122 results match your criteria Australian journal of general practice[Journal]


Current approaches to the pharmacological treatment of Alzheimer's disease.

Aust J Gen Pract 2018 09;47(9):586-592

BPharm (Hons), PhD, NHMRC Dementia Leadership Fellow, Centre for Medicine Use and Safety, Faculty of Pharmacy and Pharmaceutical Sciences, Monash University, Parkville, Vic; NHMRC Cognitive Decline Partnership Centre, Hornsby Ku-ring-gai Hospital, Hornsby, NSW, Australia; School of Pharmacy and Medical Sciences, University of South Australia, Adelaide, SA.

Background: Alzheimer's disease is the most common form of dementia and is a major contributor to morbidity and mortality in older Australians.

Objective: The aim of this article is to provide an overview of available pharmacological therapies for the symptomatic treatment of Alzheimer's disease.

Discussion: Acetylcholinesterase inhibitors (AChEIs) or memantine may be trialled in people with Alzheimer's disease to delay symptoms of cognitive and functional decline. Read More

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September 2018
1 Read

The influence of therapeutic alliance on adult obesity interventions in primary care: A systematic review protocol.

Aust J Gen Pract 2018 Sep;47(9):646-649

PhD RN, BA(Hons) FCAHS, Professor @ Associate Vice President (Research), University of Alberta, Canada.

Background And Objectives: Obesity is a common chronic condition, and general practitioners are seeking more effective strategies for assisting their patients. The therapeutic relationship between patients and practitioners is increasingly recognised as a fundamental part of intervention effectiveness. The influence of therapeutic relationships in obesity interventions in primary care has not been systematically studied. Read More

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September 2018

Incidence of allergic rhinitis in children with residual snoring and sleep symptoms after adenotonsillectomy.

Aust J Gen Pract 2018 Sep;47(9):632-637

BScMed, MBBS(Hons), Professor in Otolaryngology, Head @ Neck Surgery, Wollongong Hospital; Illawarra ENT Head and Neck Clinic; The Woolcock Institute of Medical Research, Wollongong, NSW.

Background And Objectives: Allergic rhinitis may contribute to sleep disordered breathing (SDB) in children. Although adenotonsillectomy is commonly performed to treat SDB, some patients will return to their primary practitioners with residual sleep symptoms. The aim of this study was to assess the incidence of allergic rhinitis via radioallergosorbent testing (RAST) in children undergoing adenotonsillectomy who had residual snoring or sleep symptoms. Read More

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September 2018
2 Reads

Achieving optimal self-management in hereditary haemochromatosis: Results from a community questionnaire.

Aust J Gen Pract 2018 Sep;47(9):625-631

BEd, MHSc, PhD, College of Medicine and Dentistry, James Cook University, Townsville, Qld.

Background And Objectives: Hereditary haemochromatosis is a chronic inherited iron overload disorder that is primarily treated with venesection. The aim of this study was to investigate factors associated with optimal haemochromatosis self-management.

Method: A national online questionnaire was developed. Read More

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September 2018
5 Reads

September correspondence.

Authors:

Aust J Gen Pract 2018 Sep;47(9):583

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September 2018

Office-based assessment of cognitive impairment.

Authors:
Dimity Pond

Aust J Gen Pract 2018 Sep;47(9):602-605

BA, MBBS, FRACGP, PhD, Head, Discipline of General Practice, School of Medicine and Public Health, Faculty of Health, University of Newcastle.

Background: Dementia is an increasingly prevalent condition, currently affecting over 400,000 Australians, and this is expected to rise to over one million by 2056. Diagnosis of dementia is a clinical one, as there is no single well-defined blood test, imaging or cognitive function test that validly diagnoses dementia. There are also many causes of cognitive impairment other than dementia, which need to be identified or excluded. Read More

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September 2018
1 Read

Botulinum neurotoxin for the treatment of movement disorders.

Aust J Gen Pract 2018 Sep;47(9):598-601

MD (Med), DM (Neuro), FRACP, Neurologist, Staff Specialist, Canberra Hospital.

Background: Botulinum neurotoxin (BoNT) is an exotoxin that causes neuromuscular weakness. BoNT serotypes A and B have been used for decades for the safe and effective treatment of various movement disorders, including some forms of focal dystonia. These conditions, such as cervical dystonia, hemifacial spasm, blepharospasm and spasmodic dysphonia, can have a substantial impact on patients' quality of life, but are often under-recognised. Read More

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September 2018
2 Reads

Improving early detection of developmental dysplasia of the hip through general practitioner assessment and surveillance.

Authors:
Nicole Williams

Aust J Gen Pract 2018 Sep;47(9):619-623

BMedSc (Hons), BMed, Grad Dip Sports Med, FRACS, FAOrthA, Paediatric Orthopaedic Surgeon, Women@s and Children@s Hospital, Adelaide, SA; Centre for Orthopaedic and Trauma Research, University of Adelaide, SA.

Background: Cases of late diagnosed developmental dysplasia of the hip (DDH) have increased in Australia in recent years despite an ongoing clinical screening program and increasing use of selective ultrasonography screening.

Objective: The aim of this paper is to discuss an evidence-based approach that involves prevention and early detection of DDH using assessment and surveillance that is suitable for general practitioners (GPs) who see young children in their practices.

Discussion: Repeated, carefully performed clinical examinations of the paediatric hip from newborn to walking age remain the best method for early detection of DDH. Read More

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September 2018
2 Reads

Low back pain: Can we mitigate the inadvertent psycho-behavioural harms of spinal imaging?

Aust J Gen Pract 2018 Sep;47(9):614-617

PhD, M Musc Sports Physio, B Physio (Hons), The Hopkins Centre, Menzies Health Institute Queensland, Griffith University; School of Health Sciences, University of South Australia, Adelaide, SA.

Background: Low back pain is responsible for significant personal and societal burden, particularly when it becomes persistent. Despite international consensus regarding the judicious use of diagnostic spinal imaging, patients continue to be over-referred.

Objective: The aim of this article is to highlight the critical need for primary care clinicians to engage in thoughtful use of imaging procedures, and to consider alternative or adjunct methods for providing reassurance, in order to avoid or mitigate the potential negative impact of 'anomalous' findings. Read More

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September 2018
1 Read

A GP primer on incisional hernia.

Authors:
Richard C Turner

Aust J Gen Pract 2018 Sep;47(9):609-612

MBBS (Hons), BMedSc, FRACS, PhD, Professor of Surgery, University of Tasmania School of Medicine; Director, Hobart Clinical School; Consultant General Surgeon, Royal Hobart Hospital, Hobart.

Background: Incisional hernias are often overlooked as a source of morbidity in post-surgical patients.

Objective: Drawing on evidence-based literature and personal clinical experience, this article seeks to provide information relevant to general practitioners (GPs) encountering patients with incisional hernias.

Discussion: Drawing on evidence-based literature and personal clinical experience, this article seeks to provide information relevant to GPs encountering patients with incisional hernias. Read More

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September 2018
2 Reads

Insights into the management of chronic hepatitis C in primary care using MedicineInsight.

Aust J Gen Pract 2018 Sep;47(9):639-645

MBBS, FRACP, PhD, Associate Professor of Medicine, St George and Sutherland Clinical School, UNSW; Head of Gastroenterology and Hepatology, St George Hospital, Sydney, NSW; Immediate past Chair, Australian Liver Association.

Background And Objectives: Direct-acting antivirals (DAAs) became available for patients with chronic hepatitis C (CHC) in primary care in March 2016, yet not all patients will have undergone pre-treatment assessment. The aim of this study was to assess where patients with CHC are situated in the diagnosis and care continuum, to encourage general practitioners (GPs) to improve pretreatment assessment and increase DAA treatment uptake.

Method: This was a cross-sectional study of 4025 adult patients with CHC first recorded between 2013 and 2017, using the general practice data program MedicineInsight. Read More

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September 2018

Workforce issues of general practice in a developing country: Pakistan.

Aust J Gen Pract 2018 Sep;47(9):651-653

MBBS, Diplomate American Board of Family Medicine; Associate Professor, Department of Family Medicine, Aga Khan University Hospital, Karachi, Pakistan.

Background: Pakistan is a developing country that has a double burden of communicable and non-communicable disease. Healthcare reform is required to combat these prevailing healthcare issues with the 'family medicine approach' to primary care. Developing a workforce of trained general practitioners (GPs) to implement this approach is essential but challenging, yet there are success stories not only from developed countries but also from a few developing countries. Read More

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September 2018

Multidisciplinary management of motor neurone disease.

Aust J Gen Pract 2018 Sep;47(9):593-597

MBBS (Hons I), FRACGP, FAFRM (RACP), Senior Staff Specialist @ Aged Care Assessment Team/Rehabilitation Medicine, Calvary Health Care, Sydney; Conjoint Lecturer, Faculty of Medicine, UNSW.

Background: Motor neurone disease (MND) is the term for a group of progressive, debilitating, neurodegenerative disorders that affect various aspects of a patient's life, including speech, swallowing, breathing and limb function.

Objective: This review outlines the common symptoms and issues in MND and the latest available treatment options. A multidisciplinary approach to MND, involving the general practitioner (GP) and rehabilitation, palliative care and allied health services, is discussed. Read More

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September 2018
27 Reads

Neurology.

Authors:
Glenn Duns

Aust J Gen Pract 2018 Sep;47(9):581

MDCM, CCFP, FRACGP, MPH is a medical editor at Australian Journal of General Practice and a@general practitioner, Mill Park, Vic.

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September 2018

Primary care and neurological disorders.

Authors:
Glenn Duns

Aust J Gen Pract 2018 Sep;47(9):581

MDCM, CCFP, FRACGP, MPH is a medical editor at Australian Journal of General Practice and a@general practitioner, Mill Park, Vic.

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September 2018
6 Reads

Doctor, my armpit hair has turned yellow! Malodorous yellowish axillary hair in an adolescent patient.

Aust J Gen Pract 2018 Sep;47(9):607-608

PhD, Dermatologist, Dermatology Department, Hospital Universitario San Cecilio, Granada, Spain.

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September 2018

Workplace issues in general practice.

Authors:
Simon Willcock

Aust J Gen Pract 2018 Aug;47(8):501

MBBS, PhD, FRACGP is director of@Primary Care and Wellbeing at MQ Health, NSW; former chair of General Practice Education and Training; and a former board member of Health Workforce Australia.

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The youth-centricity of three university-associated general practices.

Aust J Gen Pract 2018 Aug;47(8):541-544

MBBS, FRACGP, MPH, Senior Lecturer, Monash Rural Health, Latrobe Valley and West Gippsland, Traralgon West,

Background And Objectives: Young people are poor attenders of mainstream general practice; however, university general practices may be an exception, given the age demographic of the population from which they draw patients. The objective of this article was to explore the youth-centricity of 12 months of encounter data from three university-associated general practices: Queensland University of Technology (QUT) in Brisbane, University of New South Wales (UNSW) in Sydney and the University of Melbourne (UniMelb).

Method: Encounter data from January to December 2016 were extracted from information management software and analysed using SPSS Statistics 24. Read More

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Impact of training for general practitioners on their mental health services: The Hong Kong experience.

Aust J Gen Pract 2018 Aug;47(8):550-555

BSc (Med), MSc, PhD, Postdoctoral Research Fellow, University of North Carolina at Chapel Hill Project-China, Guangzhou, China.

Method: A questionnaire survey was conducted among GPs. Of the 516 respondents, 76 (14.7%) had attended a one‑year postgraduate mental health training course. Read More

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August 2018
1 Read

Medication non-adherence in a cohort of chronically ill Australians: A case of missed opportunities.

Aust J Gen Pract 2018 Aug;47(8):556-562

AO, FRACP, FFPH, FAFPHM, FRACGP, Emeritus Professor of Public Health and Community Medicine, University of Sydney, Menzies Centre for Health Policy, School of Public Health, Faculty of Medicine and Health, NSW.

Background And Objectives: This study investigated the effect of management - including home medicines reviews and chronic disease management plans funded through the Medicare Benefits Schedule - on self-reported medication non-adherence.

Method: An observational cohort study including 244 individuals with an exacerbation of chronic illness enrolled into the Care Navigation randomised controlled trial of integrated care. Non-adherence was measured using the Morisky-Greene-Levine self-reported adherence tool. Read More

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August 2018
1 Read

Junior doctors, burnout and wellbeing: Understanding the experience of burnout in general practice registrars and hospital equivalents.

Aust J Gen Pract 2018 Aug;47(8):571-575

MBBS, MFM (Clin), PhD, DRANZCOG, FRACGP, Roberta Williams Chair of General Practice, University of Wollongong, NSW.

Background And Objectives: Australian junior doctors are stressed and report high rates of burnout. The aim of this study was to understand the experience of burnout in general practice registrars and hospital equivalents.

Method: Qualitative, semi-structured interviews were completed until saturation and thematically analysed. Read More

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August 2018
2 Reads

What can pharmacists do in general practice? A pilot trial.

Aust J Gen Pract 2018 08;47(8):545-549

BPharm (Hons), AACP, PhD, Course Convenor, Discipline of Pharmacy, Faculty of Health, University of Canberra, Bruce, Canberra, ACT.

Background And Objectives: Non-dispensing pharmacists are being suggested as a useful addition to the workforce in general practice. The aim of this study was to describe the activities of three general practice pharmacists over six months in a pilot trial.

Method: Three general practices integrated a part-time (15. Read More

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August 2018
18 Reads

Talking to migrant and refugee young people about sexual health in general practice.

Aust J Gen Pract 2018 Aug;47(8):564-569

MB BCh, MSc, PhD, Health, Rights and Development (HEARD@UNSW), School of Social Sciences, UNSW Sydney, Kensington, NSW.

Background And Objectives: Young people are an important group to target with health promotion and preventive healthcare. This paper focuses on the engagement of migrant and refugee young people with sexual and reproductive healthcare in general practice.

Method: Semi-structured first interviews (n = 27; 16 female, 11 male) and follow-up interviews (n = nine; six female, three male) were undertaken with migrant and refugee young people aged 16-24 years living in Sydney. Read More

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August 2018
1 Read

General practice work and workforce: Interdependencies between demand, supply and quality.

Aust J Gen Pract 2018 Aug;47(8):507-513

MBBS, PhD, MSc, FRACGP, FAFPHM, MRCGP, Associate Professor, Community Medicine Monash Health, Dandenong, Vic.

Background: General practice is regarded as central to the Australian health system. However, issues affecting the general practitioner (GP) workforce have been focused mainly on remuneration, numbers and distribution. The focus is shifting to how best to enable GPs to deliver effective, efficient and equitable care. Read More

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August 2018
5 Reads

Producing a general practice workforce: Let's count what counts.

Aust J Gen Pract 2018 Aug;47(8):514-517

MBBS, MD, PhD, FRACGP, FACRRM, FRCGP, Professor of Remote and Rural Health, College of Medicine and Dentistry, James Cook University, Townsville, Qld; University of Tasmania, Hobart, Tas.

Background: Medical workforce problems still dominate headlines despite considerable investment in education, training and other initiatives. There is little consensus about what Australia's general practice workforce should look like or what training outcomes should be reported.

Objective: The aim of this paper was to explore a number of issues relevant to outcomes of workforce programs and offer suggestions for identifying and overcoming these issues. Read More

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Developing a general practice workforce for the future.

Aust J Gen Pract 2018 Aug;47(8):502-505

MBBS, PhD, FRACGP, FACRRM, Professor of Health Professional Education, College of Medicine and Dentistry, James Cook University, Townsville, Qld.

Background: Australia continues to develop as a multicultural nation, with a population that is ageing and developing complex health needs. The world around us is changing, and the pace of change is increasing. These contextual changes pose challenges for general practice training. Read More

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August 2018
20 Reads

Workforce planning: How we think about the impact of organisations on outcomes.

Aust J Gen Pract 2018 Aug;47(8):519-521

MBChB, FRCGP, FRACGP, MSc, DRCOG, PGAMedEd, Medical Director, My Home GP, Melbourne, Vic; General Practitioner, Aged Care GP, Tullamarine, Vic; Editorial Board Member, Australian Journal of General Practice; Clinical Council Member, South Eastern Melbourne Primary Health Network; Founder Member, Royal College of General Practitioners@ Overseas and International Network.

Background: Healthcare workforce availability and planning is of fundamental importance to patients, clinicians, operational managers and strategic leaders alike. Despite much attention and development of plans and policy, a definitive answer remains elusive.

Objective: The aim of this article is to encourage colleagues to make explicit their underlying assumed models when undertaking workforce planning. Read More

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August 2018
1 Read

Workforce innovation: Embracing emerging technologies.

Authors:
Justin Beilby

Aust J Gen Pract 2018 Aug;47(8):522-524

MBBS, MD, MPH, FRACGP, Vice Chancellor, Torrens University Australia, Victoria Square, SA.

Background: In a rapidly evolving digital world, it is crucial that general practice embraces the potential of artificial intelligence (AI) and virtual reality (VR) in a real and proactive manner.

Objective: Using examples of AI and VR, the article outlines some of the benefits and challenges we face in integrating these digital tools into daily clinical practice and our training programs.

Discussion: It is clear that AI and VR digital innovations will continue to grow in significance, with more and more options being offered to clinicians. Read More

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August 2018
1 Read

Building a fit-for-purpose Australian primary healthcare workforce.

Authors:
Simon Willcock

Aust J Gen Pract 2018 Aug;47(8):501

MBBS, PhD, FRACGP is director of@Primary Care and Wellbeing at MQ Health, NSW; former chair of General Practice Education and Training; and a former board member of Health Workforce Australia.

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August 2018
1 Read

Denosumab-related hypocalcaemia in chronic kidney disease.

Authors:
Chen Han Yong

Aust J Gen Pract 2018 Aug;47(8):538-539

MBBS, Basic Physician Trainee, Division of Medicine, Lyell McEwin Hospital, Haydown Road, Elizabeth Vale, SA; Clinical Associate Lecturer, University of Adelaide, SA.

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August 2018
1 Read

A general practitioner primer on groin hernias.

Authors:
Richard C Turner

Aust J Gen Pract 2018 Aug;47(8):530-533

MBBS (Hons), BMedSc, FRACS, PhD, Professor of Surgery, University of Tasmania School of Medicine; Director, Hobart Clinical School; Consultant General Surgeon, Royal Hobart Hospital, Hobart.

Background: Patients, particularly adult males, commonly present to general practice with groin hernias. Although rarely life-threatening, groin hernias can be associated with considerable morbidity and limitation of earning capacity. General practitioners should be equipped with a sound knowledge of the relevant anatomy, clinical findings and management principles in order to facilitate all aspects of the patient journey. Read More

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August 2018
4 Reads

Multiple myeloma: Updated approach to management in 2018.

Authors:
Ross Tomlinson

Aust J Gen Pract 2018 Aug;47(8):526-529

MBBS, Haematology Advanced Trainee, Queensland Health, Qld.

Background: Multiple myeloma is an uncommon haematological cancer of plasma cells. Improvements in understanding of this disease have lead to drastic changes regarding diagnosis, management and its prognosis.

Objective: The aim of this article is to provide a concise update regarding the current management of myeloma in Australia, and important management issues for general practitioners. Read More

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August 2018
26 Reads

A woman with persistent fever and a skin lesion.

Aust J Gen Pract 2018 Aug;47(8):535-536

MBBS, FRCPI, FRCP, Professor of Medicine, Department of Internal Medicine, International Medical University, Seremban

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August 2018
5 Reads

July correspondence.

Authors:

Aust J Gen Pract 2018 Jul;47(7):409-410

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A new era in cervical cancer prevention.

Authors:
Lara Roeske

Aust J Gen Pract 2018 Jul;47(7):405

BMedSc, MBBS (Hons), FRACGP, is a Melbourne general practitioner and practice owner; director of Education and Liaison at the Victorian Cytology Service; chair of the RACGP Specific Interests Sexual Health Medicine Network; member of the Cancer Council Australia Cervical Cancer Screening Guidelines Working Party; and co-author of the National Cervical Screening Program: Guidelines for the management of screen-detected abnormalities, screening in specific populations and investigation of abnormal vaginal bleeding.

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Women's health.

Authors:

Aust J Gen Pract 2018 Jul;47(7):405

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Fertility and pregnancy care.

Authors:
Kirsten I Black

Aust J Gen Pract 2018 Jul;47(7):407

MBBS, MMed, FRANZCOG, MSRH, PhD, DDU, Joint Head of Discipline, Obstetrics, Gynaecology @ Neonatology, the University of Sydney, NSW.

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July 2018
6 Reads

Bringing futurism into medical education: Harnessing augmented reality to foster more engagement.

Aust J Gen Pract 2018 Jul;47(7):490-491

PhD, Head, School of Clinical Sciences, Faculty of Health, Queensland University of Technology, Brisbane, Qld.

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Management of sore throat in primary care.

Aust J Gen Pract 2018 Jul;47(7):485-489

MBBS, FRACGP, PhD, Honorary Senior Research Fellow, Department of General Practice, University of Melbourne, Vic.

Background And Objectives: The aim of this study was to examine the knowledge, attitudes and practices of general practitioners (GPs) in Victoria, Australia in the management of sore throat.

Method: We conducted a cross-sectional survey of 100 GPs using a questionnaire with the same four case vignettes used in a 1994 Victorian study.

Results: Eighty-nine per cent of respondents indicated they would prescribe antibiotics to a child with a short history of sore throat and fever, with examination findings of fever, tonsillar pus and tender cervical lymph nodes. Read More

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July 2018
15 Reads

Intentional self-inflicted and peer-inflicted aerosol skin injuries called 'frosties': Cohort series and systematic literature review.

Aust J Gen Pract 2018 Jul;47(7):477-482

MBBS, Senior House Officer Paediatric Surgery, Pegg Leditschke Children@s Burns Centre, Children@s Health Queensland, South Brisbane, Qld; Lady Cilento Children@s Hospital, Brisbane, Qld.

Background And Objectives: 'Frosties' are deliberate cold skin burns caused by an aerosol device. The aim of this article was to examine our own cohort, and those previously published, to identify the key features of patients presenting with frosties and inform appropriate early clinical interventions.

Method: We compared cases in our dataset that occurred between 1 January 2013 and 30 June 2017 with those reported in the literature, focusing on seven domains: sex, age at injury, days to presentation, first aid, depth of injury and outcome. Read More

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Pelvic girdle pain in pregnancy.

Aust J Gen Pract 2018 Jul;47(7):439-443

MBBS, BSc (Med), MM (Clin Epi), FRANZCOG, PhD, Perinatal Women@s Health Senior Lecturer, Sydney Medical School @ Northern, The University of Sydney; Staff Specialist, Obstetrics and Gynaecology, Royal North Shore Hospital, St Leonards, NSW; Clinical and Population Perinatal Health Research, Kolling Institute, Northern Sydney Local Health District, St Leonards, NSW.

Background: Pelvic girdle pain (PGP) in pregnancy is a common condition that can cause significant physical disability and has an important psychosocial impact on pregnant women and their families. It is often under-reported and poorly managed by obstetric caregivers, and this can result in poorer outcomes, reduced quality of life and chronic pain.

Objective: The objective of this article is to discuss the practical assessment and management of PGP in pregnancy. Read More

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July 2018
2 Reads

Gestational diabetes mellitus: A pragmatic approach to diagnosis and management.

Aust J Gen Pract 2018 Jul;47(7):445-449

MBBS, MClinEd, FRACP, Endocrinologist, Royal Melbourne Hospital; Physician, Diabetes and Endocrine Service, Royal Women@s Hospital; Clinical Associate Professor, The University of Melbourne, Melbourne.

Background: Gestational diabetes mellitus (GDM) is a common condition with risks for mother and baby. Type 2 diabetes mellitus (T2DM) and obesity are occurring with increasing frequency, and the incidence of GDM reflects this trend. Further, new diagnostic criteria have greatly increased the prevalence of GDM. Read More

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July 2018
1 Read

Recurrent pregnancy loss: A summary of international evidence-based guidelines and practice.

Aust J Gen Pract 2018 Jul;47(7):432-436

BMed(Hons), MMed(RHHG), FRANZCOG, CREI, RPA Fertility Unit, Camperdown, NSW; consultant, Genea Fertility, Sydney; VMO, Northshore Private Hospital and Mater Hospital, NSW.@

Background: Recurrent pregnancy loss (RPL) is defined as two or more pregnancy losses. It affects <5% of couples. There are many proposed causes; however, in a significant proportion of cases, the cause is unknown. Read More

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July 2018
1 Read

Human papillomavirus testing as part of the renewed National Cervical Screening Program.

Authors:
David Hawkes

Aust J Gen Pract 2018 Jul;47(7):412-414

BSc (Hons), PhD, Director, Molecular Biology and Biochemistry Victorian Cytology Service (VCS), Melbourne, Vic; Honorary Research Fellow, Department of Pharmacology and Therapeutics, University of Melbourne Vic.

Background: On 1 December 2017, Australia moved to a new National Cervical Screening Program (NCSP), which uses primary human papillomavirus (HPV) nucleic acid testing (NAT) followed by reflex liquid-based cytology for women aged between 25 and 74 years.

Objective: The aim of this article is to provide an overview of the different HPV NAT assays that satisfy the requirements for use in the renewed NCSP.

Discussion: Australia has adopted innovative, evidence-based criteria for the inclusion of HPV NAT assays in the renewed NCSP. Read More

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Preconception care.

Aust J Gen Pract 2018 Jul;47(7):424-429

MBBS, MMed, FRANZCOG, MSRH, PhD, DDU, Joint Head of Discipline, Obstetrics, Gynaecology @ Neonatology, the University of Sydney, NSW.

Background: Preconception care (PCC) comprises counselling and the provision of biomedical, behavioural and social health interventions to optimise the health of women and their partners prior to pregnancy and improve health related outcomes for themselves and their children.

Objective: With a focus on women, the aim of this paper is to discuss the evidence for PCC, available guidelines and strategies to increase primary care access.

Discussion: Each year an estimated 10% of women in Australia become pregnant. Read More

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July 2018
39 Reads

Human papillomavirus vaccination update: Nonavalent vaccine and the two-dose schedule.

Aust J Gen Pract 2018 Jul;47(7):417-421

B Med (Hons), MPH (Hons), GradDipAppEpi, FAFPHM, PhD, GAICD, Medical Director, Registries and Research, Victorian Cytology Service; Honorary Principal Fellow, School of Population and Global Health, University of Melbourne, Vic.

Background: Australia has included quadrivalent human papillomavirus (HPV) vaccination in its national program since 2007. Significant declines have been observed in the incidence of HPV infection, genital warts and high-grade cervical lesions. In 2018, the program changed to a nonavalent HPV vaccine administered over a routine two-dose schedule for the target cohort of adolescents aged 12-13 years. Read More

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July 2018
6 Reads

A brief review of global climate change and the public health consequences.

Authors:
Ivan Parise

Aust J Gen Pract 2018 Jul;47(7):451-456

MBBS, DRACOG, Dip Shared Care Psychiatry (Eating Disorders), MPHTM, General Practitioner, Lower Mountains Family Practice, Blaxland, NSW.

Background: Global climate change (GCC) will have an enormous impact on public health in the 21st century. Evidence clearly implicates the use of fossil fuels and the resultant anthropogenic greenhouse gases as the major source of GCC.

Objective: This paper seeks to examine briefly the association between fossil fuels and GCC, the consequent environmental changes and the predicted public health effects. Read More

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July 2018
16 Reads

Review and update of benign prostatic hyperplasia in general practice.

Aust J Gen Pract 2018 Jul;47(7):471-475

MBBS, Consultant Urologist, Director of Unit, Urology Department, Royal Brisbane and Women@s Hospital, Brisbane, Qld.

Background: Benign prostatic hyperplasia (BPH) is the most common benign tumour in men. Although men with BPH often need medical or surgical management from a urologist at some point throughout the timeline of their disease, most men are initially assessed and managed by a general practitioner (GP) in the primary healthcare setting.

Objective: The aim of this article is to highlight the principles of the pathogenesis, presentation, assessment and management of BPH in a primary care setting. Read More

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July 2018
4 Reads

Female pattern hair loss.

Aust J Gen Pract 2018 Jul;47(7):459-464

MBBS, FACD, Consultant Dermatologist at Concord Repatriation General Hospital, Clinical Senior Lecturer @ The Sydney University Concord Clinical School, NSW.

Background: Female pattern hair loss (FPHL) is a commonly encountered clinical presentation in primary care. Patterned hair loss in women is characterised by diffuse hair thinning and often becomes an ongoing cause of psychosocial distress.

Objective: The aim of this article is to present a practical approach for the clinical assessment of female hair loss and to review the up-to-date treatment modalities. Read More

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July 2018
15 Reads

Questions to ask a patient with nocturia.

Aust J Gen Pract 2018 Jul;47(7):465-469

MBBS, FRACP, Geriatrician, Continence Clinic, Department of Medicine and Community Care, the Royal Melbourne Hospital, Melbourne.

Background: Patients may not raise nocturia as a concern as they mistakenly consider the symptom to be a normal part of ageing. Nocturia is associated with significant morbidity and is likely to be a marker of poor health.

Objective: This paper provides questions to guide diagnosis, evaluation and individualised treatment of nocturia. Read More

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July 2018
1 Read