A clinical data base for advanced cancer patients. Implication for nursing.
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Biomedical subjects
Publications and source records attributed to C Fleming.
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Deaths resulting from work-related injuries during 1975 to 1984 in New Zealand were identified and reviewed. Nine hundred and eighty-six members of the workforce (workers) were killed at work during this period. This excluded deaths resulting from traffic-related injuries on public roads which occurred during a person's work activity and injuries which occurred whilst travelling to or from work. The estimated average work-related fatal injury rate for New Zealand was 7.2/100,000 workers/year. Variations in fatal injury rate by year of injury, age, sex and race were observed. Occupation and industry fatality rates were also estimated and gross variations by occupation were found. Those occupations with the highest estimated rates included helicopter and agricultural pilots, demolition labourers, deer cullers and commercial deer shooters. These rates are likely to be biased to some degree. Occupations with the largest number of workers killed during this 10 year period were farmers (109), fishermen (79) and forestry workers (68).
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The most common long-term problems seen in polio are brace problems, knee recurvatum, increasing weakness due to overuse and ankle equinus. A definite increased incidence of problems is seen after the patient is more than 30 years post-polio. The basis for most of these problems is chronic mechanical strain of weak musculature and substituting ligaments. Overuse can cause increasing weakness resulting in pain and decreasing function. It is therefore important to follow polio patients closely, especially those that are more than 30 years post-polio. If signs of overuse or chronic mechanical strain are noted, treatment should not be delayed.
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A relatively brief discussion of the problems of combat ejections in the I.A.F. is presented, including the injuries found and their prevention where possible; some problems that are known to exist and to some of which no clear-cut solutions are known. Some indications are given of what to expect when confronted with a man immediately after he has ejected from his aircraft.
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This paper describes and compares health indicators in Maori and European adolescents attending a coeducational secondary school in New Zealand. No important differences were found in certain urinary constituents, haemoglobin or packed cell volume, fasting plasma glucose, serum urea nitrogen, pulse rate, age of menarche, hospital experience or tuberculin test-BCG status.
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Rothmund-Thomson syndrome (RTS) is a rare autosomal recessive disorder that is caused by a DNA repair defect. It is characterized mainly by skin, eye, and skeletal abnormalities. Cutaneous changes appear at between 3 and 6 months of age and include poikiloderma, photosensitivity, scaling, hyperkeratosis, and disturbance of hair growth. Other abnormalities include cataracts, congenital bone defects, soft tissue contractures, and osteogenesis imperfecta. Various malignancies have been reported in association with RTS, including osteosarcoma, fibrosarcoma, and nonmelanoma skin cancers. The myelodysplastic syndromes are a group of hematologic disorders defined by morphologic abnormalities of the three cell lines. The pathogenesis of myelodysplasia is a multistep process that begins with a somatic mutation in the pluripotential stem cell, which is irreversibly altered and acquires a survival advantage. Myelodysplasia in the young and RTS are both rare conditions. We report a patient with RTS and myelodysplasia. This is the second reported case of an association between these two conditions, which are both likely to be due to a common etiologic cause of nonrepair of stem cell DNA damage. Clinicians should be aware of the potential of this complication arising in patients with RTS.
PURPOSE: This paper describes an education program that targeted long-term unemployed people from the community and trained them to work as diabetes educators in their own communities in an attempt to address issues of cultural appropriateness. METHODS: Government funding was obtained to conduct two 22-week training courses for people who had been selected by their communities. These courses built on participants' existing cultural skills and provided appropriate diabetes training. RESULTS: The results indicate that the courses were successful both in creating a cadre of culturally acceptable diabetes educators and providing employment for course participants. CONCLUSIONS: Previously unemployed lay people are able to provide diabetes education in the primary prevention and group settings. Such individuals are able to incorporate extensive cultural skills in their work.