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Biomedical subjects

M Burr

Publications and source records attributed to M Burr.

36 records · Page 2Linked to original sources

Vitamin D and femoral neck fractures in elderly South Australian women.

The vitamin D status of women with femoral neck fractures and of male and female nursing-home residents in South Australia was assessed and compared with that of ambulant normal elderly women and young male and female controls. Serum 25-hydroxyvitamin D (25OHD) was assayed with a competitive protein-binding method including a chromatography step. The mean serum 25OHD levels in the patients with femoral neck fractures (39.2 [SE 2.6] nmol/L) and in the nursing-home residents (28.9 [SE 1.3] nmol/L) were significantly lower than those in the ambulant elderly women (67.6 [SE 3.9] nmol/L) and young controls (76.9 [SE 3.7] nmol/L) (P less than 0.001 in each case). The serum 25OHD levels were unrelated to age in the normal ambulant subjects. There was a significant seasonal variation in the results of routine 25OHD assays performed in our laboratory, but no such variation was seen in the nursing-home residents. We conclude that vitamin D deficiency is common in housebound subjects, and that femoral neck fractures occur mainly in subjects who were housebound before the fracture.

Adult↗

Domiciliary care.

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Australia↗

Multidisciplinary health teams.

The medical profession needs to learn team skills and review its managerial functions in anticipation of increasing involvement with other health professionals in a team setting. Educatinal techniques for acquiring these skills are already available or are being developed for other organizations. Review of the traditional medical hierarchy and its legal implications, architecture of health institutions, medical records systems, and the selection of medical students are other areas for specific attention.

Communication↗