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Australian Family Physician

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https://www.readbyqxmd.com/read/28609603/can-research-that-is-not-intended-or-unlikely-to-be-published-be-considered-ethical
#1
Christopher Barton, Chun Wah Michael Tam, Penelope Abbott, Sally Hall, Siaw-Teng Liaw
BACKGROUND: For research to be ethically acceptable, the potential benefits must justify any risks involved for participants. Dissemination of research findings through publication is one way of creating benefit, but not all researchers intend to publish their research. Other factors, such as lack of size or representativeness, generalisability or innovativeness, or negative findings mean the research is unlikely to be published in a peer-reviewed medical journal. OBJECTIVE: This paper discusses ethical considerations in research where peer-reviewed publication is not intended or unlikely...
June 2017: Australian Family Physician
https://www.readbyqxmd.com/read/28609602/guidelines-and-systematic-reviews-sizing-up-guidelines-in-general-practice
#2
Mieke L van Driel, Geoffrey Spurling
No abstract text is available yet for this article.
June 2017: Australian Family Physician
https://www.readbyqxmd.com/read/28609601/procedural-skills-of-australian-general-practice-registrars-a-cross-sectional-analysis
#3
Fariba Aghajafari, Amanda Tapley, Steve Sylvester, Andrew R Davey, Simon Morgan, Kim M Henderson, Mieke L van Driel, Neil A Spike, Rohan H Kerr, Nigel F Catzikiris, Katie J Mulquiney, Parker J Magin
BACKGROUND: Procedural skills are an essential component of general practice vocational training. The aim of this study was to investigate the type, frequency and rural or urban associations of procedures performed by general practice registrars, and to establish levels of concordance of procedures performed with a core list of recommended procedural skills in general practice training. METHODS: A cross-sectional analysis of a cohort study of registrars' consultations between 2010 and 2016 was undertaken...
June 2017: Australian Family Physician
https://www.readbyqxmd.com/read/28609600/who-do-australian-general-practitioners-refer-to-physiotherapy
#4
Sarah Dennis, Ian Watts, Ying Pan, Helena Britt
BACKGROUND: Physiotherapy plays an important role in the health of many Australians. The aims of this study were to assess changes in the rate of general practitioner (GP) referral to physiotherapists in Australia from 1998 to 2014, and to determine patient characteristics associated with increased likelihood of such referral. METHODS: Secondary analysis was undertaken of data from the Bettering the Evaluation and Care of Health program using weighted encounter data years 1998-99 to 2014-15 inclusive...
June 2017: Australian Family Physician
https://www.readbyqxmd.com/read/28609599/assessment-and-management-of-asthma-and-chronic-obstructive-pulmonary-disease-in-australian-general-practice
#5
Helen K Reddel, Lisa Valenti, Kylie L Easton, Julie Gordon, Clare Bayram, Graeme C Miller
BACKGROUND: Dispensing data suggest potential issues with the quality use of medicines for airways disease. OBJECTIVE: The objective of this article was to describe the management of asthma and chronic obstructive pulmonary disease (COPD) in general practice, and investigate the appropriateness of prescribing. METHODS: The method used for this study consisted of a national cross‑sectional survey of 91 Australian general practitioners (GPs) participating in the Bettering the Evaluation and Care of Health (BEACH) program...
June 2017: Australian Family Physician
https://www.readbyqxmd.com/read/28609598/up-up-and-away-the-growth-of-after-hours-mbs-claims
#6
Barbara de Graaff, Mark Nelson, Amanda Neil
BACKGROUND: Media reports suggest that growth in urgent, after-hours Medicare Benefits Schedule (MBS) claims has coincided with an increasing number of after-hours medical deputising services (AHMDSs). This article assesses these claims in the context of an increasing presence of AHMDSs. METHODS: Retrospective analysis of MBS claims data for general practitioner (GP) after-hours items from 2010-11 to 2015-16 was conducted. The Tasmanian experience is presented as a case study...
June 2017: Australian Family Physician
https://www.readbyqxmd.com/read/28609597/keeping-an-eye-on-syphilis
#7
Daini Ong, Gaurav Bhardwaj, Jason Ong, Marcus Chen, Lyndell L Lim
BACKGROUND: The objective of this article was to alert general practitioners (GPs) to the increase in ocular syphilis in the context of a worsening epidemic of syphilis among men who have sex with men (MSM). METHODS: This study used a retrospective case review of ocular syphilis cases that presented to the Royal Victorian Eye and Ear Hospital from January 2015 to August 2016. RESULTS: Twelve patients (19 eyes) were identified, including 11 males...
June 2017: Australian Family Physician
https://www.readbyqxmd.com/read/28609596/painful-pustular-dactylitis-in-an-elderly-patient
#8
José Tiago Teixeira, Carina Afonso, Maria Bernardete Machado, Paulo Morais
No abstract text is available yet for this article.
June 2017: Australian Family Physician
https://www.readbyqxmd.com/read/28609595/bilateral-vision-loss-in-a-child-recently-diagnosed-with-type-1-diabetes-mellitus
#9
Roderick Francis Justin O'Day, John Ross Rocke, Janaka Tennakoon, Shivanand Sheth, Christolyn Raj
No abstract text is available yet for this article.
June 2017: Australian Family Physician
https://www.readbyqxmd.com/read/28609594/incidental-adrenal-masses-a-primary-care-approach
#10
Rasha Gendy, Prem Rashid
BACKGROUND: The common use of cross-sectional imaging for the investigation of abdominal and thoracic illness has resulted in the rise of the incidentally identified adrenal mass, or incidentaloma, which presents a diagnostic and management dilemma for the primary care physician. OBJECTIVE: This article provides a framework for the investigation and management of incidental adrenal masses. DISCUSSION: Adrenal incidentalomas are found in approximately 3-4% of abdominal computed tomography (CT) scans...
June 2017: Australian Family Physician
https://www.readbyqxmd.com/read/28609593/travelling-safely-to-places-at-high-altitude-understanding-and-preventing-altitude-illness
#11
Ivan Parise
BACKGROUND: Greater numbers of people are travelling to places at high altitude each year. Altitude illness is common in places at high altitude and may be life-threatening. General practitioners (GPs) are best placed to provide evidence-based advice to keep travellers well informed of the possible risks they may encounter in places at high altitude. OBJECTIVE: The aim of this article is to review knowledge on altitude illness in order to help GPs assist patients to travel safely to places at high altitude...
June 2017: Australian Family Physician
https://www.readbyqxmd.com/read/28609592/perimenopausal-contraception-a-practice-based-approach
#12
Deborah Bateson, Kathleen McNamee
BACKGROUND: Women who are perimenopausal are at risk of unintended pregnancy despite relatively low fertility at this stage. Contraceptive choice can be limited by increased comorbidities, but the UK Medical Eligibility Criteria (UKMEC) system provides a framework for safe prescribing. OBJECTIVE: This article provides evidence-based guidance on contraceptive options, and information to support decision-making about stopping contraception at menopause. DISCUSSION: Contraceptive choice is determined by several factors, including medical eligibility, side effects and risks, non-contraceptive benefits, cost and personal preference...
June 2017: Australian Family Physician
https://www.readbyqxmd.com/read/28609591/obesity-and-weight-management-at-menopause
#13
Joseph Proietto
BACKGROUND: Many women report gaining weight as they transition through menopause. For most, the weight gain is modest and can be reduced with a conscious effort to limit energy intake and increase energy expenditure. However, many women who are already overweight and obese will gain more weight as they approach menopause. OBJECTIVE: The aims of this paper are to explain the reasons for menopausal weight gain and to detail a method for achieving and sustaining a substantial weight loss...
June 2017: Australian Family Physician
https://www.readbyqxmd.com/read/28609590/premature-ovarian-insufficiency-in-general-practice-meeting-the-needs-of-women
#14
Hanh H Nguyen, Frances Milat, Amanda Vincent
BACKGROUND: Premature ovarian insufficiency (POI), defined as amenorrhoea due to the loss of ovarian function before 40 years of age, can occur spontaneously or be secondary to medical therapies. POI is associated with cardiovascular morbidity, osteoporosis and premature mortality. Women with POI present in primary care with menstrual disturbance, menopausal symptoms, infertility and, often, significant psychosocial issues. General practitioners play an important role in the evaluation and long-term management of women with POI...
June 2017: Australian Family Physician
https://www.readbyqxmd.com/read/28260281/echocardiography-and-clozapine-is-current-clinical-practice-inhibiting-use-of-a-potentially-life-transforming-therapy
#15
Gail Robinson, Steve Kisely, Dan Siskind, Robert J Flanagan, Amanda J Wheeler
No abstract text is available yet for this article.
March 2017: Australian Family Physician
https://www.readbyqxmd.com/read/28260280/teaching-rational-prescribing-to-general-practice-registrars-a-guide-for-supervisors
#16
Simon Morgan
BACKGROUND: Pharmaceuticals play an important role in modern day healthcare, and prescribing is a very common activity in Australian general practice. However, there are significant harms associated with medicine use. Vocational training is a critical period in the development of clinical practice patterns for the future general practitioner (GP), including prescribing behaviour. The general practice supervisor, therefore, has a key role to play in educating registrars about rational prescribing...
March 2017: Australian Family Physician
https://www.readbyqxmd.com/read/28260279/undescended-testes-diagnosis-and-timely-treatment-in-australia-1995-2014
#17
Jaya Vikraman, Susan Donath, John M Hutson Ao
BACKGROUND: Routine primary care checks in infants and prepubertal boys aim for early detection and intervention of undescended testes (UDT). Congenital and acquired UDT cause infertility, and congenital UDT also increases testicular cancer risk. We examined 20 years of Australian orchidopexy data (1995-2014) to explore the national orchidopexy operation rates over time. METHODS: Orchidopexy and population data were collected from the Australian Bureau of Statistics (ABS) for 1995-2014, and census data for each age group were also collected...
March 2017: Australian Family Physician
https://www.readbyqxmd.com/read/28260278/parental-attitudes-beliefs-behaviours-and-concerns-towards-childhood-vaccinations-in-australia-a-national-online-survey
#18
Chow My, Margie Danchin, Harold W Willaby, Sonya Pemberton, Julie Leask
BACKGROUND: Vaccine hesitancy is a public health concern. The objectives of this article were to describe Australian parents' attitudes, behaviours and concerns about vaccination, determine the factors associated with vaccination non-compliance, and provide sources of vaccination information for general practitioners (GPs). METHODS: We conducted a nationally representative online survey of Australian parents in 2012. We determined associations between demo-graphic and vaccination attitudes and behaviour...
March 2017: Australian Family Physician
https://www.readbyqxmd.com/read/28260277/comparison-of-efficacy-and-tolerability-of-pharmacological-treatment-for-the-overactive-bladder-in-women-a-network-meta-analysis
#19
Sivalingam Nalliah, Pou Wg, Premjit K Masten Singh, Piravin Naidu, Vivian Lim, Arshad Asa Ahamed
BACKGROUND: Overactive bladder syndrome (OAB) is a common medical condition that causes significant distress and impact on the quality of life in women. Muscarinic receptor antagonists remain the mainstay of therapy, but they are limited by their efficacy and adverse effects. The objective of the article was to compare the clinical efficacy and tolerability of medications used to treat OAB in women through network meta-analysis. METHODS: Data from eligible studies of commonly prescribed pharmacological agents in the treatment of OAB in women were entered into Net-MetaXL after a literature search using two online databases (PubMed and Cochrane)...
March 2017: Australian Family Physician
https://www.readbyqxmd.com/read/28260276/older-people-and-knowledge-of-epilepsy-gps-can-help
#20
Chris L Peterson, Loretta Piccenna, Sue Williams, Frances Batchelor, Briony Dow, Graeme Shears
BACKGROUND: Epilepsy is a common neurological disease with a high prevalence in people aged 65 years or older. Therefore, an understanding of the disease is important. The objective of this article was to determine older people's knowledge of epilepsy. METHODS: Electronic or paper-based surveys were completed by people aged 65 years and older. RESULTS: Five hundred and seventy-two surveys were completed, including 100 from people with epilepsy...
March 2017: Australian Family Physician
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