ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1985.tb119939.x

出版商:Wiley    

年代:1985

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1985.tb119940.x

出版商:Wiley    

年代:1985

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1985.tb119941.x

出版商:Wiley    

年代:1985

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1985.tb119943.x

出版商:Wiley    

年代:1985

数据来源: WILEY

摘要:

We report the management of the first 100 patients who presented with upper urinary tract calculi to The Devonshire Hospital Lithotripter Centre. Ninety‐two patients were treated by extra‐corporeal shock‐wave lithotripsy (ESWL) alone, four by percutaneous nephrolithotripsy (PCN) and two with staghorn calculi by combined ESWL and PCN. Ten patients had ureteric stones, and two of these required conventional open surgery. The average inpatient stay was 3.7 days. Half the patients required no analgesia after ESWL. Of the remainder, most were comfortable with oral analgesia. Almost all returned to normal activity within a few days of discharge. Complications were minimal and were managed by percutaneous or endoscopic techniques. These figures confirm the West German experience that ESWL is a safe and effective urological procedure and requires a skilled back‐up of percutaneous and ureteroscopic skills for optimal patient management. By means of these techniques, conventional open surgery is necessary for the treatment of fewer than 5% of cases of calculi in the upper urinary tract.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1985.tb119944.x

出版商:Wiley    

年代:1985

数据来源: WILEY

摘要:

A retrospective cohort study of mortality was conducted to assess whether the military service of young Australian men in Vietnam has influenced their overall death rates, or those from specific causes. The study was of all national servicemen who were conscripted during the conflict and served in the Army for at least 12 months. Of these, 19 205 served in Vietnam (veterans) while 25 677 served only in Australia (non‐veterans). These men were traced from the end of their national service (between 1966 and 1973) until the beginning of 1982.For most causes of death, the observed number of deaths of veterans and of non‐veterans was less than expected from Australian population death rates, and for no cause was there a statistically significant excess of deaths compared with that of the Australian population. Similarly, when veterans were compared with non‐veterans, there was no statistically significant difference in deaths for all causes combined, for diseases of the circulatory system, for deaths in motor vehicle accidents, for suicide and for all external causes after adjustment for the different subsequent death rates of men who had served in different Army corps. All seven deaths from diseases of the digestive system were of veterans. There was no excess of deaths among veterans from cancer or from atypical causes of death in this group of young men. Three‐quarters of deaths of both veterans and non‐veterans were from external causes, often involving motor vehicle accidents.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1985.tb119945.x

出版商:Wiley    

年代:1985

数据来源: WILEY

摘要:

The results of 23 228 finger‐prick capillary blood glucose tests (the taking of which was coordinated by the Diabetic Association of New South Wales) were reviewed. All non‐diabetic persons (n= 860) with a blood glucose result of greater than or equal to 8.0 mmol/L were surveyed and 459 responded (53.4%). The responders were typical of the surveyed group with respect to age and capillary blood glucose level. Sixty‐four new cases of diabetes were detected, representing 15.8% of the replies from persons who were not known to have diabetes and 0.28% of the total number of persons screened.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1985.tb119946.x

出版商:Wiley    

年代:1985

数据来源: WILEY

摘要:

To improve the quality of palliative care, we recommend the establishment, in larger hospitals, of regionalized units with medical directors. The current concept that the acute hospital is not appropriate for the admission of the terminally ill is rejected as is the need for the establishment of further free‐standing hospices.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1985.tb119947.x

出版商:Wiley    

年代:1985

数据来源: WILEY

摘要:

There is a large member of the cubomedusan family, which has not yet been formally identified, that is very similar toTamoya haplonema.It is present in Indo‐Pacific tropical waters but is also present in colder Australian waters. A case of severe envenomation in South Queensland is discussed and its clinical and histological features are described. Vinegar inactivates the undischarged nematocysts of this species and is recommended as the initial first‐aid treatment.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1985.tb119948.x

出版商:Wiley    

年代:1985

数据来源: WILEY

摘要:

A seroepidemiological study of 16 842 human sera, collected in 1981 and 1982 from all health regions of New South Wales, was carried out using the haemagglutination‐inhibition (HI) test and eight Australasian flaviviruses: Murray Valley encephalitis (MVE); Kunjin (KUN); Alfuy (ALF); Stratford (STR); Kokobera(KOK); Edge Hill (EH); Sepik (SEP); and Saumarez Reef (SRE). A limited survey was also carried out with two recently discovered flaviviruses, Gadgets Gully and CSIRO 946. Antibody prevalence rates were low on the coast and tablelands (around 2%‐8%), moderate on the western slopes (6%‐11%) and high on the western plains (26%‐42%). Some centres had higher prevalence rates, Bourke being the highest at 78%. The survey indicated that SEP and SRE viruses are unlikely to infect humans in New South Wales. Similarly, there was no evidence for Gadgets Cully and CSIRO 946 infection of humans. HI antibody prevalence rates were highest to STR, MVE, KUN and ALF in that order, these agents being closely related antigenetically. Reactions to KOK and EH occurred less frequently. Serological tests of greater specificity will be required to identify the flaviviruses that elicit these HI antibodies.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1985.tb119949.x

出版商:Wiley    

年代:1985

数据来源: WILEY