ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1993.tb141330.x

出版商:Wiley    

年代:1993

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1993.tb141331.x

出版商:Wiley    

年代:1993

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1993.tb141332.x

出版商:Wiley    

年代:1993

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1993.tb141333.x

出版商:Wiley    

年代:1993

数据来源: WILEY

摘要:

This Christmas issue of the Journal has been planned for holiday reading. We bring you the latest on tattoo removal (page 717), some news from Somalia that didn't get into the papers (page 739), the usual holiday hazards such as bicycle injuries (page 783) and melanoma (page 809), what may happen to you if your holiday accident occurs outside Australia (page 805), some really horrible tales (page 755et seq.), some of the things that doctors get up to in their spare time (page 802), reflections on dying (page 792et seq.), and our tributes to some great doctors who died this year. We wish you happy holidays and good reading.During 1993 we have been supported and assisted by an Editorial Advisory Panel representing all States and many disciplines, and by hundreds of referees who give their time and scholarship freely. Professor Geoffrey Berry continues to shoulder the responsibility for overseeing all the statistical reviewing — a monumental task. Our Guest Editors and authors Graham Brown, Nicholas Christophidis, Ken Cox, David Danks, Tom Mandel, Brian Mulhall, Julia Potter and Graeme Stewart have given us several excellent didactic series. To all these people, without whom we could not function, we say a heartfelt "thank you", acknowledging the debt owed them by us, our readers and Australian medicine.With the hope of peace in the Middle East to cheer us, and the appalling tragedies of Bosnia, Angola and the Indian earthquake to sober us, it is appropriate that we take time to examine our goals, the motivations that drive us, and the reasons for our "busyness" in this privileged country. No longer an outpost of Empire, no longer a European backwater, no longer an isolationist white Australia, our country has a pivotal role in the affairs of our region. With our multiculturalism and our material wealth we have much to contribute, in medicine as in other fields. The world needs the Christmas message of peace and goodwill as never before. Whatever your source of spiritual nourishment, we invite you to join us at this special season in resolving to make the message a reality.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1993.tb141334.x

出版商:Wiley    

年代:1993

数据来源: WILEY

摘要:

Acacias have had significant pharmacological, nutritive and toxicological associations with medicine since before recorded history, an interplay which continues to the present day. One of the most ubiquitous and loved symbols of Australia, and of Australian life and lore, indigenous wattles have also figured in the lives and memorials of medical practitioners. Some 20 indigenousAcaciaspecies bear the names of medical explorers and clinical pioneers. This article documents some of the medical and related uses ofAcaciaby European and Aboriginal Australians and the evolution from this of a colonial herbal pharmacopoeia. It also gives brief précis and illustrations of the medical practitioners whose lives and works are immortalised in Australian native species ofAcacia.(Med J Aust 1993; 159: 729‐738)

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1993.tb141335.x

出版商:Wiley    

年代:1993

数据来源: WILEY

摘要:

In December 1992 I was heading south for a Christmas holiday with friends and family when the Prime Minister announced that Australia was committing a large military contingent to the Joint Task Force in Somalia. Holiday plans instantly disappeared and over the next three weeks of briefings and preparation I learnt much about my new destination.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1993.tb141336.x

出版商:Wiley    

年代:1993

数据来源: WILEY

摘要:

ObjectiveTo trace the movement from psychosomatic medicine to consultation‐liaison psychiatry, the forces at work In shaping the change, and the extent to which the change is reflected in the latest revisions of theInternational classification of diseases(ICD‐10) and theDiagnostic and statistical manual of mental disorders, third revision (DSM‐III‐R).Data sources and selectionIdentification of important trends in the field was aided by discussions with fellow members of the panel of compilers of the consultation‐liaison psychiatry literature review expert list published bi‐annually inGeneral Hospital Psychiatry.The expert list is based on appropriate literature searches.Data synthesisPsychosomatic medicine continues as a science, studying the relationships between biological, psychological and social phenomena in health and disease. The main advocates of the clinical application of the concepts and findings of psychosomatic medicine are now the general hospital consultation–liaison psychiatrists and their allied health professional colleagues. The mainstreaming of psychiatry into medicine has accentuated the role of the consultation‐liaison psychiatrist. In attempting to translate the advances in the field into a new taxonomy, both ICD‐10 and DSM‐III‐R have created a new language that hinders understanding by a medical profession perhaps now less prone to resistance to holism.ConclusionsThere is a need for a valid taxonomy that addresses the most common form of psychiatric presentation in the community, that of physical/psychiatric co‐morbidity, and for outcome studies based on such a taxonomy. Consultation‐liaison psychiatrists need to educate their colleagues about the changes in concepts and terminology. (Med J Aust 1993; 159: 745‐749)

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1993.tb141337.x

出版商:Wiley    

年代:1993

数据来源: WILEY

摘要:

International drug couriers frequently seek to evade detection by concealing drugs within the body. "Swallowers" swallow packages which they hope to retrieve after travelling; "stuffers" insert packages into the rectum or vagina. The danger of these practices is that packages can leak or burst, leading to a potentially fatal drug overdose. One drug courier arrested in South Australia had swallowed 143 separate parcels of heroin and morphine. Detection of concealed drugs is by abdominal, rectal or vaginal examination, aided by radiological Investigation. Surgical removal may be required if swallowed packages burst or begin to leak. Doctors servicing prisons and airports need to be aware of how body packers can be detected and managed. (Med J Aust 1993; 159: 750‐754)

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1993.tb141338.x

出版商:Wiley    

年代:1993

数据来源: WILEY

摘要:

ObjectivesTo report a case of cerebral artery gas embolism (CAGE), following fine needle biopsy of the lung, and to discuss the pathophysiology and treatment.Clinical featuresA 65‐year‐old woman presented to an emergency department with the clinical features of a right thromboembolic stroke following a fine needle biopsy of the lung.Interventions and outcomeComputed tomography (CT) was performed after an unexpected deterioration in the woman's condition. The CT demonstrated the presence of intracranial translucencies consistent with CAGE. Hyperbaric oxygen therapy was initiated but, despite two courses, the woman's condition continued to deteriorate and she died two days later.ConclusionCAGE is a known but little appreciated complication of fine needle biopsy of the lung, and may be clinically indistinguishable from thromboembolic strokes. Successful treatment is dependent on early recognition and application of hyperbaric oxygen therapy, which appears to protect against injury and reverse many of the pathological changes associated with CAGE. The increasing popularity of fine needle biopsy of the lung as an outpatient procedure is likely to result in further presentations with CAGE to emergency departments. (Med J Aust 1993; 159: 755‐757)

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1993.tb141339.x

出版商:Wiley    

年代:1993

数据来源: WILEY