ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1988.tb120502.x

出版商:Wiley    

年代:1988

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1988.tb120503.x

出版商:Wiley    

年代:1988

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1988.tb120504.x

出版商:Wiley    

年代:1988

数据来源: WILEY

摘要:

Preliminary results from 2723 examinations to June 30,1987, at the first two installations that are participating in a broadly‐based prospective trial of the utilization and diagnostic value of magnetic resonance imaging are presented. Compliance by the investigators with the trial protocol was excellent. The head (60% of cases) and spine (31% of cases) were the most common regions that were examined, and such examinations were completed mostly in one hour. Active, mobile outpatients were predominant among those who were examined. Further reports will be directed to particular disease groups, cost studies and patient outcomes.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1988.tb120505.x

出版商:Wiley    

年代:1988

数据来源: WILEY

摘要:

Parkinson's disease is a relatively‐common and disabling neurological condition. The aim of this study was to gather clinical and sociodemographic data on a sample of patients with Parkinson's disease in Tasmania, and to determine the impact of the disease on the patients. Sixty patients were studied. The median age of the sample was 71 years, and the median duration of Parkinson's disease was six years. About two‐thirds of the patients experienced difficulty with simple everyday activities, such as dressing and getting out of a chair. Disability was related significantly to the duration of the disease. The number of antiparkinsonian drugs that were prescribed increased in proportion with the duration of the disease and the disability of the patient. Parkinson's disease was responsible apparently for 40% of the patients retiring from employment early; 32% of patients who had been drivers had lost their driver's licence because of the disease. Although the condition affects motor function progressively, few patients received physiotherapy as part of their management.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1988.tb120506.x

出版商:Wiley    

年代:1988

数据来源: WILEY

摘要:

This article describes the development of a computer‐based system for the prospective collection of data for surgical audit and peer review with the generation of a surgical discharge letter. The software has been developed for an IBM personal computer and is suitable for any compatible computer. The system has potential advantages for teaching hospitals as it enables patients to obtain a definitive discharge letter on their discharge from hospital. It is also of potential benefit to surgeons who wish to collect clinical data and to audit the quality of their surgical practice.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1988.tb120507.x

出版商:Wiley    

年代:1988

数据来源: WILEY

摘要:

In a consecutive series of 100 neck explorations for primary hyperparathyroidism, 42 patients were 60 years of age or older; in this group of elderly patients the surgical cure rate was 100%. These patients were reviewed retrospectively by means of a structured interview. Twenty‐one patients had had preoperative neuromuscular symptoms that ranged from coma to subjective muscular weakness. These patients had significantly‐ higher preoperative serum calcium and parathyroid hormone levels than did 21 patients without neuromuscular symptoms (P=0.003 andP =0.046, respectively). Most of the neuromuscular symptoms improved in the postoperative period. In particular, 15 of 17 patients with muscle weakness reported a significant improvement, while 14 of 15 patients who suffered from fatigue and lethargy reported an improvement. An improvement also occurred in the level of day‐to‐day function in eight patients. While surgery for primary hyperparathyroidism generally is undertaken for a specific indication, such as severe hypercalcaemia or renal stones, it appears from this study that neuromuscular symptoms also may improve, particularly in elderly patients.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1988.tb120508.x

出版商:Wiley    

年代:1988

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1988.tb120509.x

出版商:Wiley    

年代:1988

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1988.tb120510.x

出版商:Wiley    

年代:1988

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1988.tb120511.x

出版商:Wiley    

年代:1988

数据来源: WILEY