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Saving the diabetic foot. 拯救糖尿病足。
Journal of the Royal College of Physicians of London Pub Date : 2000-05-01
M D Flynn
{"title":"Saving the diabetic foot.","authors":"M D Flynn","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Diabetic foot ulceration is both preventable and treatable. The management of diabetic foot disease is best achieved through implementation of local protocols involving the primary care team, community care and the multidisciplinary diabetic team. It is important that the feet the assessed as part of the overall assessment of a diabetic patient at any clinical presentation. The initial management of the acute diabetic foot may present to a general practitioner or general physician, and involves the urgent assessment and treatment of infection, foot elevation, wound debridement and, where appropriate, referral for urgent vascular assessment in a specialist centre.</p>","PeriodicalId":76057,"journal":{"name":"Journal of the Royal College of Physicians of London","volume":"34 3","pages":"257-9"},"PeriodicalIF":0.0,"publicationDate":"2000-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c5/aa/jrcollphyslond146952-0037.PMC9665528.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21745410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Consultant post prospects in medical specialties. 医学专业的顾问职位前景。
Journal of the Royal College of Physicians of London Pub Date : 2000-05-01
H M Mather
{"title":"Consultant post prospects in medical specialties.","authors":"H M Mather","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Consultant post prospects for Specialist Registrars (SpRs) in all the medical specialties have been analysed using the databases of the Royal College of Physicians and the Joint Committee on Higher Medical Training (JCHMT). A 'bulge' in the numbers of SpRs obtaining Certificates of Completion of Specialist Training (CCSTs) is anticipated over the next 2-3 years, but this effect will be alleviated by the increasing trend to spend extra years in research or flexible training. There are profound differences between the specialties in the ratios of SpRs holding National Training Numbers (NTNs) to consultants, and in the proportions of female SpRs, and these factors will markedly influence consultant post prospects. The outlook within most specialties is favourable, but this is critically dependent on the rate of consultant expansion over the next few years.</p>","PeriodicalId":76057,"journal":{"name":"Journal of the Royal College of Physicians of London","volume":"34 3","pages":"289-94"},"PeriodicalIF":0.0,"publicationDate":"2000-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/81/55/jrcollphyslond146952-0069.PMC9665533.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21746694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Medical rehabilitation for people with physical and complex disabilities. 身体和复杂残疾者的医疗康复。
Journal of the Royal College of Physicians of London Pub Date : 2000-05-01
D L McLellan
{"title":"Medical rehabilitation for people with physical and complex disabilities.","authors":"D L McLellan","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76057,"journal":{"name":"Journal of the Royal College of Physicians of London","volume":"34 3","pages":"234-5"},"PeriodicalIF":0.0,"publicationDate":"2000-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/68/fe/jrcollphyslond146952-0014.PMC9665540.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21745403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Diabetes in old age--changing concepts in the secondary care arena. 老年糖尿病——改变二级保健领域的概念。
Journal of the Royal College of Physicians of London Pub Date : 2000-05-01
A J Sinclair
{"title":"Diabetes in old age--changing concepts in the secondary care arena.","authors":"A J Sinclair","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76057,"journal":{"name":"Journal of the Royal College of Physicians of London","volume":"34 3","pages":"240-4"},"PeriodicalIF":0.0,"publicationDate":"2000-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ae/6d/jrcollphyslond146952-0020.PMC9665547.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21745406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
God, mammon and the physician: medicine in England before the college. 上帝、财神和医生:学院之前的英国医学。
Journal of the Royal College of Physicians of London Pub Date : 2000-05-01
C Rawcliffe
{"title":"God, mammon and the physician: medicine in England before the college.","authors":"C Rawcliffe","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Medieval medical practice has all too often been depicted by historians as ineffective, overpriced and riddled with superstition. Yet the physician, who boasted an impressive range of academic accomplishments, exercised considerable influence in political, religious and cultural affairs. How was this achieved? The overwhelming authority of the Church, in an age of high mortality, when life was generally painful as well as short, helps to explain an apparent paradox. For the practitioner, who was often also a priest, dealt with spiritual as well as earthly diseases, plumbing the recesses of men's souls while he examined their bodies. He was a confidant and mentor, offering advice on all aspects of the human condition. Since physical suffering was often regarded as a consequence of sin, confession loomed large in treatment. Indeed, the practice of both medicine and surgery was regulated by canon law, which looked beyond mere physical fitness to the quest for eternal salvation.</p>","PeriodicalId":76057,"journal":{"name":"Journal of the Royal College of Physicians of London","volume":"34 3","pages":"266-72"},"PeriodicalIF":0.0,"publicationDate":"2000-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d3/19/jrcollphyslond146952-0046.PMC9665527.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21745411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The NHS complaints procedure. Perceptions of a recent convener. 国民保健服务投诉程序。对最近召集人的看法。
Journal of the Royal College of Physicians of London Pub Date : 2000-05-01
S R Limerick
{"title":"The NHS complaints procedure. Perceptions of a recent convener.","authors":"S R Limerick","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of the NHS complaints procedure is to investigate complaints in a way that is satisfactory to the complainant, while being fair to staff and learning any lesson for service improvement. The current complaints procedure was implemented on 1 April 1996. It covers complaints about primary care practices as well as hospital and community health services, and includes matters arising from clinical judgement. An evaluation of its effectiveness is being undertaken by the London School of Hygiene and Tropical Medicine, York University (York Health Economics Consortium) and Public Attitude Surveys, and a report is due after the end of 2000. This personal view of the complaints procedure, from the perspective of a trust convener, discusses recent proposals for reform from the House of Commons Health Committee and their relevance to the hospital physician.</p>","PeriodicalId":76057,"journal":{"name":"Journal of the Royal College of Physicians of London","volume":"34 3","pages":"261-5"},"PeriodicalIF":0.0,"publicationDate":"2000-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8b/0c/jrcollphyslond146952-0041.PMC9665531.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21745413","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical practice revisited: the importance of the process. 临床实践重访:过程的重要性。
Journal of the Royal College of Physicians of London Pub Date : 2000-05-01
P Watkins
{"title":"Clinical practice revisited: the importance of the process.","authors":"P Watkins","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76057,"journal":{"name":"Journal of the Royal College of Physicians of London","volume":"34 3","pages":"225"},"PeriodicalIF":0.0,"publicationDate":"2000-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/67/cb/jrcollphyslond146952-0005.PMC9665554.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21745401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
General internal medicine and specialty medicine--time to rethink the relationship (July/August 1999 pp341-7) 普通内科和专科医学——是时候重新思考两者的关系了(1999年7月/ 8月pp341-7)
Journal of the Royal College of Physicians of London Pub Date : 2000-05-01
P Cardy
{"title":"General internal medicine and specialty medicine--time to rethink the relationship (July/August 1999 pp341-7)","authors":"P Cardy","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76057,"journal":{"name":"Journal of the Royal College of Physicians of London","volume":"34 3","pages":"315-6"},"PeriodicalIF":0.0,"publicationDate":"2000-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/99/32/jrcollphyslond146952-0095a.PMC9665534.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21746699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
What Proportion of Dyspeptic Patients Having H. Pylori Breath Test Subsequently Undergo Endoscopy? 接受幽门螺杆菌呼吸试验的消化不良患者随后接受内窥镜检查的比例是多少?
Journal of the Royal College of Physicians of London Pub Date : 2000-04-01 DOI: 10.1016/S0016-5085(00)80698-8
K. Besherdas, J. Oben, E. Beck, Robin Vicary, Voi Shim Wong
{"title":"What Proportion of Dyspeptic Patients Having H. Pylori Breath Test Subsequently Undergo Endoscopy?","authors":"K. Besherdas, J. Oben, E. Beck, Robin Vicary, Voi Shim Wong","doi":"10.1016/S0016-5085(00)80698-8","DOIUrl":"https://doi.org/10.1016/S0016-5085(00)80698-8","url":null,"abstract":"","PeriodicalId":76057,"journal":{"name":"Journal of the Royal College of Physicians of London","volume":"34 1","pages":"552 - 554"},"PeriodicalIF":0.0,"publicationDate":"2000-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0016-5085(00)80698-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55437409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
Inflammation in cardiovascular disease. 心血管疾病中的炎症。
Journal of the Royal College of Physicians of London Pub Date : 2000-03-01
I S Malik
{"title":"Inflammation in cardiovascular disease.","authors":"I S Malik","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76057,"journal":{"name":"Journal of the Royal College of Physicians of London","volume":"34 2","pages":"205-7"},"PeriodicalIF":0.0,"publicationDate":"2000-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/98/ec/jrcollphyslond146951-0089.PMC9665565.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21662836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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