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Clinical research: is the filling missing from the medical research sandwich? 临床研究:医学研究三明治缺补了吗?
Journal of the Royal College of Physicians of London Pub Date : 2000-05-01
P Dieppe, M Bachmann
{"title":"Clinical research: is the filling missing from the medical research sandwich?","authors":"P Dieppe,&nbsp;M Bachmann","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Clinical research is essential for patients to benefit from the advances of medical science. Particularly needed are thorough and imaginative investigations into applied physiology, clinical observation, and patients' experience. This can help clinicians and their patients to distinguish between pathology and healthy variation, interpret diagnostic information, understand what patients want and gain from health care, and apply study results to individuals' problems. Clinical research has not grown as much as other forms of medical research, and is sometimes regarded as unscientific. Young academic clinicians are often persuaded that the only road to science leads through the laboratory. Clinical research, however, offers equal opportunities for original enquiry, rigour and excellence. The medical research sandwich will continue to provide an unbalanced diet unless research leaders and funders take the clinical setting more seriously.</p>","PeriodicalId":76057,"journal":{"name":"Journal of the Royal College of Physicians of London","volume":"34 3","pages":"282-4"},"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/d0/0b/jrcollphyslond146952-0062.PMC9665552.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21745412","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
Measuring the quality of care for older people: preparing for the National Service Framework. 衡量老年人护理质量:为《国家服务框架》做准备。
Journal of the Royal College of Physicians of London Pub Date : 2000-05-01
P H Millard
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引用次数: 0
The 'learning curve' for temporary pacing: evidence that current training guidelines are unrealistic. 临时节奏的“学习曲线”:当前训练指南不现实的证据。
Journal of the Royal College of Physicians of London Pub Date : 2000-05-01
M Connaughton, P Forsey, R Smith, M Gammage
{"title":"The 'learning curve' for temporary pacing: evidence that current training guidelines are unrealistic.","authors":"M Connaughton,&nbsp;P Forsey,&nbsp;R Smith,&nbsp;M Gammage","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76057,"journal":{"name":"Journal of the Royal College of Physicians of London","volume":"34 3","pages":"315"},"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/5c/23/jrcollphyslond146952-0095b.PMC9665539.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21746697","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
Stereotactic intracranial radiotherapy/radiosurgery has come of age. 立体定向颅内放疗/放射外科已经成熟。
Journal of the Royal College of Physicians of London Pub Date : 2000-05-01
P N Plowman
{"title":"Stereotactic intracranial radiotherapy/radiosurgery has come of age.","authors":"P N Plowman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The current, highly sophisticated, brain imaging techniques and three dimensional (stereotactic) mapping of intracranial targets, combined with recent developments in concentration of radiation therapy (x- or gamma-ray) onto these targets, have allowed obliterative treatment for many intracranial diseases previously the preserve of the neurosurgeon alone. Vascular malformations, acoustic neuroma, complex meningioma, pituitary adenoma and craniopharyngioma all fall into this category, as well as base of skull tumours. There are occasional indications for single (a few) cerebral metastases and possibly a highly selected role in primary malignant brain tumours. The subject of so-called 'radiosurgery' is an important and developing one and is complementary to modern neurosurgery.</p>","PeriodicalId":76057,"journal":{"name":"Journal of the Royal College of Physicians of London","volume":"34 3","pages":"273-81"},"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/ba/15/jrcollphyslond146952-0053.PMC9665558.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21746691","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
NTNs and all that! Will specialist registrars get a consultant post a will consultants have a registrar? ntn和所有这些!专业注册商会有顾问职位吗?顾问会有注册商吗?
Journal of the Royal College of Physicians of London Pub Date : 2000-05-01
W R Burnham
{"title":"NTNs and all that! Will specialist registrars get a consultant post a will consultants have a registrar?","authors":"W R Burnham","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76057,"journal":{"name":"Journal of the Royal College of Physicians of London","volume":"34 3","pages":"285-8"},"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/44/e4/jrcollphyslond146952-0065.PMC9665535.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21746692","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
Recent advances in autoimmune diseases. 自身免疫性疾病的最新进展
Journal of the Royal College of Physicians of London Pub Date : 2000-05-01
D E Jones
{"title":"Recent advances in autoimmune diseases.","authors":"D E Jones","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76057,"journal":{"name":"Journal of the Royal College of Physicians of London","volume":"34 3","pages":"302-5"},"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/0e/72/jrcollphyslond146952-0082.PMC9665538.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21746701","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
Acute medicine: the physician's future role. 急症医学:医生未来的角色。
Journal of the Royal College of Physicians of London Pub Date : 2000-05-01
C M Black
{"title":"Acute medicine: the physician's future role.","authors":"C M Black","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76057,"journal":{"name":"Journal of the Royal College of Physicians of London","volume":"34 3","pages":"235-8"},"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/44/3c/jrcollphyslond146952-0015.PMC9665529.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21745405","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
Hypoglycaemia unawareness: causes, consequences and treatment. 低血糖不自觉:原因、后果和治疗。
Journal of the Royal College of Physicians of London Pub Date : 2000-05-01
K M MacLeod
{"title":"Hypoglycaemia unawareness: causes, consequences and treatment.","authors":"K M MacLeod","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76057,"journal":{"name":"Journal of the Royal College of Physicians of London","volume":"34 3","pages":"245-50"},"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/9f/d4/jrcollphyslond146952-0025.PMC9665553.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21745408","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
New hypoglycaemic therapies. 新的降糖疗法。
Journal of the Royal College of Physicians of London Pub Date : 2000-05-01
E A Gale
{"title":"New hypoglycaemic therapies.","authors":"E A Gale","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76057,"journal":{"name":"Journal of the Royal College of Physicians of London","volume":"34 3","pages":"250-3"},"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/da/51/jrcollphyslond146952-0030.PMC9665550.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21745409","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 National Service Framework for coronary heart disease: the emperor's new clothes. 冠心病国家服务框架:皇帝的新衣。
Journal of the Royal College of Physicians of London Pub Date : 2000-05-01
J R Hampton
{"title":"The National Service Framework for coronary heart disease: the emperor's new clothes.","authors":"J R Hampton","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76057,"journal":{"name":"Journal of the Royal College of Physicians of London","volume":"34 3","pages":"226-9; discussion 229-30"},"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/cb/4d/jrcollphyslond146952-0006.PMC9665548.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21745402","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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