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BEHAVIORAL SCIENCES - Universitatea de Medicină şi Farmacie

BEHAVIORAL SCIENCES - Universitatea de Medicină şi Farmacie

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is cured, then they will all remain disease-free and live as long as any<br />

person that never had the disease.<br />

Inherent in the i<strong>de</strong>a of a cure is the permanent end to the specific<br />

instance of the disease. When a person has the common cold, and then<br />

recovers from it, the person is said to be cured, even though the person<br />

might someday catch another cold. Conversely, a person that has<br />

successfully managed a disease, such as diabetes mellitus, so that it<br />

produces no un<strong>de</strong>sirable symptoms for the moment, but without actually<br />

permanently ending it, is not cured.<br />

Remission is the state of absence of disease activity in patients<br />

with known chronic illness that cannot be cured. It is commonly used to<br />

refer to absence of active cancer or inflammatory bowel disease when<br />

these diseases are expected to manifest again in the future. The term can<br />

be used incorrectly with mental illness when the illness is un<strong>de</strong>r control. A<br />

partial remission may be <strong>de</strong>fined for cancer as 50% or greater reduction in<br />

the measurable parameters of tumor growth as may be found on physical<br />

examination, radiologic study, or by biomarker levels from a blood or<br />

urine test. A complete remission is <strong>de</strong>fined as complete disappearance of<br />

all such manifestations of disease. Each disease or even clinical trial can<br />

have its own <strong>de</strong>finition of a partial remission.<br />

Prevention is another important medical action it is a way to avoid<br />

an injury, sickness, or disease in the first place, and generally it will not<br />

help someone who is already ill (though there are exceptions). For<br />

instance, many babies and young children are vaccinated against polio and<br />

other infectious diseases, which prevent them from contracting polio. But<br />

the vaccination does not work on patients who already have polio. A<br />

treatment or cure is applied after a medical problem has already started.<br />

3.4. The Social Role of Doctors and Patients<br />

The doctor-patient relationship is central to the practice of<br />

healthcare and is essential for the <strong>de</strong>livery of high-quality health care in<br />

the diagnosis and treatment of disease. The quality of the patient-physician<br />

relationship is important to both parties. The better the relationship in<br />

terms of mutual respect, knowledge, trust, shared values and perspectives<br />

about disease and life, and time available, the better will be the amount<br />

and quality of information about the patient's disease transferred in both<br />

directions, enhancing accuracy of diagnosis and increasing the patient's<br />

knowledge about the disease. Where such a relationship is poor the<br />

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