The Medical journal of Australia
-
The design of motor cycle helmets has been changing over the years and at the present time there are two basic types in popular use: "full-face" and "jet" helmets. Both helmet types give good protection to the brain, but, one would think, different degrees of facial protection. ⋯ The study also indicated that the wearers of full-face helmets have no greater risk of involvement in road traffic crashes than do the wearers of jet helemts. It is suggested that the use of full-face helmets should be encouraged and consideration given to the revision of helmet standards to require the provision of facial protection.
-
A study of 21 patients has shown that clonazepam is an effective drug in preventing attacks of pain in trigeminal neuralgia and Sluder's syndrome. It has also been shown that no side effects result from long-term prescription of this drug.
-
A 24-year-old multipara 34 weeks pregnant presented in shock due to massive pulmonary embolism. Recovery followed thrombolytic therapy, although fetal death occurred early. There were no serious maternal side effects, although hypofibrinogenaemia occurred. Thrombolytic therapy is considered to offer advantages over heparin in this situation.
-
The medical care delivery systems of most low-income countries are largely patterned on those of industrialized societies and are ill suited to the needs of developing countries. The present alternative model of health care in China has evolved after prolonged and often bitter debate extending over twenty years. The system that has been developed is one that appears uniquely suited to the needs of a large rural developing country; but it has been achieved in large part not through the medical profession but by evolving a system based upon participation by the people themselves and the development of new health-worker roles.