/library/oar/handle/123456789/37991 2025-11-14T21:17:18Z 2025-11-14T21:17:18Z /library/oar/handle/123456789/20075 2017-06-25T01:23:31Z 1983-01-01T00:00:00Z

Title: Diabetes : diabetes health care Abstract: The following is an account of the development of diabetes health care carried out over these last couple of years. The aim of this article is to give the reader a broader view of the sort of set-up of a health care system that is indicated for the management of this disorder (and other similar chronic non- communicable diseases). As an introduction to the topic, I would like to make a brief reference again io the National Diabetes Programme, the first phase of which, the epidemiological survey, has been reviewed in a previous article, - since the re-organisation and improvement of diabetes health care services were one of the major aims of this project.

1983-01-01T00:00:00Z /library/oar/handle/123456789/20074 2017-06-25T01:23:20Z 1983-01-01T00:00:00Z

Title: Systemic Lupus Erythematosus : yet another rare presentation Abstract: A 14 year old girl was first seen at Karen Grech hospital for complaints of fainting attacks along with occasional convulsions and a progressive depressional state. She was seen by a psychiatrist who thought she had psychomotor retardation and was 'handicapped'. Concurrently, she had complaints of painful and stiff knees, ankles and wrist joints - especially during the morning hours. This went on for sixteen weeks during which period the girl's mental state deteriorated further with her having 'hysterical behaviour' at times, and suicidal tendencies. Her initial resentment of going to school increased and she had finally stopped going altogether for over a month when she was admitted into the Children's Ward with a'low grade pyrexia, mental confusion, deteriorating speech and difficulty in walking. She was a full term baby at birth with a normal delivery in a hospital in Malta. Birth weight 7 Ibs. She had no obstetric or neonatal problems and had suffered no significant illnesses in the past. She was never hospitalised before.

1983-01-01T00:00:00Z /library/oar/handle/123456789/20073 2017-06-25T01:23:30Z 1983-01-01T00:00:00Z

Title: Cardiac experience at St. Luke's Hospital : 1966-1983 Abstract: I first visited St. Luke's in 1966 and for some years previously 'screened' Maltese patients referred to UX, for possible cardiac surgery. As they came individually, accompanied by a doctor and nurse, I proposed that it might be more economic if I saw a large number by paying a visit to Malta. The High Commission in London doubted if I would have more than six patients so I only arranged to stay two nights and one day. I still recall 7 p.m. that one day, when after seeing 30 plus patients and feeling distinctly hypoglycaemic, Or. Captur arrived with a contingent of seven cyanosed children with complex, congenital heart lesions to round off my day's visit. Thereafter, these visits have lasted a week during which time I have been reviewing 200-240 patients annually. My surgical colleague Mr. Bromley started accompanying me to review postoperative patients, and now his successor, Mr. Rex Stanbridge, has taken over this task. As of 1983 I have also called in Or. Hallidie Smith as well to help with paediatric cardiology.

1983-01-01T00:00:00Z /library/oar/handle/123456789/20072 2017-06-25T01:23:22Z 1983-01-01T00:00:00Z

Title: Some early X-Rays photographs taken in Malta : a postscript Abstract: In a previous survey of radiology in Malta (Cassar, 1972), I reported experiments with X-rays carried out in Malta towards the close of the ninteenth century by Or. (later Professor) Themistocles Zammit and by Mr. John Ellis of the photographic firm Richard Ellis at 43, Strait Street, Valletta.

1983-01-01T00:00:00Z