We appear to be on the threshold of witnessing a substantial reduction in the longterm
complications of diabetes. Modern treatment regimens, better monitoring of
control and the huge impact of improved education all combine to offer the
prospect of real progress towards prevention of complications and lessening of
progression in those in whom complications may be present. The Diabetes Control
and Complications Trial (DCCT) has provided eveidence that such can be
achieved, while the St Vincent Declaration initiative has set the standards to
enable these benefits to become reality....
For decades, the majority of ophthalmologists have been embarrassed by and highly
suspicious of refractive surgery, at times with good justification. They have been repelled
by its tactics in patient recruitment, uneasy about its seemingly cavalier use without longterm
data, eager to defend its unsuspecting victims, and deeply concerned that its shortterm
benefits are outweighed by its burdensome long-term consequences.
Menstrual dysfunction can signal an underlying abnormality that may have longterm health consequences. Although frequent or prolonged bleeding usually prompts a woman to seek medical attention, infrequent or absent bleeding may seem less troubling, and the patient may not bring it to the attention of the physician. Thus, a focused menstrual history is a critical part of every female patient encounter. Pelvic pain is a common complaint that may relate to an abnormality of the reproductive organs but may also be of gastrointestinal, urinary tract, or musculoskeletal origin.
The care of a woman and her baby in the immediate hours, days and
weeks following birth can make an enormous difference to their longterm
health and well-being. The content and timing of postnatal care
led by midwives was formalised in the United Kingdom following a
statutory legislation that was first introduced in England in 1902. Then
there were concerns that too many women were dying following birth.