ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1994.tb138189.x

出版商:Wiley    

年代:1994

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1994.tb138190.x

出版商:Wiley    

年代:1994

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1994.tb138191.x

出版商:Wiley    

年代:1994

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1994.tb138192.x

出版商:Wiley    

年代:1994

数据来源: WILEY

摘要:

ObjectiveTo find out what difficulties general practitioners (GPs) experience with diagnosing and managing dementia.DesignPostal questionnaire to a random stratified sample of one in seven active Australian GPs (2182 of 14932).Results1473 GPs (67.5%) responded to the questionnaire. The results indicated reasonable knowledge about diagnostic features of dementia and good insight into common issues facing family carers. Even so, GPs had difficulties with diagnosis and management of dementia and wanted assessment protocols and educational programs. A minority of GPs regularly screened elderly patients for cognitive impairment but the majority relied on passive means of diagnosing dementia. Although generally positive about Aged Care Assessment Teams (ACATs) and Aged Care Community Services (ACCS), GPs expressed some concerns about these services.ConclusionsRecommendations arising from the survey were: development of an assessment protocol and a screening instrument, regular cognitive check‐ups for patients over 75 years, educational programs, improved coordination with Aged Care Assessment Teams and Community Services, inventories and registers of local community services and residential facilities, and appropriate Medicare rebates.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1994.tb138193.x

出版商:Wiley    

年代:1994

数据来源: WILEY

摘要:

ObjectiveTo determine whether commonly used medications increase the risk of falling In elderly Australians living In nursing homes.DesignCas.‐control study.SettingA 104‐bed nursing home in western Sydney during 1990‐1991.SubjectsThe cases comprised 71 people who had at least one fall during the 12‐month study period; 55 People with no falls over the same period served as the control group. The mean age of subjects was 82 years.MeasuresData Included medication use In the 24 hours prior to a fall, and assessments of ambulatory status, and galt and balance problems. All data were abstracted from medical records.ResultsAfter adjusting for potential confounders (age, sex, health status, depression, dementia, incontinence, ambulatory status, gait and balance problems, length of stay and use of other medications), the use of antipsychotics was found to be an Important risk factor for falls (odds ratio 4.4, 95% confidence interval 1.2‐16.5).ConclusionsOur results support the conclusion that antipsychotic medications Increase the risk of falls among elderly Australians living in nursing homes. Health professionals should minimise the use of these medications.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1994.tb138194.x

出版商:Wiley    

年代:1994

数据来源: WILEY

摘要:

ObjectiveTo assess the attitudes and practices of general practitioners (GPs) In New South Wales in regard to intrauterine device (IUD) use.DesignRandomised group comparison of 100 rural and 100 urban GPs by questionnaire.SubjectsSixty‐five rural and 66 urban general practitioners took part In the study.ResultsAlmost 50% of GPs who responded to the questionnaire always discussed the IUD when counselling about contraception, whereas 6% never discussed IUDs. Rural GPs were more likely to discuss IUD use than urban GPs.In the past, 68.7% of GPs had Inserted IUDs but only 20.6% still Inserted them. Fifty per cent of GPs who did not currently insert IUDs felt they lacked expertise due to less demand for IUDs from women or inadequate training.ConclusionPrevailing community attitudes towards intrauterine devices have resulted in fewer requests to general practitioners for IUDs, resulting in a lack of expertise in IUD insertion. Increased litigation associated with IUD use, and subsequent publicity, has increased the cost of medical indemnity insurance. All these factors have contributed to fewer GPs being prepared to insert IUDs. Australian women are being deprived of balanced information about the benefits and risks of IUD use and of the possibility of using this very effective, low‐cost, low‐maintenance method of contraception.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1994.tb138195.x

出版商:Wiley    

年代:1994

数据来源: WILEY

摘要:

Dengue haemorrhagic fever is a recent and more serious variant of dengue infection, causing significant mortality in children under 14 years of age in South‐East Asia and the Western Pacific regions. Successful treatment depends on early recognition of the disease and careful monitoring of the development of shock. Japanese B encephalitis has a case fatality rate of 10%‐30% in these regions, but may be controlled by vaccination.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1994.tb138196.x

出版商:Wiley    

年代:1994

数据来源: WILEY

摘要:

Abrief discussion of several arboviruses is presented in the Australian context.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1994.tb138197.x

出版商:Wiley    

年代:1994

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1994.tb138198.x

出版商:Wiley    

年代:1994

数据来源: WILEY