The Medical journal of Australia
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To draw attention to the occurrence of hypophosphataemia in anorexia nervosa and to suggest that it may be a factor contributing to cardiac arrhythmia, a potentially fatal complication. ⋯ Hypophosphataemia in anorexia nervosa patients may play a role in the development of cardiac arrhythmia and delirium.
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Acute lower respiratory infections are important causes of mortality and morbidity in Australia. Assessment, diagnosis and management in general practice can be improved by using very simple clinical protocols to identify serious problems early, to reduce reliance on investigations and overuse of antibiotics, and to involve the patients more in their own management.
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Most overseas trained doctors wishing to practise in Australia are required to sit for examinations set by the Australian Medical Council (AMC) before they can seek registration through State medical boards. In 1989, the South Western Sydney Area Health Service, which is responsible for the delivery of health services to 650,000 people, initiated a bridging program with the joint aim of providing overseas trained doctors with the opportunity to undertake a comprehensive program of study and facilitating the recruitment of doctors into the area. The program comprises two integrated components, each extending over five months. ⋯ Progression to the Clinical Course requires that candidates pass the MCQ Course and undertake to work in the area. The program has been funded jointly by State and Commonwealth Government bodies. Results obtained by program participants in the MCQ and clinical examinations conducted by the AMC have been well ahead of the national average.