Caring for the dying patient.
Patients die but their journey towards death is often camouflaged within a complex model of care that focuses on what is happening to them rather than what is happening with them.
Biomedical subjects
Publications and source records attributed to M P Barbato.
Patients die but their journey towards death is often camouflaged within a complex model of care that focuses on what is happening to them rather than what is happening with them.
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Poisoning from the accidental ingestion of mushrooms is an uncommon cause of morbidity within Australia and unlike many other countries no deaths have yet been recorded. This review seeks to draw attention to the various syndromes associated with mushroom poisoning and their management, thereby helping to keep our good record intact. Although the number of toxic species is relatively small, the collection and ingestion of field varieties should be left to those absolutely certain of their quest. In cases of poisoning, identification of the offending mushroom is of paramount importance in the management. In suspected or known amatoxin poisoning prompt treatment favourably influences outcome.
This study of 335 full-blood Aborigines reveals an increased prevalence of thyroid autoantibodies with age and the female sex. There is no significant difference in the prevalence of thyroid autoantibodies in this group and in that of Caucasians recently studied in Armidale, New South Wales. The absence of racial difference suggests that environmental factors are more important in determining the prevalence of thyroid autoimmunity in a community.
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Little data are available concerning the prevalence of thyroid autoantibodies in the Australian community. The present study, performed in a non-iodine deficient area, reveals a high prevalence of microsomal and thyroglobulin autoantibodies in healthy females. The proportion of females with one or either antibody is almost three times greater than that observed for males, but, in both sexes, the prevalence does increase with age.
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The results of a goitre survey in school children in the New England Region are presented and compared with previous studies. Goitre incidence has fallen significantly in Tamworth but has remained unchanged in Armidale. Analyses of blood and urine showed no differnces in thyroid hormone levels, TSH, and urinary iodide in goitre and non-goitre subjects. In one group of goitre subjects prolactin levels were found to be significantly higher than those in a non-goitre group matched for sex, age and years in the district. The estimated iodine intake was well above normal requirements in all age groups studied. Sources of dietary iodine in the New England Region are outlined with special reference to milk and water. A brief review of clinical thyroid disease in Armidale is presented and reveals an unusually high incidence of both hyper- and hypo-thyroidism.
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