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Australian Family Physician

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https://www.readbyqxmd.com/read/28260281/echocardiography-and-clozapine-is-current-clinical-practice-inhibiting-use-of-a-potentially-life-transforming-therapy
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
https://www.readbyqxmd.com/read/28260275/projectile-fly-larvae-a-potentially-under-reported-cause-of-ocular-foreign-body-sensation-and-inflammation-in-australia
#7
Julian C Kelman, Zachary E McPherson, Benjamin Wc Sim
No abstract text is available yet for this article.
March 2017: Australian Family Physician
https://www.readbyqxmd.com/read/28260274/a-case-of-double-vision
#8
Mohamed-Yassin Ms, Noorhida Baharudin, Norasyikin Mustafa
No abstract text is available yet for this article.
March 2017: Australian Family Physician
https://www.readbyqxmd.com/read/28260273/an-unusual-cause-of-pleuritic-pain
#9
Joshua E Mann
No abstract text is available yet for this article.
March 2017: Australian Family Physician
https://www.readbyqxmd.com/read/28260272/lisfranc-injuries
#10
Sacha Wynter, Cameron Grigg
BACKGROUND: Injury to the tarsometatarsal joint is a relatively rare occurrence that is commonly missed, leading to debilitating outcomes. For this reason, it is considered a red flag in general practice. OBJECTIVE: This article reviews the current literature on tarsometatarsal injuries and describes clinical assessment, imaging and management. DISCUSSION: Lisfranc injuries refer to the displacement of the metatarsals from the tarsus, with special attention placed on the second tarsometa-tarsal joint and Lisfranc ligament...
March 2017: Australian Family Physician
https://www.readbyqxmd.com/read/28260271/the-short-synacthen-test-and-laboratory-assay-inter-ference
#11
Choy Kw, Choy Kh
No abstract text is available yet for this article.
March 2017: Australian Family Physician
https://www.readbyqxmd.com/read/28260270/a-suspicious-pigmented-lesion-in-a-transplant-patient
#12
Bala Hr, Alvin H Chong
No abstract text is available yet for this article.
March 2017: Australian Family Physician
https://www.readbyqxmd.com/read/28260269/research-in-general-practice
#13
Jane Gunn, Marie Pirotta
No abstract text is available yet for this article.
March 2017: Australian Family Physician
https://www.readbyqxmd.com/read/28260268/implanon-nxt-expert-tips-for-best-practice-insertion-and-removal
#14
Suzanne Pearson, Mary Stewart, Deborah Bateson
BACKGROUND: The single rod etonogestrel contraceptive implant is available in Australia as Implanon NXT. It is a highly effective, long-acting reversible contraceptive method, which is suitable for most women across the reproductive lifespan. OBJECTIVE: This article provides practical advice for clinicians who already insert and remove the contraceptive implant, as well as advice for those who have not yet acquired this procedural skill. DISCUSSION: Contraceptive implant procedures are usually performed in the general practice setting...
March 2017: Australian Family Physician
https://www.readbyqxmd.com/read/28260267/performing-therapeutic-venesection-in-a-doctor-s-surgery
#15
Lim Hy, Ho Wk Ho
BACKGROUND: Although venesection was widely applied in the past for the treatment of various ailments and diseases, in modern medical practice, it is indicated in very few conditions, namely, hereditary haemochromatosis, polycythaemia and porphyria cutanea tarda. OBJECTIVE: This article briefly reviews the pathophysiology of these conditions, and the rationale and goals of therapeutic venesection as a treatment modality. It also summarises the venesection procedure itself and the considerations for setting up a venesection service in a doctor's surgery...
March 2017: Australian Family Physician
https://www.readbyqxmd.com/read/28260266/burns-dressings
#16
Helen E Douglas, Fiona Wood
BACKGROUND: Burn injuries are common and costly; each year, there are more than 200,000 cases, costing the Australian community $150 million. Management of smaller burn injuries in the community can be improved by appropriate first aid, good burn dressings and wound management. This can reduce the risk of the burn becoming deeper or infected, and can potentially reduce the requirement for specialist review or surgery. OBJECTIVE: The objective of this article is to provide healthcare professionals with information about the pathophysiology of burn wound progression...
March 2017: Australian Family Physician
https://www.readbyqxmd.com/read/28260265/managing-corneal-foreign-bodies-in-office-based-general-practice
#17
Alison Fraenkel, Lawrence R Lee, Graham A Lee
BACKGROUND: Patients with a corneal foreign body may first present to their general practitioner (GP). Safe and efficacious management of these presentations avoids sight-threatening and eye-threatening complications. Removal of a simple, superficial foreign body without a slit lamp is within The Royal Australian College of General Practitioners' (RACGP's) curriculum and scope of practice. Knowing the rele-vant procedural skills and indications for referral is equally important. OBJECTIVE: The objective of this article is to provide an evidence-based and expert-based guide to the management of corneal foreign bodies in the GP's office...
March 2017: Australian Family Physician
https://www.readbyqxmd.com/read/28376581/esperance-pica-study
#18
Kuroush A Ardeshirian, Donald A Howarth
BACKGROUND: Pica, the eating of non-foods, occurs particularly in children and pregnant women. It has been observed in communities all over the world. Pica is associated with iron deficiency and, in some environments, lead poisoning. This is the first time a study has assessed the prevalence of pica in Australia. METHODS: The study assessed the prevalence of pica in an Australian rural community, using a questionnaire given to parents of 223 children aged 2-10 years attending the five general practice surgeries in the shire...
2017: Australian Family Physician
https://www.readbyqxmd.com/read/28376580/a-survey-of-hepatitis-c-management-by-victorian-gps-after-pbs-listing-of-direct-acting-antiviral-therapy
#19
Amanda Wade, Bridget Draper, Joseph Doyle, Nicole Allard, Paul Grinzi, Alexander Thompson, Margaret Hellard
BACKGROUND: To increase access to hepatitis C virus (HCV) treatment, the Pharmaceutical Benefits Scheme (PBS) enabled general practitioners (GPs) to prescribe direct-acting antiviral (DAA) therapy. We conducted a survey to identify GPs' knowledge and management of HCV. METHODS: A questionnaire consisting of 20 items about HCV knowledge and management was sent to 1000 GPs. RESULTS: One hundred and ninety-one GPs (19.1%) responded; 74% answered correctly that antibody and RNA positivity is diagnostic of HCV...
2017: Australian Family Physician
https://www.readbyqxmd.com/read/28376579/how-can-gps-drive-software-changes-to-improve-healthcare-for-aboriginal-and-torres-strait-islanders-peoples
#20
Helen Kehoe
BACKGROUND: Changes to the software used in general practice could improve the collection of the Aboriginal and Torres Strait Islander status of all patients, and boost access to healthcare measures specifically for Aboriginal and Torres Strait Islander peoples provided directly or indirectly by general practitioners (GPs). OBJECTIVE: Despite longstanding calls for improvements to general practice software to better support Aboriginal and Torres Strait Islander health, little change has been made...
2017: Australian Family Physician
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