ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1985.tb113359.x

出版商:Wiley    

年代:1985

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1985.tb113360.x

出版商:Wiley    

年代:1985

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1985.tb113361.x

出版商:Wiley    

年代:1985

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1985.tb113362.x

出版商:Wiley    

年代:1985

数据来源: WILEY

摘要:

To assess the adequacy of therapy in asthma, 46 children with asthma attending a summer camp were asked to complete a questionnaire about their symptoms and the treatment that they had received. Each child's height, weight, forced expiratory volume in one second (FEV1) and forced vital capacity (FVC) were measured. According to defined criteria of symptom severity the children were categorized as suffering from severe (48%) or mild (52%) asthma. The mean FEV1/FVC ratio (P<0.05) and the mean FEV1were lower (P<0.02) in the children with severe asthma compared with those with mild asthma. In the group with severe asthma, 68% of the children were considered to be receiving suboptimal therapy; 45% had never had their FEV1or FVC measured. Among those who were receiving suboptimal therapy, 40% had measurable airflow obstruction compared with 17% of children with mild asthma. Because poor management of asthma remains common in children, the need to make doctors and parents aware of the fact that suboptimal therapy may contribute significantly to the morbidity of the condition is emphasized.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1985.tb113363.x

出版商:Wiley    

年代:1985

数据来源: WILEY

摘要:

A one‐year prospective survey of serious hypoglycaemia has been carried out in the Wollongong area. Of insulin‐treated patients attending the diabetes clinic, 3.5% had a hypoglycemic attack of sufficient severity to be referred to hospital. A further 1% received treatment for attacks of hypoglycaemia at home. It is considered that nearly two‐thirds of the attacks of hypoglycaemia may have been preventable. Further reductions may be achieved by the better education of patients about their disease.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1985.tb113364.x

出版商:Wiley    

年代:1985

数据来源: WILEY

摘要:

Fifty patients with advanced alcoholism and physical disease were investigated in a paired control study to determine some social indices particular to subjects with their condition. Also assessed was the usefulness of confrontation as a counselling procedure and whether patients with alcoholism in this study accepted referral to, or derived benefit from an outside agency specializing in the rehabilitation of subjects with alcoholism. Social indices which differed significantly between the experimental group and the control group were the number of siblings, marital history, the types of accommodation and a subjective estimate of pleasure derived from life. Indices which did not differ included country of origin, broken home, education, number of children and income. Confrontational counselling and attempts at referral seemed ineffective. It is suggested that the low success rate in the treatment of patients with alcoholism in this study may have been due to the selection of subjects with advanced alcohol‐related physical diseases.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1985.tb113365.x

出版商:Wiley    

年代:1985

数据来源: WILEY

摘要:

Biopsy of the developing placenta before the thirteenth gestational week was performed by transcervical cannula aspiration guided by real‐time ultrasound in 21 consecutive patients. Chorionic villi were obtained in 20 patients and chromosomal analysis was possible in 19. One significant complication occurred: perforation of one gestational sac in the only patient in the series with a twin pregnancy. More studies are required in order to provide an adequate assessment of the risk – of fetal loss, culture failure and trophoblastic chromosomal abnormalities not representative of the mature fetus — associated with the technique. In practised hands, the procedure may provide a preferable and safe alternative to amniocentesis and fetoscopy for the prenatal diagnosis of genetic defects.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1985.tb113366.x

出版商:Wiley    

年代:1985

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1985.tb113367.x

出版商:Wiley    

年代:1985

数据来源: WILEY

摘要:

The number of cigarette and tobacco advertisements in the major Western Australian newspapers was counted for the six‐month period June to November in the years 1981 and 1983. The latter period covered the introduction of the Western Australian Government's Tobacco (Promotion and Sales) Bill 1983 and the debate surrounding it. The change in the volume of cigarette advertising in Western Australia in those two years was compared with that which occurred in comparable Queensland papers in the same period. Three major factors emerged: (i) the volume of cigarette advertising was much higher in Western Australia in 1983 compared with 1981; (ii) the volume of advertising increased markedly in Western Australia when legislative action was threatened, and remained at very high levels until the Bill failed; and (iii) the number of cigarette advertisements placed in the Queensland papers surveyed fell between 1981 and 1983. The findings are presented in support of the view that the tobacco industry made a powerful and organized attack to defeat the proposed legislation; the means it adopted to do this are discussed.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1985.tb113368.x

出版商:Wiley    

年代:1985

数据来源: WILEY