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Practical diabetes international : the journal for diabetes care teams worldwide最新文献

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High risk at high altitude: all the action, none of the content 高空高风险:全是动作,没有内容
J. Fosbury
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引用次数: 0
Variation in practice: a useful measure or not? Looking at amputations and diabetes care 实践中的变化:有用还是无用?看看截肢和糖尿病护理
G. Leese, S. Wild, M. Edmonds
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引用次数: 4
Do current IDF predictions underestimate the true and future burden of diabetes 目前的IDF预测是否低估了糖尿病的真实和未来负担
G. Thomson
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引用次数: 2
Preparing for the Specialty Certificate Examination 准备专业证书考试
N. Goenka, E. Wilmot, K. Shaw
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引用次数: 1
An inventory of diabetes care in Qatar 卡塔尔糖尿病护理的清单
K. Wilbur, M. Ameri
Diabetes is a global epidemic and the highest prevalence rates in the world are found in Gulf Corporation Council countries, including Qatar. The country's Supreme Council of Health has recognised its significant health threat and has proposed the formation of a national diabetes plan. Baseline assessment of existing diabetes care can inform such design and implementation. The aim of this study was to inventory diabetes health care resources in Qatar. A prospective survey of private and public health care facilities serving outpatients in the country was conducted. A nine-item questionnaire was administered to determine patient access, multidisciplinary services and availability of drug therapy. Thirty-five (67%) of 52 identified health care settings participated. Services devoted to diabetes care were declared at five hospitals (one private and four public) and 24 clinics (15 private and nine public). The majority were located in the country's capital. Few offered services to children and adolescents (20% of hospitals, 55% of clinics). Most were led by general practitioner physicians with limited multidisciplinary contribution (nurses in 73%, dietitians in 17%). Administration of certain drug therapy may be restricted to specialist prescribers and may be unavailable to non-nationals. Patients with diabetes in Qatar may seek care from an array of private and public health settings. Elements of any comprehensive national plan to address diabetes and its complications must incorporate enhanced training support for primary care physicians, expanded multidisciplinary care and services for children and adolescents. Copyright © 2011 John Wiley & Sons.
糖尿病是一种全球性流行病,世界上患病率最高的是海湾公司理事会国家,包括卡塔尔。该国最高卫生委员会已经认识到其严重的健康威胁,并提议制定一项国家糖尿病计划。现有糖尿病护理的基线评估可以为此类设计和实施提供信息。本研究的目的是盘点卡塔尔的糖尿病卫生保健资源。对该国为门诊病人提供服务的私营和公共卫生保健设施进行了前瞻性调查。一份包含9个项目的调查问卷用于确定患者的可及性、多学科服务和药物治疗的可获得性。在52个确定的卫生保健机构中,有35个(67%)参与了调查。5家医院(1家私立医院和4家公立医院)和24家诊所(15家私立医院和9家公立医院)宣布提供专门的糖尿病护理服务。其中大多数位于该国首都。向儿童和青少年提供服务的很少(20%的医院和55%的诊所)。大多数由全科医生领导,多学科贡献有限(护士占73%,营养师占17%)。某些药物治疗的实施可能仅限于专科开处方者,非国民可能无法获得。卡塔尔的糖尿病患者可能会从一系列私人和公共卫生机构寻求治疗。任何应对糖尿病及其并发症的综合国家计划的要素都必须包括加强对初级保健医生的培训支持,扩大对儿童和青少年的多学科护理和服务。版权所有©2011 John Wiley & Sons。
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引用次数: 7
Autoimmune polyglandular syndrome: a diagnosis not to miss 自身免疫性多腺综合征:一个不容错过的诊断
R. Poole
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引用次数: 0
Type II polyglandular autoimmune syndrome: an unusual presentation II型多腺体自身免疫综合征:一种不寻常的表现
S. Phillips, M. Butt, A. Robinson
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引用次数: 0
Massive intentional insulin overdose 大量故意胰岛素过量
H. Barton, P. Hendy, A. Evans
occurred after a two-hour cessation of the IV dextrose. The dextrose infusion was successfully stopped 108 hours after the overdose, with a total of 1.34kg of dextrose (equivalent to 26L of 5% dextrose) administered. Excision of the injection site was considered, but the patient’s CBG was maintained with IV glucose and diet alone. Potassium was measured on admission and regularly after this, and was within normal range on each occasion. Random cortisol level during the admission was within normal range. The patient was reviewed by the psychiatry team, whilst an inpatient; the team deemed him safe for discharge with counselling as an outpatient.
在停止静脉注射葡萄糖两小时后发生。过量用药108小时后,成功停止葡萄糖输注,共给药1.34kg葡萄糖(相当于5%葡萄糖26L)。考虑切除注射部位,但仅靠静脉滴注葡萄糖和饮食维持患者的CBG。入院时及入院后定期测量钾,每次均在正常范围内。入院时随机皮质醇水平在正常范围内。病人在住院期间接受了精神病学小组的检查;该小组认为他可以安全出院,并作为门诊病人接受咨询。
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引用次数: 3
Identifying changes in diabetes care 确定糖尿病护理的变化
C. Formosa, A. Mandy, K. Lucas
ABSTRACT Malta is a small Mediterranean island with particularly distinct population and culture. Italso has one of the highest rates of type 2 diabetes in the world. As a result it provides aunique microcosm of problems in diabetes care common across Europe. This studyexplores the effects of culture, religion and government organisation on the managementof patients with diabetes. The cultures of patients, health care professionals and the Maltese government wereexamined in terms of their influence on the potential to deliver culturally relevantcompetent care. The results of this research indicate that national culture and local practices may havea detrimental influence on the management of diabetes in Malta. The findings highlight theneed for change if effective diabetes care is to be offered to the Maltese population.These changes are related to a highly complex, poorly understood health care system,and to the way in which it is structured and the way health care processes are managed inthis highly specific national and ethnic culture. Copyright © 2011 John Wiley & Sons.
马耳他是地中海上的一个小岛,有着独特的人口和文化。它也是世界上2型糖尿病发病率最高的国家之一。因此,它提供了一个独特的缩影,在整个欧洲糖尿病护理常见的问题。本研究探讨文化、宗教和政府组织对糖尿病患者管理的影响。研究了患者、保健专业人员和马耳他政府的文化对提供与文化相关的合格护理的潜力的影响。这项研究的结果表明,国家文化和地方做法可能对马耳他的糖尿病管理产生不利影响。研究结果强调,如果要为马耳他人民提供有效的糖尿病治疗,就需要做出改变。这些变化与高度复杂、缺乏了解的卫生保健系统有关,也与在这种高度特定的国家和民族文化中构建卫生保健系统的方式和管理卫生保健过程的方式有关。版权所有©2011 John Wiley & Sons。
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引用次数: 5
Malignancy or non‐malignancy: that is the question 恶性还是非恶性:这是一个问题
K. Jacob, S. Davis, K. Hussain, J. Bardwell
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引用次数: 0
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Practical diabetes international : the journal for diabetes care teams worldwide
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