https://www.um.edu.mt/library/oar/handle/123456789/38868 2026-04-11T12:40:38Z 2026-04-11T12:40:38Z https://www.um.edu.mt/library/oar/handle/123456789/21933 2017-09-26T01:32:55Z 1999-06-01T00:00:00Z

Title: Cutaneous Leishmaniasis in Gozo Abstract: Cutaneous Leishmaniasis is caused by a vector borne protozoan parasite known to be endemic in Malta and Gozo . The disease normally produces skin ulcers on the exposed parts of the body such as the face, arms and legs. It is often underdiagnosed and presentation to the doctor tends to be late. If left untreated it may leave the patient permanently scarred, a stigma which can cause serious social prejudice. There were 68 (49%) cases of cutaneous Leishmaniasis in Gozo as compared to 71 cases in Malta notified between 1983 to December 1998. It is thought that a substantial number of cases are never recorded. 82% of the cases notified in Gozo originated from only 3 villages, namely Nadur, Ghajnsielem and Qala with decreasing order of incidence. The disease is equally distributed among sexes (50% in both males and females). It is primarily a disease of the young with 59% of cases being under 10 years of age when diagnosed.

1999-06-01T00:00:00Z https://www.um.edu.mt/library/oar/handle/123456789/21932 2017-09-26T01:33:03Z 1999-06-01T00:00:00Z

Title: Ramsay-Hunt syndrome and Cranial Polyneuropathy Abstract: Ramsay Hunt syndrome is the name given to the condition of facial palsy associated with herpes zoster oticus. This not uncommon entity presents the practitioner with a potentially treatable cause of facial nerve palsy. In the four case reports discussed below symptoms are diverse and include palsy of one to several cranial cranial nerves. Herpetic vesicles around the pinna are an important clue to the diagnosis of this condition. Prompt antiviral therapy has been shown to improve prognosis.

1999-06-01T00:00:00Z https://www.um.edu.mt/library/oar/handle/123456789/21916 2017-09-21T01:21:42Z 1999-06-01T00:00:00Z

Title: Equity in health care : a Maltese perspective Abstract: Health Services everywhere are known to absorb a large share of national resources and Government health policies are increasingly directed towards setting limits on the resources allocated to Health Services. Generally, the scale of health expenditure is determined by the management of the economy and by its performance. Improving access to deprived groups of society and improving the well being of the population are the underlying objectives justifying increased public expenditure. Determining who will receive health care under what circumstances has become a controversial function of health services that will be addressed further on. [t is also becoming increasingly evident that Health is the product of a number of factors, of which availability and consumption of health services is only one. [n fact there are no causal links between levels of health care expenditure and states of health. The assumption that medicine equals health and that more medicine equals better health has recently being strongly contested.

1999-06-01T00:00:00Z https://www.um.edu.mt/library/oar/handle/123456789/21915 2018-05-17T13:03:09Z 1999-06-01T00:00:00Z

Title: A manuscript of an eighteen century clinical history of the illness of a patient in Malta Abstract: I have often been asked by foreign medical colleagues interested in the medical history of Malta whether any physicians practising in the island in the 18th century have left us any manuscript clinical registers of the medical patients treated by them. I am not aware that such case files existed as no trace of such penned documents have come to light. The discovery, therefore, of a clinical history and post mortem examination recorded in manuscript by two Maltese physicians of the early 18th century deserves recognition. This documentation is, in fact, no less than the clinical history of the last illness of an eminent personage, i.e. Grand Master Marcantonio Zonadadari who, as head of the Order of St. John ruled over the Maltese Islands between 1720 and 1722. The document is written in Latin - the "scientific" language of the time - and bolstered up by an independent lay account in Italian (1).

1999-06-01T00:00:00Z