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Biomedical subjects

D S Grimes

Publications and source records attributed to D S Grimes.

25 records · Page 2Linked to original sources

Refined carbohydrate, smooth-muscle spasm and disease of the colon.

A diet high in refined carbohydrate is implicated in the aetiology of some diseases of the colon-i.e., diverticular disease, irritable bowel syndrome, ulcerative colitis, non-occlusive ischaemic colitis, and pseudomembranous colitis. It is suggested that spasm of the smooth muscle is the common pathogenetic mechanism in these colonic diseases. The strength of the spasm producing increased pressure in the colonic lumen or wall and the length of time for which the colon has been affected are believed to determine the type of disease resulting. A diet high in refined carbohydrate allows the intense muscle spasm to occur because the physical buffering effect of faecal bulk is considerably reduced.

Colitis↗

Doctors and administrators. A joint experiment.

A course is described in which doctors in the training grades and health-service administration undertook a joint educational exercise to learn more about health care and the roles and interrelationships of the various professional groups. By sharing an educational enviroment, two professions which are frequently in conflict may realise each other's purpose and difficulties and perhaps work more harmoniously to a common aim.

Curriculum↗

Physician participation in health service management: expectations in United States and experiences in England.

Increasing governmental regulation such as called for in PSRO and health planning legislation, pressures to contain rising costs, physician strikes, and other manifestations of change suggest that traditional hospital organization and management patterns ought to be re-examined. Moreover, as the United States moves toward a governmentally financed and regulated system, experiences in Great Britain and other nationalized systems become more pertinent to us. The 1974 major reorganization of the British National Health Service provides for considerable physician participation in management. A similar participative approach to the management of the hospitals in the United States is worthy of consideration as a way to meet increasing challenges of a governmentally financed and controlled health care system.

Community Medicine↗