Electronic address: roberto. Adult-onset Still's disease AOSD is a systemic inflammatory disorder of unknown etiology usually affecting young adults; spiking fever, arthritis and evanescent rash are commonly observed during the disease. Other frequently observed clinical features include sore throat, hepatomegaly, splenomegaly, lymphadenopathy and serositis. Furthermore, AOSD patients may experience different life-threating complications. During AOSD, laboratory tests reflect the systemic inflammatory process showing high levels of erythrocyte sedimentation rate and C-reactive protein. In addition, the ferritin levels are typically higher than those observed in other autoimmune, inflammatory, infectious, or neoplastic diseases.

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Safeguarding adult reviews - Derbyshire Safeguarding Adults Board
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Safeguarding Adult Reviews
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A SAR is completed when:. SARs are a way for all agencies of the partnership to identify the lessons that can be learned from particularly complex or difficult safeguarding adults cases and to implement changes to improve services in the light of these lessons. The main objectives of the report are to:. The purpose of having an SAR is not to reinvestigate or to apportion blame. It is an opportunity to derive learning for all agencies involved and to make changes to practices in the future.