/library/oar/handle/123456789/12276 Fri, 14 Nov 2025 19:54:06 GMT 2025-11-14T19:54:06Z /library/oar/handle/123456789/20104 Title: Diabetes: diagnosis and classification Abstract: Diabetes may present with severe thirst, increased urine volume, rapid weight loss, and sometimes coma. Blood glucose concentration is grossly elevated. Glucose will be excreted in the urine, usually in large amounts. In this situation diagnosis is simply confirmed from blood glucose estimation without formal provocative tests. Random plasma glucose concentrations exceeding 2 g/I are diagnostic. The presence of specific microvascular disease, usually retinopathy, also establishes the diagnosis. When such symptoms and signs are absent and blood glucose levels less markedly elevated, measurements made under standard conditions, such as fasting or after a carbohydrate challenge, may be necessary to confirm or refute the diagnosis. Commonly the o~ral glucose tolerance test is performed. The importance of this testas a clinical diagnostic tool has been grossly overemphasized. It is useful only in clearly defined situations. Sat, 01 Jan 1983 00:00:00 GMT /library/oar/handle/123456789/20104 1983-01-01T00:00:00Z /library/oar/handle/123456789/20103 Title: A general practitioner's emergency bag Abstract: When I was in recent years, doing emergency duties at the Polyclinic in Floriana, final year medical students who used to accompany us on emergencies, were, quite naturally, interested to know what a general practitioner should carry in his emergency bag. This is the sort of question I asked myself many times before qualifying some 24 years ago! (How time flies!) I would like in this paper to give my personal views and choice of medical requisites a general practitioner should wisely carry in his bag. Sat, 01 Jan 1983 00:00:00 GMT /library/oar/handle/123456789/20103 1983-01-01T00:00:00Z /library/oar/handle/123456789/20098 Title: A summary on anxiety and phobic neuroses Abstract: Although anxiety and the phobic neuroses are classified as separate entities, most patients with phobic anxiety also suffer from an elevation of their general (free floating) level of anxiety, and nearly all patients with generalized anxiety may experience an aggravation of their anxiety, often to panic intensity.' Sat, 01 Jan 1983 00:00:00 GMT /library/oar/handle/123456789/20098 1983-01-01T00:00:00Z /library/oar/handle/123456789/20096 Title: Epidural medication for relief of low back pain : a clinical study Abstract: On a sunny day in Africa 10 million years ago, give or take afew million, Mr. and Mrs. Ramapithecus and their children were out foraging for food. Like their primate cousins in the forest, they usually swung gracefully from limb to limb searching out nuts, fruits and berries. But this day was different. A fierce rainstorm had knocked all their favourites off the branches, and the Ramus, alas, were forced to descend from the trees to find something to eat. Moving awkwardly on all fow's, knuckles bent, they were ungainly creatures on the'ground and also extremely vulnerable. Barely 3 ft. high, unable to see over the tall grass, Ramu suddenly found himself and his brood confronted by a snarling saber-toothed tiger. What to do? The forest was too far off to dash to safety. So, in an inspired gesture, Ramapithecus reachedfor a rock with both forefeet, reared back on his hind legs and heaved the stone at the predator. Started to see this usually four-footed prey erect, the tiger cautiously retreated. But the apeman's triumph was costly. Unaccustomed to the abrupt, unright position, he was left doubled over in agony with a piercing pain in his lower back. Sat, 01 Jan 1983 00:00:00 GMT /library/oar/handle/123456789/20096 1983-01-01T00:00:00Z