ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1985.tb123051.x

出版商:Wiley    

年代:1985

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1985.tb123053.x

出版商:Wiley    

年代:1985

数据来源: WILEY

摘要:

A large outbreak of epidemic polyarthritis (EPA) caused by Ross River virus (RRV) occurred in New South Wales in the summer of 1983/1984. The total number of cases was unknown, but 1196 cases were confirmed by laboratory tests. Most patients came from the area west of the dividing range, with especially large numbers in the Murrumbidgee irrigation area. Cases were reported from October 1983 to June 1984, with 60% of cases occurring in January and February. The seasonal pattern was similar throughout the state. Men and women were affected in approximately equal numbers, with the highest frequencies in the 30–39 years' age group. Clinical illness was uncommon in young children. Based on a detailed study of 118 patients from Griffith, arthralgia, lethargy, rash and headache were the most common symptoms. The average period of incapacity (defined as inability to resume normal duties) was about six weeks. On this basis, the cost of the epidemic was estimated at about $3 million. There were 257 cases of EPA in the Griffith Shire and it was calculated that approximately 340 RRV infections occurred in the shire. The implication is that, in this outbreak, most RRV infections resulted in clinical illness.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1985.tb123054.x

出版商:Wiley    

年代:1985

数据来源: WILEY

摘要:

The cases of 194 women aged 40 years of age or less who had been diagnosed as having invasive cervical cancer in Queensland during 1972–1981 were reviewed retrospectively. Medical records contained a previous cervical cytological report for 89 women, with 18 of these having had a negative result of a smear test within two years of the diagnosis of invasive cancer. Cytological review of five of the 18 cases revealed neoplastic cells in three cases, and possible sampling inadequacies in the other two. Gynaecological symptoms had been present in seven of the 18 patients at the time of the negative result of cytological examination, and these persisted until the diagnosis was eventually made. A high index of suspicion is required when symptoms persist in spite of negative results of cytological examination and we recommend a review of the smear, a repeat smear examination with adequate sampling and referral for colposcopic examination in these circumstances.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1985.tb123055.x

出版商:Wiley    

年代:1985

数据来源: WILEY

摘要:

Some children who snore heavily have been shown to have periods of apnoea which, if frequent, are known as the obstructive sleep apnoea syndrome (OSA). Twenty patients with OSA, who presented to the Department of Thoracic Medicine, Royal Children's Hospital, Melbourne, over a three‐year period, were reviewed. The findings indicated that OSA is more common than is generally supposed and that it can present with a wide range of symptoms. It is important that an early diagnosis of this syndrome is made, to prevent major complications and to allow appropriate therapy.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1985.tb123056.x

出版商:Wiley    

年代:1985

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1985.tb123057.x

出版商:Wiley    

年代:1985

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1985.tb123058.x

出版商:Wiley    

年代:1985

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1985.tb123059.x

出版商:Wiley    

年代:1985

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1985.tb123060.x

出版商:Wiley    

年代:1985

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1985.tb123061.x

出版商:Wiley    

年代:1985

数据来源: WILEY