Aust Fam Physician
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Numerous tests have been proposed in recent years to screen the antenatal population for various diseases which might contribute to perinatal and even maternal morbidity and mortality. Screening tests of any kind are currently the centre of controversy as measures are being strenuously taken to contain health costs. This paper critically examines twelve such screening tests.
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Acceptance of the severely handicapped in our community is limited. It may be limited by lack of experience, as 'the chicken and the egg' syndrome applies--do we keep the handicapped away from the public because of adverse reaction, or does the public react adversely because the handicapped are kept away? I work with handicapped children and their families, and therefore the following article is related to children.
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The use of antibiotics in viral diseases of childhood is discussed. If bacterial infection is likely, either as superinfection or as part of the differential diagnosis, then antibiotics should be given. The antibiotic of choice for each illness is considered. ⋯ Interpretation of the biochemical and bacteriological findings of the cerebrospinal fluid is important in distinguishing viral meningitis and encephalitis from bacterial meningitis. If bacterial meningitis is possible, then antibiotics should be used. The indications for antibiotics in viral diseases of the skin, eye, joints, heart and parotid are also discussed.