ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1987.tb133344.x

出版商:Wiley    

年代:1987

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1987.tb133345.x

出版商:Wiley    

年代:1987

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1987.tb133346.x

出版商:Wiley    

年代:1987

数据来源: WILEY

摘要:

The rate of suicide of 15‐ to 19‐year‐old Australian boys appears to have doubled since 1965. Some of this rise might be due to a trend by coroners to reach a verdict of suicide more frequently than previously. One in seven deaths of teenage boys is now termed suicide. Hospital admissions of boys and girls in Western Australia for attempted suicide doubled in the past decade. These figures indicate that suicidal behaviour among the young constitutes a serious problem for health and welfare services.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1987.tb133347.x

出版商:Wiley    

年代:1987

数据来源: WILEY

摘要:

The Australian Mesothelioma Surveillance Program was planned in 1977 in order to improve diagnostic criteria, to monitor the incidence of the disease, to develop methods of counting lung fibres, and to explore occupational and other associations of mesothelioma. This paper presents a preliminary analysis of data that were collected between January 1,1980 and December 31, 1985 on the pathological findings and the work and environmental history of 858 cases of mesothelioma. The annual incidence rate of mesothelioma in Australia was 15 per million population who were aged 20 years and over. This is more than the incidence rate of mesothelioma in any other country for which data are available. However, uncertainty over diagnostic criteria and the degree of ascertainment of cases places doubt on the validity of such comparisons. In 69% of cases, a history of work with or other exposure to asbestos was obtained. Due to the long interval between the first exposure to asbestos and the provisional diagnosis of a mesothelioma (up to 60 years), more than three‐quarters of the 456 exposed cases first contacted asbestos in the years of its heavy use between 1930 and 1959. This article analyses cases by the industry and the occupation in which exposure to asbestos first occurred.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1987.tb133348.x

出版商:Wiley    

年代:1987

数据来源: WILEY

摘要:

Fifty‐two patients, who were not considered to be suitable for traditional therapy, were evaluated on their admission (53 admissions) to the Slow Stream Rehabilitation Unit at Greenwich Hospital, and on and after their discharge from hospital, with a minimum follow‐up period after discharge from hospital of 13 months. Mobility and the capacity to perform basic self‐care activities were assessed by means of a set protocoi while traditional rehabilitation therapies were employed. Of the 53 admissions to hospital, there were eight inpatient deaths and 45 discharges from the Unit: 19 discharges to home and 26 discharges to institutional care. This represents a considerable improvement over the initial assessment that all patients would need nursing home accommodation or prolonged hospitalization. At the second follow‐up examination, seven of the 19 patients who were discharged home originally, still resided at home. There were 15 patients in nursing care while 23 patients had died. Most patients had maintained their discharge levels of mobility and self‐care, unless a further disability had supervened. The majority of carers and patients expressed gratitude for the opportunity that the patients had had to undergo therapy, with the possibility of an eventual return to their own homes, rather than to have proceeded directly to a nursing home.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1987.tb133349.x

出版商:Wiley    

年代:1987

数据来源: WILEY

摘要:

We report the findings of a two‐year survey of faecal specimens for the protozoal pathogen,Cryptosporidium.Of the 2248 patients who were tested, 55 (2.5%) patients were found to have cryptosporidial infection. Transmission of the parasite appeared mainly to occur from person to person. In immunocompetent patients it caused an acute and sometimes severe gastroenteritis. Immunoincompetent patients experienced a variable illness that ranged from asymptomatic carriage to severe diarrhoea, causing malabsorption and ultimately death.Cryptosporidiumis an important cause of gastroenteritis and may be the presenting feature of the acquired immunodeficiency syndrome. Therefore, it is pertinent to screen for this pathogen in all patients with acute diarrhoea.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1987.tb133350.x

出版商:Wiley    

年代:1987

数据来源: WILEY

摘要:

Sensorineural hearing loss was detected in nine (33%) of 27 patients with beta‐thalassaemia major. All were receiving regular hypertransfusion and nightly subcutaneous infusions of desferrioxamine. A retrospective analysis of these patients was undertaken to determine the risk factors for the development of deafness. No statistically significant differences were found between the affected and unaffected groups with respect to age, ferritin levels or lengths of time that they had received desferrioxamine, but the trends were similar to those reported by other authors. However, the desferrioxamine dosage was similar in both our groups (less than 60 mglkg a day), and lower in the affected group than other authors have reported. Two patients experienced some resolution of their deafness when their dosage of desferrioxamine was lowered. These results suggest that the ototoxic effect of desferrioxamine is dose‐related and can occur at relatively low doses of the drug.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1987.tb133351.x

出版商:Wiley    

年代:1987

数据来源: WILEY

摘要:

The pregnant drug dependent woman must often indulge in robbery, forgery, the sale of drugs and prostitution. Since most of her day is engulfed between the two activities of either obtaining the drugs or being overcome by drugs she spends most of her time unable to function in the usual activities of daily living.1

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1987.tb133352.x

出版商:Wiley    

年代:1987

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1987.tb133353.x

出版商:Wiley    

年代:1987

数据来源: WILEY