1.Congenital heart disease in Papu New Guinean children.
Papua New Guinea medical journal 1974;17(3):278-281
2.Would people with a disability in the highlands benefit from a community-based rehabilitation program?
H van AMSTEL ; T DYKE ; J CROCKER
Papua New Guinea medical journal 1993;36(4):316-319
Community-based rehabilitation for those people with a physical disability is a policy promoted by the World Health Organization. In order to assess whether such a program might be useful to the disabled people of the highlands of Papua New Guinea a survey was conducted which first identified those people with a severe physical disability and then investigated the degree that they were handicapped in terms of their social and physical environment. The survey was performed in the Tari area of the Southern Highlands Province in conjunction with the Papua New Guinea Institute of Medical Research (PNGIMR). By using the PNGIMR demographic surveillance system it was possible to calculate a prevalence level of physical disability (including walking disability, deafness and blindness) of 46 per 10,000 (0.46%). A significant physical disability was identified in 114 people, of whom 54 were given personal interviews to establish their quality of life. The survey found the social and economic situation of disabled people to be generally good although there is a lack of basic material aids for handicapped people. The disabled people and their families do not need extra knowledge about how to care for their disabilities and a formal community-based rehabilitation program would be inappropriate, but they would find mobility aids such as wheelchairs and artificial limbs of enormous help. The regular health care services are widely used although both people with a disability and health service staff are not always aware of the types of treatment which can usefully be provided.(ABSTRACT TRUNCATED AT 250 WORDS)
Adolescent
;
Adult
;
Aged
;
Altitude
;
Attitude to Health
;
Child
;
Child, Preschool
;
Community Health Services
;
organization & administration
;
utilization
;
Disabled Persons
;
rehabilitation
;
statistics & numerical data
;
Female
;
Health Priorities
;
Health Services Needs and Demand
;
Health Services Research
;
Humans
;
Infant
;
Infant, Newborn
;
Male
;
Middle Aged
;
Papua New Guinea
;
epidemiology
;
Residence Characteristics
;
Self-Help Devices
;
supply & distribution
;
Socioeconomic Factors
3.Drug-induced neuro-psychiatric disorders in medical practice--an overview.
Papua New Guinea medical journal 1989;32(3):219-224
Whenever an unexpected neuropsychiatric disorder arises suddenly in a person of good previous mental health after a new drug of any kind has been taken it is reasonable to suspect a drug-induced reaction. The suspected medication should then be stopped. Adverse reactions to drugs are known to account for a considerable amount of neuro-psychiatric disorder, which is likely to increase as new and more potent drugs are introduced into clinical practice.
Humans
;
Psychoses, Substance-Induced
;
classification
4.Management of childhood haematogenous osteomyelitis in a rural Papua New Guinean hospital.
G Van GURP ; R KILA ; T HUTCHINSON
Papua New Guinea medical journal 1989;32(2):117-122
Haematogenous osteomyelitis, especially in its more common chronic stage, is an important cause of morbidity in children in the Southern Highlands Province. Hospital stays are lengthy and the incidence of fractures is high. While awaiting, or in the absence of, culture and sensitivity results, cloxacillin 200 mg/kg/day plus probenecid 40 mg/kg/day is an appropriate first choice antibiotic when it is available. Antibiotic therapy in chronic disease should be limited to the specific settings of associated soft tissue infection; pre- and post-sequestrectomy; and radiological signs of ongoing bone necrosis and systemic signs of active infection. Surgical drainage of subperiosteal pus and possibly the medullary canal is required in all but the very early (less than 48 hours) cases of acute osteomyelitis that sometimes respond to antibiotics alone. Sequestrectomy should be reserved for cases where a sequestrum and adequate involucrum can be seen on X-ray. Effective management of this disease is possible only if ongoing communication exists between hospital-based medical staff and the staff of health centres or subcentres, including the network of aid post orderlies and their supervisors. Since the majority of patients present to facilities other than hospitals, any campaign directed at improving management must involve co-workers in rural areas, namely the health extension officer, nurse and aid post orderly. Only in this way can we hope to achieve earlier appropriate treatment and more systematic long-term follow-up.
Adolescent
;
Anti-Bacterial Agents
;
administration & dosage
;
therapeutic use
;
Child
;
Child, Preschool
;
Chronic Disease
;
Hospitals, Rural
;
Humans
;
Osteomyelitis
;
drug therapy
;
microbiology
;
surgery
;
Papua New Guinea
;
Rural Health
8.Adolf Saweri.
Papua New Guinea medical journal 2014;57(1-4):110-1
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