ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1994.tb126544.x

出版商:Wiley    

年代:1994

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1994.tb126545.x

出版商:Wiley    

年代:1994

数据来源: WILEY

摘要:

And this [he said] is the reason why the cure of many diseases is unknown to the physicians of Hellas, because they disregard the whole, which ought to be studied also, for the part can never be well unless the whole is well.1The various organs, the diseases of which are subdivided for treatment, are not isolated, but complex parts of a complex whole, and every day's experience brings home the truth of the saying, “when one member suffers all the members suffer with it”.2

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1994.tb126546.x

出版商:Wiley    

年代:1994

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1994.tb126547.x

出版商:Wiley    

年代:1994

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1994.tb126548.x

出版商:Wiley    

年代:1994

数据来源: WILEY

摘要:

ObjectiveTo present my experience using the modified Chow two‐portal technique of endoscopic carpal tunnel release.PatientsTwo hundred and fifteen patients with a clinical diagnosis of carpal tunnel syndrome of more than three months’ duration, unresponsive to conservative treatment. Only those few with the specific contraindications of recurrence, a florid flexor tenosynovitis or an acute crush injury were excluded.InterventionThe operation used the modified Chow two‐portal endoscopic method of carpal tunnel release. The original Chow method was used in another 15 patients.Main outcome measureSymptomatic relief of pain and paraesthesia.ResultsMost patients made a rapid and dramatic recovery, with an early return to work, when compared with both my and patients’ previous experience of open carpal tunnel release. Complications were few — two cases of mild reflex sympathetic dystrophy, two of unrelieved symptoms, and no permanent nerve or tendon injury.ConclusionThe modified Chow two‐portal technique of endoscopic release of the carpal tunnel is effective, with a rapid recovery and few complications — provided that It is done by a surgeon experienced in this method.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1994.tb126549.x

出版商:Wiley    

年代:1994

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1994.tb126550.x

出版商:Wiley    

年代:1994

数据来源: WILEY

摘要:

ObjectiveTo describe the current use, effectiveness and safety of Bier's block within Australian emergency departments.DesignA review of clinical practice based on an opinion survey of directors of emergency departments.ParticipantsDirectors of 120 private and public hospital emergency departments.ResultsA response rate of 97% was achieved. Bier's block was used in 67% of Australian emergency departments. Emergency department medical staff performed the procedure in 83% of these hospitals. It was estimated that 7500 emergency department Bier's blocks were performed each year. Ninety‐six per cent of respondents found Bier's block to produce adequate regional anaesthesia. Reported complications or adverse reactions were extremely rare. A wide variation in procedural approach was evident.ConclusionsBier's block is a popular, reliable and relatively safe anaesthetic technique for use in emergency departments. Increased surveillance of local anaesthetic morbidity associated with the technique, as well as a standardisation of the procedure in the emergency department setting, are required.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1994.tb126551.x

出版商:Wiley    

年代:1994

数据来源: WILEY

摘要:

ObjectiveTo determine the trends in youth suicide in Victoria and Australia as a whole, and their relation to youth unemployment.DesignWe used Australian Bureau of Statistics data to analyse suicide trends between 1907 and 1990 in young people aged 15‐24 years and made an in‐depth study of youth suicides between 1980 and 1990, for which computerised data are available.ResultsThere has been a steady increase in youth suicide both in Victoria and Australia as a whole since 1960 in males but not females. There were significant differences in age, sex and area of residence in both the rate and the method of suicide. The increase in youth suicide was not associated with the rise in unemployment. Male (not female) suicide rates were higher in non‐metropolitan areas and areas of high youth unemployment. The reasons for the increase in youth suicide remain obscure.ConclusionsThere is a need for a prospective in‐depth study to determine factors in the aetiology of youth suicide, with particular reference to possible areas for prevention.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1994.tb126552.x

出版商:Wiley    

年代:1994

数据来源: WILEY

摘要:

Objectives(i) To determine the prevalence of multiple sclerosis (MS) in New South Wales and South Australia; (ii) to compare these prevalences with those in other areas of Australia and to determine the relationship between prevalence and latitude; (iii) to examine the relative contribution of genetic and environmental factors in the aetiology of the disease in Australia; and (iv) to ascertain whether there had been a change in the frequency of the disease since 1961.ResultsThe crude prevalence of MS in New South Wales on prevalence day (National Census Day, 30 June 1981) was 37.2/100000 and the age‐standardised prevalence 36.6/100000. The female:male ratio was 2.3:1. The crude prevalence in South Australia was 29.4/100 000 and the age‐standardised prevalence 28.8/100000. The female:male ratio was 2.4:1. No Aborigines or Torres Strait Islanders with MS were identified. There was a significant increase in the prevalence with increasing south latitude in Australia, MS being about seven times more frequent in Hobart than in tropical Queensland, but no genetic differences were found in the surveyed population in different parts of Australia. A significant increase in the prevalence of MS occurred in most areas of Australia between 1961 and 1981, but this may not reflect a true increase in incidence.ConclusionThe increasing prevalence with increasing south latitude cannot readily be explained by genetic susceptibility, and suggests that environmental factors are important for expression of the disease.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1994.tb126553.x

出版商:Wiley    

年代:1994

数据来源: WILEY