Long-term care

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....

260p crazy_sms 07-05-2012 43 12   Download

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.

521p ozon_ozon 04-05-2012 23 5   Download

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.

10p socolanong 25-04-2012 30 3   Download

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.

282p mnemosyne75 02-02-2013 30 3   Download