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Department of Health and Social Security Neighbourhood Nursing; a Focus for Care, HMSO, London. Francis, G. and Hogg, D.

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Psychoses are a group of disorders in which patients have a distorted perception of reality and they include reactive psychosis, paranoiddelusional psychosis, some types of mania and schizophrenia. Schizophrenia is the most common psychosis, affecting about It often affects people in late adolescence and can be chronic and disabling. Schizophrenia has a number of sub-types and there have been attempts at classifying them, but this has proved difficult. Modern diagnostic classifications depend on the presence or absence of positive or negative symptoms as well as the duration of symptoms according to either the ICD- Negative symptoms are social withdrawal, lack of emotional responsiveness and apathy; positive symptoms are hallucinations, thought disturbances, delusions, restlessness and aggression. Some psychoses can be secondary to other diseases such as infection and peripheral vascular disease or intoxication with drugs or alcohol, but most often the aetiology is unknown. Schizophrenia appears to have a genetic basis.

I am grateful to Alison Barlow and Peter Bowden for their helpful ideas with matters relating to podiatry and Louise Stuart, MBE for an insight into supplementary prescribing; to Jan Dodgeon for help with topics relevant to radiography and Chris Frames and Chris ONeal for their help with devising physiotherapy case studies. Special thanks are due to those who contributed to Chapter Peter Hogg and his co-authors, and Anthony Waddington (Podiatric Surgeon). Without their experience in practice this book would have had far less relevance to the health care professionals for whom it was written. I have to thank students past and present for their inspiration, comments and suggestions over the years and I hope future students and practitioners will benefit from this.

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In the United States, small or absent external auditory canals ; eye abnormalities including microphthalmia ; facial dysmorphia; cleft palate? Not to be confused with Tretinoin.

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Fungal infection of the nails is known as tinea unguium or onychomycosis. Superficial accutane price us infections can usually be treated with topical preparations, but systemic antifungal drugs can be necessary for nail and scalp infections, or if skin infection is extensive and unresponsive to topical therapy. There are many topical treatments available of varying efficacy. Most of them are available as over-the-counter or pharmacy medicines but some are available only on prescription. Proprietary names are given where appropriate. Because podiatrists are likely to be treating fungal infections of the feet, some prescription-only antifungal drugs have been added to the list of exemptions for qualified podiatrists registered with the Health Professions Council.

Authored by Dr. Carol Bunch, PHD

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