ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1984.tb132747.x

出版商:Wiley    

年代:1984

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1984.tb132748.x

出版商:Wiley    

年代:1984

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1984.tb132749.x

出版商:Wiley    

年代:1984

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1984.tb132750.x

出版商:Wiley    

年代:1984

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1984.tb132751.x

出版商:Wiley    

年代:1984

数据来源: WILEY

摘要:

Many chronic carriers of hepatitis B virus acquire the infection from their mothers at birth; the risk is greatest if the mother either has acute hepatitis B or is a hepatitis Be antigen (HBeAg)‐positive HBsAg carrier, but there is some risk also to the infants of mothers who do not carry HBeAg. At The Royal Women's Hospital, Melbourne, nearly 2% of women attending antenatal clinics are found to be carriers and, without immunization, approximately five infants per 1000 infants delivered (up to 15 infants annually) would also become carriers. Vertical transmission of hepatitis B can be prevented by a combination of passive and active immunization if infants at risk can be identified at or before birth. Routine screening for hepatitis B surface antigen in pregnant women is recommended, at least in institutions in which the patient population includes a high proportion of migrants, in whom the prevalence of hepatitis B carriage is relatively high.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1984.tb132752.x

出版商:Wiley    

年代:1984

数据来源: WILEY

摘要:

During an outbreak ofSalmonella typhimuriumfood poisoning in September 1983, in Sydney, 10 affected subjects were admitted to the same hospital. On admission to hospital, all patients were severely dehydrated; two patients developed acute tubular necrosis, while a third patient had myopericarditis. Bacteraemia was confirmed in two patients, in one of whom no organisms were isolated from stool cultures. Antibiotic agents were administered to all patients, because of the unusually severe nature of the infection. This outbreak illustrates that salmonella gastroenteritis, although usually fairly mild and self‐limiting, can be a virulent disease resulting in serious complications. Appropriate management should include careful initial assessment of suspected cases, vigorous correction of fluid and electrolyte disturbances, and judicious use of antibiotic agents when bacteraemia or severe toxaemic features are present.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1984.tb132753.x

出版商:Wiley    

年代:1984

数据来源: WILEY

摘要:

The majority of patients with anorexia nervosa regain a normal body weight after appropriate treatment, but the relapse rate is high, and the long‐term outcome remains uncertain. The present study attempted to trace 49 patients (47 female, 2 male) with primary anorexia nervosa, all of whom had been managed by refeeding and supportive psychotherapy. The patients were contacted on two occasions. At the 22‐month follow‐up, 46 (94%) of the patients responded to a questionnaire. At the 102‐month follow‐up, 34 (69%) were Interviewed by telephone. The outcome was reported as "good" by 18 patients (37%), as "Intermediate" by 9 patients (18%); It was "poor" in 5 patients (10%), Including one who had killed herself. No Information was available for 16 patients (33%) who either could not be contacted or refused to cooperate. One patient had died by accident.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1984.tb132754.x

出版商:Wiley    

年代:1984

数据来源: WILEY

摘要:

To assess the standard of training in postgraduate sigrnoidoscopy in Melbourne, a questionnaire was prepared and distributed to resident medical officers (RMOs) in three teaching hospitals. The survey showed that practical instruction in technique is inadequate, and that most individuals perform too few sigmoidoscopies to become competent at either examining or recognizing lesions. A substantial number of RMOs had never seen common and important lesions such as polyps or colorectal cancer. Most RMOs considered their training to be poor and stated that they lacked confidence in their ability to perform sigmoidoscopy. The current training programme needs detailed reassessment and improvement.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1984.tb132755.x

出版商:Wiley    

年代:1984

数据来源: WILEY

摘要:

From 1977 to 1982, 108 infants weighing less than 1000 g at birth were examined in a nursery for premature babies for evidence of retinopathy of prematurity (ROP). Of these 108 infants, 88 were subjected to follow‐up examinations for periods of 10 months to six years. ROP had been observed in 53% (47/88) of these children; it had been severe in 31% (27/88). Subsequently, 19% (17/88) of these children developed retrolental fibroplasia (RLF); all of these had had severe ROP, except one, in whom it is presumed to have been missed. The RLF was severe in only one eye of one child. Each of these infants had received only 25 mg of vitamin E by mouth. The writers consider that the case for the administration of large doses of vitamin E in the prevention of RLF is still not proven and conclude that, if vitamin E does have a protective effect, then a dose of 25 mg is sufficient.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1984.tb132756.x

出版商:Wiley    

年代:1984

数据来源: WILEY