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Glossary

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# A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
salvage therapy

Any treatment regimen used after a number of earlier regimens have failed.

sample

In relation to medical tests, a small specimen (e.g. of blood) taken for testing. In relation to people taking part in a study, see ‘representative sample’.

sample size

See ‘powered’.

secondary endpoint

Endpoints in a trial that provide supportive evidence to the primary endpoint.

sensitivity

When using a diagnostic test, the probability that a person who does have a medical condition will receive the correct test result (i.e. positive). See also ‘specificity’.

sepsis

The presence of pus-forming bacteria in the body.

seroconversion

The time at which a person's antibody status changes from negative to positive.

serum

Clear, non-cellular portion of the blood, containing antibodies and other proteins and chemicals.

shingles

Condition caused by a herpes virus infection, involving painful blisters on the skin.

side-effect

Any additional, unwanted, effect caused by a drug.

sigmoidoscopy

Examination of the rectum and lower bowel with a flexible viewing device.

significant

See ‘statistical significance’.

simian

Related to or affecting monkeys.

single-blind

A type of clinical trial in which the participants do not know what treatments they are getting, but their doctors do. See also ‘double-blind’.

sinusitis

Inflammation or infection of the sinuses, which are cavities behind the forehead and cheekbones.

specificity

When using a diagnostic test, the probability that a person without a medical condition will receive the correct test result (i.e. negative). See also ‘sensitivity’.

speculum

An instrument for enlarging the opening of any canal or cavity in order to inspect its interior, e.g. vagina, rectum, ear or nose.

spleen

Organ which produces white blood cells and acts as a reservoir for red blood cells.

splenomegaly

Enlarged spleen.

spontaneous clearance

When, during acute viral hepatitis infection, the immune system responds effectively to the virus and eliminates it from the body, without medicines. This is a cure.

sputum smear

A diagnostic test in which a sample of spit is examined under the microscope for the presence of micro-organisms.

squamous intraepithelial lesion (SIL)

This term is used to describe the detection of abnormal cells that have been ‘transformed’ by HPV into a possibly pre-cancerous state. According to the degree of cell change this will be called low-grade or high-grade SIL (LSIL or HSIL). If SIL is detected a colposcopy will usually be ordered.

stage

The stage of hepatitis infection refers to the amount of liver scarring (fibrosis) detected by biopsy. Usually measured on scales of 0 to 4, or 0 to 6 (higher numbers indicated more severe inflammation). 

standard deviation

Provides a measure of the spread of values.

statin

Drug used to lower cholesterol (blood fats).

statistical significance

Statistical tests are used to judge whether the results of a study could be due to chance and would not be confirmed if the study was repeated. If result is probably not due to chance, the results are ‘statistically significant’. See also ‘p-value’ and ‘confidence interval’.

steatosis

Abnormal fat deposits in the liver.

steroids

Drugs used to damp down excessive immune responses.

stigma

Social attitudes that suggest that having a particular illness or being in a particular situation is something to be ashamed of. Stigma can be questioned and challenged.

stopping rule

In a clinical trial, instructions for when individuals who have a poor response to treatment should stop taking it. Designed to minimise the development of drug-resistance.

strain

A variant characterised by a specific genotype.

subcutaneous

Beneath or introduced beneath the skin, e.g. a subcutaneous injection is an injection beneath the skin.

superinfection

When somebody who already has a viral infection is exposed to a different strain or a different virus, and acquires it in addition to their existing virus. For example a person with hepatitis C is infected with a different strain of hepatitis C, or a person with chronic hepatitis B is infected with hepatitis D.

superiority trial

A clinical trial which aims to demonstrate that one treatment is better than another. 

surrogate marker

An indirect indicator of something, such as measuring viral load to assess the treatment effect of a drug.

sustained virological response (SVR)

Undetectable hepatitis C RNA after treatment has come to an end. Usually SVR refers to RNA remaining undetectable for 24 weeks (six months) after ending treatment and is considered to be a cure. SVR4 and SVR12 refer to RNA remaining undetectable for 4 and 12 weeks respectively. 

symptom

A condition that results from or accompanies an illness or disease.

symptomatic

Having symptoms.

syndrome

A group of symptoms and diseases that together are characteristic of a specific condition.

synergy

When two or more drugs produce an effect greater than adding their separate effects.

systematic review

A review of the findings of all studies which relate to a particular research question and which conform to pre-determined selection criteria. See also ‘meta-analysis’. 

systemic

Acting throughout the body rather than locally.