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D W Beaven

Publications and source records attributed to D W Beaven.

At least 37 records · Page 2Linked to original sources
PubMed1983

Diabetes services in Yugoslavia.

The Socialist Federal Republic of Yugoslavia lies in south east Europe between the Soviet block and the free enterprise countries of Western Europe. It was originally established as a confederation of independent Balkan states after the first world war; after the second world war it became an independent federation of the socialist republics of Bosnia, Herzegovnia, Montenegro, Croatia (including Dalmatia), Slovenia, and Serbia, together with the two small autonomous provinces of Kosovo and Vojvodina. In the subsequent 30 years the trend towards decentralised decision making and institutional self management has continued. Nevertheless, the federal authorities retain major control over economic decision making and policies. For example, they forbid anyone from owning more than two houses or 10 hectares of land, and no factory owner may employ more than 10 people. Capitalism in any other than this minor form is not allowed, and any businessman whose business expands must become involved in frustrating negotiations with the local government to set up a state industry. I recently visited Yugoslavia as a guest of the Institute for Diabetes, Endocrinology, and Metabolic Diseases and of the medical faculty of the University of Zagreb and visited various health care units which provide services for diabetics in Croatia. As well as Zagreb itself I visited units in Split on the Adriatic coast and at Varazdin, near the Hungarian border. Necessarily my observations are based on the diabetes services in Croatia, but although the other republics may have less developed services they follow similar principles.

Diabetes Mellitus↗
PubMed1983

Utilisation of health services by diabetic patients. 1: The district nursing service.

In 1981 the district nursing service in Christchurch was making 590 home visits, on a weekly basis, to 73 patients for the purposes of drawing up and injecting insulin. This was 13.9% of their total workload. Through a programme of education many were able to manage the injection technique totally. In other cases the provision of pre-loaded syringes permitted less frequent attendance by the district nurse. At survey, one year later, the patient numbers visited had fallen to 46, and the number of weekly visits had been reduced by half. These results show the benefits of research programmes, aimed at evaluation of health delivery, with a view to improving their efficiency and reducing their cost.

Aged↗
PubMed1982

Physician manpower.

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Internal Medicine↗
PubMed1982

Residual pancreatic function in insulin dependent diabetics.

The relative contributions of alpha and residual beta cell function and the presence of insulin binding antibodies to indices of glucose control have been assessed in a group of 44 patients with insulin dependent disease of variable duration. Residual beta cell secretion was detected in 18 patients (40%) but no patient receiving insulin for more than five years showed evidence of residual function. Indices of glucose control were significantly better (p less than 0.001) in patients demonstrating residual secretion. In contrast, no relation was found between glucose control and either fasting of post prandial plasma glucagon concentrations. Insulin binding antibodies were detected in all but two patients but did not correlate with either daily insulin dose or glucose control. These results are consistent with the view that residual beta cell function contributes to improved glucose control in the yearly years of insulin dependency but alpha cell function and insulin antibodies do not.

Adolescent↗
PubMed1981

Home monitoring of blood glucose in diabetic pregnancy.

A study of home monitoring of blood glucose in diabetic pregnancy was made by a retrospective analysis of medical records of women who attended Christchurch Women's Hospital from 1976 to 1980. Of 20 previously-diagnosed insulin-dependent diabetics eight had used home blood glucose meters during pregnancy. The meter users spent on average 23.9 fewer days in hospital and attended on average 4.2 more antenatal clinics. Otherwise management and outcome were equivalent. We conclude that home monitoring of blood glucose is an effective and safe means of minimising hositalisation in diabetic pregnancy without compromising outcome.

Apgar Score↗
PubMed1981

Lack of effect of hyperprolactinemia on glucose disposal and insulin secretion in patients with prolactinomas.

The role of prolactin as a diabetogenic hormone is still controversial. The present study examines intravenous glucose tolerance in six subjects with prolactin secretion pituitary adenomas. Testing was performed in each individual both in the untreated high prolactin state and again after prolactin was reduced by bromocriptine treatment for three months. Lowering serum prolactin failed to improve intravenous glucose tolerance or alter insulin release. It is concluded that prolactin has no significant effect on glucose disposal.

Adenoma↗