ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1985.tb119902.x

出版商:Wiley    

年代:1985

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1985.tb119903.x

出版商:Wiley    

年代:1985

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1985.tb119904.x

出版商:Wiley    

年代:1985

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1985.tb119905.x

出版商:Wiley    

年代:1985

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1985.tb119906.x

出版商:Wiley    

年代:1985

数据来源: WILEY

摘要:

Over a 22‐month period, all 5075 faecal specimens received by the microbiology laboratory of the Mater Misericordiae Public Hospital, Brisbane, were screened for the presence ofYersinia enterocoliticaby culturing on cefsulodin‐irgasan‐novobiocin agar medium.Y. enterocoliticawas isolated from 37 patients (0.7% of all specimens). Ten patients were 10 years of age or older, and presented predominantly with pain in the abdomen; of these, five underwent an appendicectomy. Mesenteric adenitis was diagnosed histologically in three patients andY. enterocoliticawas isolated from a lymph‐node biopsy specimen in one of these. The other 27 patients were under 5 years of age, and presented predominantly with diarrhoea of 24 hours' to six weeks' duration. In seven cases, another recognized faecal pathogen was also isolated. The isolation rate ofY. enterocoliticawas one‐quarter that ofSalmonellaand seven times that ofShigella.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1985.tb119907.x

出版商:Wiley    

年代:1985

数据来源: WILEY

摘要:

The role ofYersinia enterocoliticaas a human pathogen has been documented in publications from over 30 countries, andY. enterocoliticahas been recognized increasingly to cause gastrointestinal disease in children. In 1979, an Australian survey yielded only three isolates ofY. enterocoliticafrom 3298 faecal specimens obtained from adults. We screened all stool specimens received during a 22‐month period for Yersinia by means of a recently developed selective agar medium.Y. enterocoliticawas isolated from 32 of 4136 (0.7%) specimens. Most isolates were of serotype 0:3, biotype 4. During the study, 154 Salmonella spp. (3.7%), 196Campylobacterspp. (47%), sevenShigellaspp. (0.2%) and 27 Aeromonas spp. (0.9% of 2779) were recovered. Children infected withY. enterocoliticapresented with acute diarrhoea associated with fever and pharyngitis; chronic or recurrent diarrhoea; or pain in the right iliac fossa associated with mesenteric adenitis. Gastrointestinal symptoms usually resolved spontaneously within two weeks, however, some children were treated successfully with cotrimoxazole.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1985.tb119908.x

出版商:Wiley    

年代:1985

数据来源: WILEY

摘要:

In 1981, questionnaires seeking information about the teaching of medicine in general, and rheumatology in particular, were sent to random samples of undergraduates in Australian medical schools and trainees in the Family Medicine Programme (FMP) of the Royal Australian College of General Practitioners. Neurology rated most highly, with the majority of undergraduates considering it to be well taught and interesting; by contrast, rheumatology was perceived as being badly taught and lacking in interest. Many graduates had never attended rheumatology outpatient clinics either as undergraduates (45%) or as FMP trainees (68%). Only 40% of the graduates had ever been attached to a rheumatology inpatient service, and fewer than 50% had received any teaching about the role of physiotherapists or occupational therapists in the management of patients with arthritis.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1985.tb119909.x

出版商:Wiley    

年代:1985

数据来源: WILEY

摘要:

The prevalence of past infection with hepatitis B virus in health care personnel was investigated by questionnaire and by a serological survey of personnel in a representative selection of Victorian hospitals and institutions. According to the available data, hepatitis B does not appear to have been a major infection problem among health care personnel in Victoria. The only occupational group that clearly is at an increased risk of acquiring the infection is the dental profession. Nursing staff members in institutions for the mentally retarded may also be at a higher risk. The findings of this investigation were used as a basis to frame recommendations for the vaccination of health care workers in Victoria against hepatitis B.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1985.tb119910.x

出版商:Wiley    

年代:1985

数据来源: WILEY

摘要:

A cohort of over 600 children who were born between 1979 and 1982 and accounted for the great majority of all births in Port Pirie, South Australia, and its immediate environs, underwent capillary blood sampling at the ages of 6 months, 15 months, 2 years, and annually thereafter. The mean blood lead concentration (Pb‐B) initially rose markedly, peaked at 2 years of age, and subsequently declined gradually at 3 and 4 years of age. No differences in Pb‐B were observed between girls and boys. Secular trends in Pb‐B at the age of 2 years that were observed in blood samples taken over the 1981‐1984 period suggest that both the drought of 1982 and changes in community behaviour may have accounted for some of the age‐related variation. The Pb‐B was associated positively with surface soil lead concentrations, with a two‐fold variation in mean Pb‐B between residential zones within Port Pirie. Pb‐B was higher in summer than in winter months at the ages of 6 and 15 months, but not at older ages. These findings suggest that lead in dust influences strongly blood lead concentrations in early childhood.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1985.tb119911.x

出版商:Wiley    

年代:1985

数据来源: WILEY