ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1987.tb120189.x

出版商:Wiley    

年代:1987

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1987.tb120190.x

出版商:Wiley    

年代:1987

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1987.tb120191.x

出版商:Wiley    

年代:1987

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1987.tb120192.x

出版商:Wiley    

年代:1987

数据来源: WILEY

摘要:

The perinatal mortality of 613 children who were born to women with diabetes mellitus who attended the Diabetic Clinic of The Royal Women's Hospital between 1970 and 1985 was 4.5%. In 399 children who were born to mothers with pre‐existing diabetes (95% of whom were insulin‐dependent) the over‐all perinatal mortality was 7.5%. In successive five‐year periods, perinatal mortality in this group declined from 12.2% to 3.9% (1981‐1985). In 214 children who were born to mothers with gestational diabetes, the perinatal loss was 1.4%. Between 1970 and 1985, the fetal loss that was attributed to poor control of diabetes declined; however, the prevalence of congenital abnormalities remained unchanged and these were the major cause of fetal loss in 1981–1985. Other high‐risk categories that were identified included obstetric complications, particularly that of preeclampsia. Neonatal complications had little effect on the eventual outcome, but respiratory distress, macrosomia, hypoglycaemia, jaundice, polycythaemia, hypocalcaemia and hypomagnesaemia were documented frequently and required specialized assessment. The causes of the improvement in the outcome of pregnancy in women with pre‐existing diabetes appear to be multifactorial and due to team management in a specialized unit. A reduction in the increased prevalence of major congenital abnormalities is the major challenge for the future.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1987.tb120193.x

出版商:Wiley    

年代:1987

数据来源: WILEY

摘要:

The responses of general practitioner preceptors to a questionnaire on issues that were related to undergraduate medical education in general practice were examined. Principal component analyses were carried out on the data to identify core components of active general practice that are important to undergraduate teaching. Three clear components were identified: a management component, a patient component, and a community component. These three components confirm that there are content areas that are common to the experience of education in general practice.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1987.tb120194.x

出版商:Wiley    

年代:1987

数据来源: WILEY

摘要:

Skiing is one of the most popular winter sports for adults and children in Australia. While much is known about the epidemiology of skiing trauma in adults, little has been written about the patterns of skiing injury in children in Australia. During the 1984 ski season, the injuries and risk factors of 149 children were compared with those of 1093 adults who were injured over the same period. Although Australian children were found to be possibly less prone to injury than were adults, they did sustain more serious injuries, in particular, fractures of the tibia. The significantly different associated risk factors that are thought to be responsible were the greater number of children who were injured in collisions and ski‐lift accidents, and inadequate bindings on their skis. Such shortcomings are correctable; children require better boot‐bindings and greater supervision on the ski‐slopes.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1987.tb120195.x

出版商:Wiley    

年代:1987

数据来源: WILEY

摘要:

Low‐dose bromocriptine therapy and low‐dose levodopa‐carbidopa therapy are being compared in a double‐blind study over a five‐year period as treatment for newly‐diagnosed patients with Parkinson's disease. Ninety‐four patients had entered the study by January 1986 and of these, 50 had been followed for six months or more. Preliminary results confirm that many patients with Parkinson's disease can be managed satisfactorily in the early stages of the disease with low‐dose therapy. Three patients, all of whom were receiving levodopa‐carbidopa therapy, developed dyskinesia. Twelve patients who had received bromocriptine had an inadequate response or developed confusion or postural hypotension. Of these patients, six had a poor response to subsequent levodopa‐carbidopa therapy. While the initial improvement that results from low‐dose bromocriptine therapy and low‐dose levodopa‐carbidopa therapy is less than one would expect with conventional doses of these agents, it is hoped that this approach will reduce the incidence of long‐term side‐effects such as dyskinesia and fluctuations.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1987.tb120196.x

出版商:Wiley    

年代:1987

数据来源: WILEY

摘要:

A postal survey of a random sample of 1200 persons who lived in the Hunter Region of New South Wales was undertaken in order to determine their experiences of blood pressure measurement and treatment for hypertension. The corrected response rate was 89%. Ninety per cent of the 962 respondents had visited a doctor in the previous year and 69% of them reported a blood pressure measurement at their last visit. Eighty‐nine per cent of the 962 respondents reported that they had undergone a blood pressure measurement in the past three years. Although 79% of the respondents reported a blood pressure measurement in the past year, only 59% of men who were aged 45 years or less had experienced such a measurement during that period. Women were more likely than were men to have had their blood pressure measured and to report a knowledge of and treatment for hypertension. As these findings suggest that a large proportion of the population has experienced a blood pressure measurement in the past three years, it appears that most of the hypertension in the community has already been detected. The value of blood pressure screening is questioned, although it would appear that a need remains for an improvement in the detection of hypertension in men under 45 years of age. The prevalence of hypertension in the community remains high in spite of the degree of attention that is paid to it by the medical profession. It is imperative to explore the possibilities for the primary prevention of hypertension.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1987.tb120197.x

出版商:Wiley    

年代:1987

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1987.tb120198.x

出版商:Wiley    

年代:1987

数据来源: WILEY