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Contents of Volume 167, 1997
Index of all 1996-2001 issues
Journal activities
The year in review Bronwyn Gaut (MJA 1997; 167: 564-566)
Editorials
Special pleading at Kyoto Do we have a case? Charles Guest (MJA 1997; 167: 567-568)
Cloning: potential benefits for human medicine Brave New World revisited Alan O Trounson (MJA 1997; 167: 568-569)
Medicine, modernism and after: a new role model for the doctor? Can doctors help to redefine the Welfare State? Uffe Juul Jensen (MJA 1997; 167: 570-571)
Medical information and the World Wide Web
Do we need quality filters?
Martin B Van Der Weyden (MJA 1997; 167: 571-572)
Communications in medicine
Information technology in medicine
From simple solutions to medical science fiction Malcolm Mackinnon (MJA 1997; 167: 574)
Facsimile communication between emergency departments and GPs, and patient data confidentiality Just the fax, please David McD Taylor, John Chappell-Lawrence, Ian S Graham (MJA 1997; 167: 575-578)
Usefulness of a patient library in a suburban general practice Read all about it! Ian Charlton (MJA 1997; 167: 579-581)
Telemedicine ophthalmology consultation in remote Queensland A farsighted accomplishment Nikki A M Blackwell, Graeme J Kelly, Lee M Lenton (MJA 1997; 167: 583-586)
The power of one
Forty years of plotting for public health
Power politics for public health Nigel J Gray (MJA 1997; 167: 587-589)
MaLAM, a medical lobby for appropriate marketing of pharmaceuticals Advocating accurate advertising Peter R Mansfield (MJA 1997; 167: 590-592)
Olympic medicine
Medical planning for the Sydney 2000 Olympic and Paralympic Games Will you be a Medical Program Volunteer at the 2000 Olympics? Daniel Stiel, Patsy Trethowan, Nicki Vance (MJA 1997; 167: 593-594)
Medical and public health services at the 1996 Atlanta Olympic Games: an overview Injury headed the medal tally Richard J Brennan, Mark E Keim, Trueman W Sharp, Scott F Wetterhall, R
Joel Williams, Edward L Baker, John D Cantwell, Scott R Lillibridge (MJA 1997; 167: 595-598)
The Polyclinic at the 1996 Atlanta Olympic Village Gold: Sports Medicine; Silver: Gender Verification; Bronze: Dentistry
S Boyd Eaton, Blane A Woodfin, James L Askew, Blaise M Morrisey, Louis J
Elsas, Jay L Shoop, Elizabeth A Martin, John D Cantwell (MJA 1997; 167: 599-602)
Hospital use by Olympic athletes during the 1996 Atlanta Olympic Games Aussies win Gold for hospital attendance Mark E Keim and Dianne Williams (MJA 1997; 167: 603-605)
The research enterprise
Funding Australia's health and medical research The winners are . . . Warwick P Anderson (MJA 1997; 167: 608-609)
Mapping Australia's basic research in the medical and health sciences Identifying research pacesetters Paul F Bourke and Linda Butler (MJA 1997; 167: 610-613)
The Institute of Medical and Veterinary Science Destroying the town and gown divide Brendon J Kearney (MJA 1997; 167: 614-617)
Crisis
Doctoring beyond frontiers Battling hunger, disease, fatigue and political intrigue Peter A Hakewill (MJA 1997; 167: 618-621)
Safe motherhood: impossible dream or achievable reality? Breaking the silence on death in childbirth John O'Loughlin (MJA 1997; 167: 622-625)
Medical log: forward command Thredbo July 30, 1997: tragedy amidst tranquillity Roger D Harris (MJA 1997; 167: 627--629)
True stories
The crossing
Thrown in at the deep end -- sink or swim Douglas N Gow (MJA 1997; 167: 630-631)
On the water's edge Rock-a-bye paralysis Merlin C Thomas (MJA 1997; 167: 632)
Mental health
Crisis management in the community
In a crisis there is danger . . . but also opportunity Alan Rosen (MJA 1997; 167: 633-638)
Medicine and art
From shunned to shining: doctors, madness and psychiatry in Australian and New Zealand cinema Lights, camera, (abre)action Alan Rosen, Garry Walter, Tom Politis, Michael Shortland (MJA 1997; 167: 640-644)
Departments
Snapshots
Book Review: Rash decisions
Art Therapy: The bouncing werewolf / Bridget's body image
Christmas competition: And the winner is...
Letters
Faith healing or Russian roulette?
Paul E Roffey, Leo C Freney, Anthony J Ansford
"Irukandji" syndrome: a risk for divers in tropical waters John C Hadok
Papilloedema and coma in a child: undescribed symptoms of the "Irukandji" syndrome Peter J Fenner, R J Heazlewood
European wasps: an emerging hazard in Australia
Nadine R Levick, Ken D Winkel, Gordon Smith
Choking after inhaling a foreign body through a Ventolin puffer Michael J Mackay
Out of the blue and into the pink Tim C Green
A sad stool Richard M Worrell
"Hale-Bopp" and "Knocking on Heaven's Gate" Nicholas A Buckley, Janelle A McDonald
Effect of postgraduate exams on putting performance Craig T Hore
Top of document
Editorials
Primary prevention of skin cancer: where to now in reducing sunlight exposure? Robin Marks, David Hill (MJA 1997; 167: 515-516)
Mammographic screening in Australia Paul P Glasziou, Les M Irwig (MJA 1997; 167: 516-517)
Surgery for severe emphysema Norbert Berend (MJA 1997; 167: 518-519)
"Single use only": obfuscation or the necessary attainment of zero risk? R Michael Whitby, David F M Looke (MJA 1997; 167: 519-520)
Research
Mammographic screening: results from the 1996 National Breast Health Survey Alexandra L Barratt, Jill Cockburn, Sally Redman, Christine Paul, Janice Perkins (MJA 1997; 167: 521-524) Abstract - Article
Self-reported morbidity of Barmah Forest virus infection on the north coast of New South Wales John R Beard, Marianne Trent, Greg A Sam,
Valerie C Delpech (MJA 1997; 167: 525-528)
Health Care
Lung volume reduction surgery for emphysema Gregory I Snell, Peter Solin, Weng Chin, Marc Rabinov, Trevor J Williams, Donald S Esmore, Julian A Smith (MJA 1997; 167: 529-532)
Notable Cases
Eye injuries caused by elasticated "octopus" straps Leisha J Riddington, Andrew S Narita, Peter J Meagher (MJA 1997; 167: 533-535)
Viewpoint
"Single use only" labelling of medical devices: always essential or sometimes spurious? Ian Stewart (MJA 1997; 167: 538-539)
Position Statement
Specific allergen immunotherapy for asthma A Position Paper of the Thoracic Society of Australia and New Zealand and the Australasian Society of Clinical Immunology and Allergy (MJA 1997; 167: 540-544)
MJA Practice Essentials - Mental Health
Stress management and counselling in primary care Jane Turner, Beverley Raphael (MJA 1997; 167: 547-551)
Top of document
Editorials
Crohn's and colitis: science progresses steadily Brendan Crotty, Richard A Smallwood (MJA 1997; 167: 459-460)
Automation in cervical cytology: whose cost and whose benefit? Gerard V Wain (MJA 1997; 167: 460-461)
How can we best achieve optimal transfusion practice? Jean-Pierre Allain, Lorna M Williamson (MJA 1997; 167: 462-463)
Huntington's disease: a challenge for our times David R Turner, Elizabeth A McCusker (MJA 1997; 167: 463-464)
Research
Evaluation of the ThinPrep Pap test as an adjunct to the conventional Pap smear Jennifer M Roberts, A Marion Gurley, Julia K Thurloe, Ronald Bowditch, Colin R A Laverty (MJA 1997; 167: 466-469) Abstract - Article
Prevalence of hepatitis C infection in pregnant women in South Australia Jennifer J Garner, Matt Gaughwin, Jane Dodding, Kristyn Willson (MJA 1997; 167: 470-472)
Reduction of inappropriate use of blood products by prospective monitoring of transfusion request forms Annabel Tuckfield, Michael N Haeusler, Andrew P Grigg, Jack Metz (MJA 1997; 167: 473-476) Abstract - Article
Notable Cases
Leptospirosis presenting as a haemorrhagic fever in a traveller from Africa Leon G Heron, Elizabeth A Reiss-Levy, Therese C Jacques, David J Dickeson, Lee D Smythe, Tania C Sorrell (MJA 1997; 167: 477-479)
Viewpoint
The Australian health care system: John Hunter's long shadow John M Duggan (MJA 1997; 167: 481-483)
New Drugs, Old Drugs
Calcium antagonists Robert F W Moulds (MJA 1997; 167: 484-486)
MJA Practice Essentials - Mental Health
Benzodiazepines in anxiety disorders: managing therapeutics and dependence Trevor R Norman, Steven R Ellen, Graham D Burrows (MJA 1997; 167: 490-495)
MJA Practice Essentials - Respiratory Medicine
Occupational lung disease Charles A Mitchell (MJA 1997; 167: 498-503)
Top of document
Editorials
Making the health care system work better for older people Robert D Helme (MJA 1997; 167: 403-404)
Hip fractures and osteoporosis in men Ego Seeman (MJA 1997; 167: 404-405)
Driving and dementia: balancing personal independence
and public safety Gillian K Fox, Guy M Bashford (MJA 1997; 167: 406-407)
Preventing falls by dealing with the causes A John Campbell (MJA 1997; 167: 407-408)
Positive ageing: facts and opportunities Hal Kendig, Colette Browning (MJA 1997; 167: 409-410)
Aged care in hospitals
Hip fracture in elderly men: prognostic factors and outcomes Terrence H Diamond, Stephen W Thornley, Ronald Sekel, Peter Smerdely (MJA 1997; 167: 412-415) Abstract - Article
Use of inpatient hospital services by people aged 90-99 years Josephine H Harris, Paul M Finucane, Denise C Healy, Anthony C Bakarich (MJA 1997; 167: 417-420) Abstract - Article
Acopia -- a new DRG? Peter N Gonski (MJA 1997; 167: 421-422)
Aged care in the community
Health promotion and older people: a qualitative study of general practitioners' views Ngaire M Kerse, Michael J Murphy, Leon Flicker, Doris Young (MJA 1997; 167: 423-427)
Neurodegenerative and other chronic disorders among people aged 75 years and over in the community Louise M Waite, G Anthony Broe, Helen Creasey, David A Grayson, John S Cullen, Brian O'Toole, Dorothy Edelbrock, Matthew Dobson (MJA 1997; 167: 429-432)
Validation of an automated up-timer for measurement of mobility in older adults Phi-Van Tran, Jenny Schwarz, Michael Gorman, Robert D Helme (MJA 1997; 167: 434-436)
Recruiting the elderly
Recruitment strategies for randomised clinical trials in elderly Australians Leon Flicker, John D Wark (MJA 1997; 167: 438-439)
Recruiting older people to a home safety program Peter G Thompson, Ronald L Somers, Richard Wilson (MJA 1997; 167: 439-440)
Recruiting older people for clinical trials and health promotion programs Ian D Cameron (MJA 1997; 167: 441)
Mental health in the aged
Alzheimer's disease: risk and protection Anthony F Jorm (MJA 1997; 167: 443-446)
Drugs for the prevention and treatment of Alzheimer's disease Henry Brodaty, Perminder S Sachdev (MJA 1997; 167: 447-452)
Driving and dementia: a cause for concern Peter S Lipski (MJA 1997; 167: 453-454)
Top of document
Editorials
Public health and politics: the demise of the ACT heroin trial Alex D Wodak (MJA 1997; 167: 348-349)
Combined modality therapy for carcinoma of the oesophagus: current status and
future directions Bryan H Burmeister, B Mark Smithers, James W Denham (MJA 1997; 167: 349-350)
Visual impairment: a correctable global problem Brien A Holden, Gullapalli N Rao, Kylie M Knox, Sylvie M Sulaiman (MJA 1997; 167: 351-352)
Health Care
Liver transplantation in Western Australia: improved services to an isolated population Donald G Ormonde, Gary P Jeffrey, Roger Bell, Christopher K Frazer, Neville M Gibbs, Anthony K House, William D Reed 354(MJA 1997; 167: 354-357)
Minimally invasive coronary artery bypass surgery without cardiopulmonary bypass
James Tatoulis, John C Goldblatt, Peter D Skillington, Roderic J Warren(MJA 1997; 167: 359-362)
Local impact of the NHMRC early breast cancer guidelines: where to from here?
Jeanette E Ward, John Boyages, Leena Gupta (MJA 1997; 167: 362-365) Abstract - Article
Notable Cases
Laparoscopic tubotubal reanastomosis Lourdes I St George, Harry B Kapila, Robert H Lahoud (MJA 1997; 167: 367-368)
Medicine and the Law
How the NHMRC got its fingers burnt Konrad Jamrozik, Simon Chapman, Alistair Woodward (MJA 1997; 167: 372-374)
MJA Practice Essentials - Respiratory Medicine
Obstructive sleep apnoea and other sleep breathing disorders Alister M Neill, R Douglas McEvoy (MJA 1997; 167: 376-381)
MJA Practice Essentials - Mental Health
Managing depression in a community setting Philip B Mitchell (MJA 1997; 167: 383-388)
Letter
Ultrarapid opiate detoxification. What's all the fuss about? John R M Caplehorn (MJA 1997; 167: 393)
Top of document
Editorials
Mifepristone (RU486) and abortion Richard C Henshaw (MJA 1997; 167: 292-293)
The challenge of traumatic brain injury Michael R Fearnside, Joseph A Gurka (MJA 1997; 167: 293-294)
Nitrogen dioxide, gas heating and respiratory illness Louis S Pilotto, Robert M Douglas, Jonathan M Samet (MJA 1997; 167: 295-296)
Immunisation -- lifting our game R S Brian Kable, Mark F Harris (MJA 1997; 167: 296-297)
Research
Reported general practitioner vaccination procedures, 1994 and 1996 Ana Herceg, Monica B Johns, Helen M Longbottom (MJA 1997; 167: 299-302) Abstract - Article
Rotavirus gastroenteritis: impact on young children, their families and the health care system Jeannine L M Liddle, Margaret A Burgess, Gwendolyn L Gilbert, Ralph M Hanson, Peter B McIntyre, Ruth F Bishop, Mark J Ferson (MJA 1997; 167: 304-307)
Helicobacter pylori infection in an Australian regional city: prevalence and risk factors Hedley G Peach, Dora C Pearce, Stephen J Farish (MJA 1997; 167: 310-313) Abstract - Article
Notable Cases
Women’s satisfaction with medical abortion with RU486 Pam M Mamers, Anna L Lavelle, Amanda J Evans, Sandra M Bell, Jen R Rusden, David L Healy (MJA 1997; 167: 316-317)
Viewpoint
Gatekeeping and assisted reproductive technology. The ethical rights and responsibilities of doctors John H Pearn (MJA 1997; 167: 318-320)
Reproductive medicine and the social state of childlessness Robert P S Jansen (MJA 1997; 167: 321-323)
MJA Practice Essentials - Mental Health
Assessment of anxiety and depression in primary care Steven R Ellen, Trevor R Norman, Graham D Burrows (MJA 1997; 167: 328-333)
Top of document
Editorials
Counting the costs of early discharge after childbirth Anne E Buist (MJA 1997; 167: 236-237)
Does continuing medical education make a difference? Barbara J Booth (MJA 1997; 167: 237-238)
Taking the consequences of childhood sexual abuse Gita Mammen, Jill A Astbury (MJA 1997; 167: 238-239)
Patient preference and prostate cancer screening Phillip D Stricker, David R Eisinger (MJA 1997; 167: 240-241)
Research
Early discharge and risk for postnatal depression Anthea R Hickey, Philip M Boyce, David Ellwood, Allen D Morris-Yates (MJA 1997; 167: 244-247) Abstract - Article
Men's estimates of prostate cancer risk and self-reported rates of screening Jeanette E Ward, Ann-Maree Hughes, Geoffrey H L Hirst, Lorraine Winchester (MJA 1997; 167: 250-253) Abstract - Article
Donor insemination: attitudes of parents towards disclosure Eva M Durna, Judy Bebe, Stephen J Steigrad, Leo R Leader, Don G Garrett (MJA 1997; 167: 256-259)
Notable Cases
Ingestion of castor oil plant seeds Philip J Aplin, Tony Eliseo (MJA 1997; 167: 260-261)
Viewpoint
Continuing medical education: the professional's responsibility Balakrishnan R Nair, Tunde Gondocz, John T Parboosingh (MJA 1997; 167: 263-264)
MJA Practice Essentials - Mental Health
Collaboration between general practice and community psychiatric services for people with chronic mental illness Nicholas A Keks, B Malcolm Altson, Tobie L Sacks, Harry H Hustig, Amgad Tanaghow (MJA 1997; 167: 266-271)
MJA Practice Essentials - Respiratory Medicine
Chronic obstructive pulmonary disease Christine R Jenkins, Charles A Mitchell (MJA 1997; 167: 273-278)
Top of document
Editorials
Daffodils and cancer Robert C Burton, Bruce K Armstrong (MJA 1997; 167: 180-181)
Doctors, parents and good clinical practice Frank Oberklaid, Melissa Wake (MJA 1997; 167: 181-182)
Casemix -- not guilty? Brian C McCaughan, Deborah M Picone (MJA 1997; 167: 182-183)
Doctors and healthcare reform Stephen J Duckett (MJA 1997; 167: 184-185)
Research
Changes in bed resources and admission patterns in acute public hospitals in Victoria, 1987-1995 C Raina MacIntyre, Chris W Brook, Eugene Chandraraj, Aileen J Plant (MJA 1997; 167: 186-189)
A high incidence of melanoma found in patients with multiple dysplastic naevi by photographic surveillance John W Kelly, Josephine M Yeatman, Cheryl Regalia, Grahame Mason, Amanda P Henham (MJA 1997; 167: 191-194) Abstract - Article
Management of childhood gastroenteritis in the community Jennifer E Porteous, Richard L Henry, Edward V O’Loughlin, Malcolm Ireland, J Lynn Francis, Robyn G Hankin (MJA 1997; 167: 195-198)
Notable Cases
Ephedrine abuse causing acute myocardial infarction Jerome G L Cockings, Michael A Brown (MJA 1997; 167: 199-200)
Health Care
Health service reform: the perceptions of medical specialists in Australia (New South Wales), the United Kingdom and New Zealand Rod J Perkins, Keith J Petrie, Patrick G Alley, Peter C Barnes, Malcolm M Fisher, Peter J Hatfield (MJA 1997; 167: 201-204) Abstract - Article
Review
Systematic review of the diagnostic accuracy of dermatoscopy in detecting malignant melanoma Justine Mayer (MJA 1997; 167: 206-210) Abstract - Article
New Drugs, Old Drugs
Oral bisphosphonates and malignancy Michael D Green (MJA 1997; 167: 211-212)
MJA Practice Essentials - Respiratory Medicine
Asthma in children Claire Wainwright, Alan F Isles, Paul W Francis (MJA 1997; 167: 218-223)
Top of document
Editorials
Antibiotic use or misuse? John Turnidge (MJA 1997; 167: 116-117)
Chewing over temporomandibular disorders Tom M Wilkinson (MJA 1997; 167: 117-118)
Phytoestrogens: emerging multifaceted plant compounds Mark L Wahlqvist, Fabien S Dalais (MJA 1997; 167: 119-120)
Clopidogrel: a new safe and effective antiplatelet agent. But unanswered questions remain Graeme J Hankey (MJA 1997; 167: 120-121)
Research
Antibiotic use in the Australian community, 1990-1995 Peter McManus, M Leigh Hammond, Susan D Whicker, John G Primrose, Andrea Mant, Steven R Fairall (MJA 1997; 167: 124-127) Abstract - Article
The public health impact of dog attacks in a major Australian city Peter G Thompson (MJA 1997; 167: 129-132) Abstract - Article
Copper-salicylate gel for pain relief in osteoarthritis: a randomised controlled trial Nicholas A Shackel, Richard O Day, Bruce Kellett, Peter M Brooks (MJA 1997; 167: 134-136)
Notable Cases
Phytoestrogens and prostate cancer: possible preventive role Frederick O Stephens (MJA 1997; 167: 138-140)
Health Care
A model for the management of self-poisoning Ian M Whyte, Andrew H Dawson, Nicholas A Buckley, Gregory L Carter, Catherine M Levey (MJA 1997; 167: 142-146) Abstract - Article
MJA Practice Essentials - Mental Health
The essential practice of mental health care Nicholas A Keks, Graham D Burrows (MJA 1997; 167: 147)
Psychiatric assessment in community practice Peter Yellowlees (MJA 1997; 167: 149-156)
MJA Practice Essentials - Respiratory Medicine
Asthma in adults Christine R Jenkins, Ann J Woolcock (MJA 1997; 167: 160-165)
Top of document
Editorials
Victorian orphans and clinical research Richard G Larkins (MJA 1997; 167: 60-61)
Reducing the burden of chronic heart failure Henry Krum (MJA 1997; 167: 61-62)
Urinary symptoms as men age: the reassurance of an evidence-based approach Geoffrey H L Hirst, Jeanette E Ward (MJA 1997; 167: 62-63)
Barriers to quality in general practice Ron Tomlins (MJA 1997; 167: 64)
Diabetes: the light at the end of the tunnel looks brighter Paul Zimmet, John Carter (MJA 1997; 167: 65-66)
Research
Burden and outcomes of hospitalisation for congestive heart failure Fiona M Blyth, Ross Lazarus, David Ross, Michael Price, Gary Cheuk, Stephen R Leeder (MJA 1997; 167: 67-70) Abstract - Article
Troublesome lower urinary tract symptoms in the community: a prevalence study Carole B Pinnock, Villis R Marshall (MJA 1997; 167: 72-75) Abstract - Article
Characteristics of longer consultations in Australian general practice Carmel M Martin, Robyn G Attewell, Meherun Nisa, John McCallum, Chris J Raymond (MJA 1997; 167: 76-79)
Notable Cases
Fatal granulomatous amoebic encephalitis caused by Balamuthia mandrillaris Robert P Reed, Claire M Cooke-Yarborough, Anne L Jaquiery, Keith Grimwood, Andrew S Kemp, John C Su, Jocelyn R L Forsyth (MJA 1997; 167: 82-84)
Clinical Practice
Haemorrhoids: a clinical update Adrian L Polglase (MJA 1997; 167: 85-88)
Review
Trials of providing costing information to general practitioners: a systematic review Justin J Beilby, Chris A Silagy (MJA 1997; 167: 89-92)
Consensus Statement
Glycohaemoglobin: a crucial measurement in modern diabetes management. Progress towards standardisation and improved precision of measurement Peter G Colman, G Ian Goodall, Peter Garcia-Webb, Paul F Williams, Marjorie E Dunlop (MJA 1997; 167: 96-98)
MJA Practice Essentials - Respiratory Medicine
Lung cancer Ross E Sellars, Paul V Zimmerman (MJA 1997; 167: 99-104)
Top of document
Editorials
Rising prescription drug costs: whose responsibility? Suzanne R Hill, David D Henry, Anthony J Smith (MJA 1997; 167: 6-7)
Thanksgiving day for the gift of life Gordon S Whyte, Brenton R Wylie (MJA 1997; 167: 7-8)
Role of opioids in chronic non-cancer pain Allan R Molloy, Michael K Nicholas, Michael J Cousins (MJA 1997; 167: 9-10)
Research
Reduction in length of hospital stay for acute childhood asthma associated with the introduction of casemix funding Mike South (MJA 1997; 167: 11-13)
The extent of undiagnosed gestational diabetes mellitus in New South Wales Robert G Moses, Stephen Colagiuri (MJA 1997; 167: 14-16) Abstract - Article
Incidence of bloodborne virus infection and risk behaviours in a cohort of injecting drug users in Victoria in 1990-1995 Nick Crofts, Campbell K Aitken (MJA 1997; 167: 17-20) Abstract - Article
Notable Cases
Glomerulonephritis secondary to Barmah Forest virus infection Ian A Katz, Georgina E Hale, Bernard J Hudson, Lloyd S Ibels, Robert P Eckstein, Patricia L Dermott (MJA 1997; 167: 21-23)
Health Care
Australian trends in opioid prescribing for chronic non-cancer pain, 1986-1996 James R Bell (MJA 1997; 167: 26-29) Abstract - Article
Clinical Practice
The use of oral opioids in patients with chronic non-cancer pain. Management strategies Paul J Graziotti, C Roger Goucke (MJA 1997; 167: 30-34) Abstract - Article
New Drugs, Old Drugs
Inhibitors of the renin-angiotensin system Henry Krum (MJA 1997; 167: 38-40)
MJA Practice Essentials - Respiratory Medicine
Lower respiratory tract infection Christopher W Clarke (MJA 1997; 167: 42-47)
Supplement
The prevention and management of osteoporosis (MJA 1997; 167: S1-S16)
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© 1998 Medical Journal of Australia.
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