ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1984.tb132893.x

出版商:Wiley    

年代:1984

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1984.tb132895.x

出版商:Wiley    

年代:1984

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1984.tb132896.x

出版商:Wiley    

年代:1984

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1984.tb132897.x

出版商:Wiley    

年代:1984

数据来源: WILEY

摘要:

A clinical review of the first 200 patients who attended the DES Referral Clinic at The Royal Women's Hospital, Melbourne, has been undertaken. To date, clear‐cell adenocarcinoma has not been detected in patients attending the Clinic. Fifteen per cent of patients who allegedly were exposed in utero to diethylstilboestrol (DES) showed no clinical stigmata. Vaginal adenosis was found in 41% of patients. On its own, cytological examination of vaginal smears was found to be unreliable as routine screening for detection of adenosis. Painting of the cervix and vagina with Lugol&s iodine proved to be a more reliable screening test. Colposcopy is recommended in all patients who are suspected of having been exposed in utero to DES.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1984.tb132898.x

出版商:Wiley    

年代:1984

数据来源: WILEY

摘要:

While there have been several overseas studies on the quality of life after proctocolectomy, data concerning patients who have undergone ileostomy and proctocolectomy in Australia are limited. For this reason, a questionnaire was sent to all members of the New South Wales Ileostomy Association. Of the 354 who replied, the indication for ileostomy had been ulcerative colitis in 82%, Crohn's disease in 10%, familial polyposis in 4%; and 4% had undergone proctocolectomy and ileostomy for some other reason. Ages ranged from 15 to 93 years. Most subjects, of whom 51% were female, had had their ileostomy for a median of 9.4 years. Immediate postoperative complications related to the ileostomy occurred in 23% of patients, the most common causes being obstruction and sepsis. The rate of readmission to hospital for complications of ileostomy was a high 48%; 25% had further surgery. In view of these results, the need for continued efforts to develop alternative methods is emphasized.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1984.tb132899.x

出版商:Wiley    

年代:1984

数据来源: WILEY

摘要:

In 50 patients requiring enteral nutritional support, a nasogastric feeding regimen with an isotonic, polymeric solution was introduced either by the slow, conventional four‐day method or by a more rapid one. The incidences of symptoms associated with either introduction protocol were compared. As many as 82% of patients showed no sign of intolerance, whatever the method used. Of the remainder, four developed symptoms that might have been associated with the treatment. Only one of these patients had been subjected to the fast introduction protocol. It is concluded that undiluted isotonic lactose‐free nasoenteric solutions can be safely introduced rapidly to meet energy requirements earlier.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1984.tb132900.x

出版商:Wiley    

年代:1984

数据来源: WILEY

摘要:

Pregnancies have been achieved in two couples with prolonged infertility in whom no apparent abnormalities were found, except for the presence of seminal plasma autospermagglutinins in the male partners. Using a method previously advocated for artificial insemination by husband, the semen was collected directly into Tyrode's solution and immediately dispersed. After they were washed and resuspended in Tyrode's solution, the spermatozoa were used for the invitro fertilization of the wife's ova collected after induced ovulation. In a condition characterized by the difficulty of achieving sperm‐ovum contact and interaction, this approach allows close monitoring of all stages of this process and appears to circumvent any expected difficulties.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1984.tb132901.x

出版商:Wiley    

年代:1984

数据来源: WILEY

摘要:

Homozygous cystinuria was ascertained in 110 individuals (44 men) from 78 families because of symptoms in the propositi. The most common renal symptoms were calculi which occurred in 91% of the propositi and in 52% of affected family members. One‐third of patients had urinary tract infections. There was a high rate of renal morbidity at an early age; 16 patients had undergone nephrectomy at a mean age of 25 years (range, 12‐40 years). Two‐thirds of subjects had type I cystinuria on family testing — the same ratio as that reported in a previous study of cases detected by newborn screening in the same population ‐ which eliminates genetic type as a risk factor for stone formation. On the basis of all data, a 62% probability of stone formation by the age of 25 years in patients with cystinuria was estimated. The patients were shorter than Australian controls, and an association between gout and cystinuria was found in adult men.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1984.tb132902.x

出版商:Wiley    

年代:1984

数据来源: WILEY

摘要:

Between 1978 and 1983, at least 20 children with fluoride poisoning were admitted to two major children's hospitals in Brisbane. Data on telephone calls received by Poisons Information Centres in Australia about fluoride toxicity show that Brisbane, the water supply of which is not fluoridated, received approximately twice as many calls per head of population as were received in Sydney and Melbourne. Concern is also expressed at the standard of packaging of fluoride tablets currently marketed in Australia. A treatment plan for cases of acute fluoride poisoning after oral ingestion is presented.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1984.tb132903.x

出版商:Wiley    

年代:1984

数据来源: WILEY