         antisecretory agents (e.g. racecadotril) and antimotility agents (e.g. loperamide).
               Anti-emetic               A drug that relieves nausea and prevents vomiting.
               Antimotility agent        A drug that slows the transit of gastrointestinal contents.
               Antisecretory agent       A drug that reduces or supresses intestinal fluid secretion.
               Appendicitis              Inflammation of the appendix.
               Appraisal of evidence     Formal assessment of the quality of research evidence and its relevance to the
                                         clinical question or guideline under consideration, according to predetermined
                                         criteria.
               Area under ROC curve      See receiver operating characteristic curve (ROC curve).
               (AROC)
               Association               Relationship between two characteristics that helps to predict change in one
                                         when  there  is  a  change  in  the  other. The  association  can  be  positive  (both
                                         characteristics  change  in  the  same  direction)  or  negative  (the  characteristics
                                         change in the opposite direction).
               Best available evidence   The  strongest  research  evidence  available  to  support  a  particular  guideline
                                         recommendation.
               Bias                      Influences on a study that can lead to invalid conclusions about the study results.
                                         Also known as systematic error or deviation from truth. It occurs as a result
                                         of defects in the study design or the way the study is carried out or owing to
                                         confounding variables. Bias can occur at various stages in the research process,
                                         e.g. in the collection, analysis, interpretation, publication or review of research
                                         data.
               Blinding or masking       The process of keeping the investigators or subjects of a study ignorant of the
                                         group  to  which  a  subject  has  been  assigned.  For  example,  a  clinical  trial  in
                                         which the participating patients or their doctors are unaware of whether they (the
                                         patients) are taking the experimental drug or a placebo (dummy treatment). The
                                         purpose of blinding or masking is to protect against bias. See also double-blind
                                         study, single-blind study, triple-blind study.
               Bolus fluids              A volume of fluid given quickly.
               Capillary refill time (CRT)   A test performed on physical examination in which the skin is pressed by the
                                         clinician’s  finger  until  blanched  and  the  time  taken  for  the  skin  to  return  to
                                         its previous colour is measured. Capillary refill time (CRT) can be measured
                                         peripherally (in the extremities) or centrally (on the chest wall). A prolonged CRT
                                         may be a sign of shock.


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