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Australian Family Physician

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https://www.readbyqxmd.com/read/29101925/patients-attitudes-towards-chaperone-use-for-intimate-physical-examinations-in-general-practice
#1
Lucie Stanford, Andrew Bonney, Rowena Ivers, Judy Mullan, Warren Rich, Bridget Dijkmans-Hadley
BACKGROUND: The objective of this article is to investigate patients' attitudes to the use of chaperones for intimate physical examinations (IPEs) in a sample of Australian general practices. METHODS: A cross-sectional survey of adult patients from 13 randomly selected general practices in regional New South Wales was conducted between September and November 2012. Generalised linear mixed models were used for analysis. RESULTS: Of 780 surveys distributed, 687 (88%) were returned; the age range was 18-91 years and 356 (52%) were from female patients...
November 2017: Australian Family Physician
https://www.readbyqxmd.com/read/29101924/the-challenge-of-liver-cancer-surveillance-in-general-practice-do-recall-and-reminder-systems-hold-the-answer
#2
Nicole Allard, Tracey Cabrie, Emily Wheeler, Jacqui Richmond, Jennifer MacLachlan, Jon Emery, John Furler, Benjamin Cowie
BACKGROUND: Hepatocellular carcinoma (HCC) surveillance reduces mortality in at-risk people living with chronic hepatitis B (CHB), but is difficult to achieve in practice. The objective of this study was to measure participation and adherence to liver cancer HCC surveillance in eligible patients in a community health centre, following support from the Integrated Hepatitis B Service (IHBS). METHODS: A retrospective analysis of the medical records of patients with CHB who met the indications for HCC surveillance over a 4...
November 2017: Australian Family Physician
https://www.readbyqxmd.com/read/29101923/a-non-healing-ulcer-in-a-healthy-young-woman
#3
Michael J Loftus, Robert J Gates, Simon Crouch, Brett Sutton, Paul Dr Johnson
No abstract text is available yet for this article.
November 2017: Australian Family Physician
https://www.readbyqxmd.com/read/29101922/osteosarcopenia-a-new-geriatric-syndrome
#4
Ebrahim Bani Hassan, Gustavo Duque
BACKGROUND: Longevity, the increase in the ageing population and a lifestyle of minimal physical activity come with a hefty price. Consequently, two diseases are increasingly becoming a concern for the welfare of patients and the health industry: osteoporosis and sarcopenia. These conditions are usually interrelated through several mechanisms and metabolic pathways, and comprise a syndrome called osteosarcopenia. OBJECTIVE: As patients with osteosarcopenia represent an important subset of frail individuals at higher risk of institutionalisation, falls and fractures, the aim of this review is to further familiarise general practitioners with osteosarcopenia as a new geriatric syndrome that requires early diagnosis and effective therapeutic interventions...
November 2017: Australian Family Physician
https://www.readbyqxmd.com/read/29101921/unilateral-diffuse-lung-opacification-in-an-asymptomatic-woman
#5
Rumi R Khajotia, Sree Raman
No abstract text is available yet for this article.
November 2017: Australian Family Physician
https://www.readbyqxmd.com/read/29101920/painful-bilateral-lower-limb-swelling-in-an-elderly-female
#6
Linda Chan, Kenneth Lee, David Cook
No abstract text is available yet for this article.
November 2017: Australian Family Physician
https://www.readbyqxmd.com/read/29101919/early-detection-of-eating-disorders-in-general-practice
#7
Elizabeth Rowe
BACKGROUND: General practitioners (GPs) are often the first health professional consulted in regard to eating disorders and their varied presentations. Given the prognostic significance of early detection of, and intervention for, such conditions, it is important that GPs feel confident to do so. OBJECTIVE: The aim of this article was to heighten awareness of the role of early identification and diagnosis of eating disorders, especially anorexia nervosa and bulimia nervosa, in the primary care setting...
November 2017: Australian Family Physician
https://www.readbyqxmd.com/read/29101918/diverticular-disease-practice-points
#8
William McSweeney, Havish Srinath
BACKGROUND: Diverticular disease and its spectrum of complications are increasingly encountered in the Australian population. Accurate management of patients before and after an acute episode entails extension beyond the acute event to include dietary advice and colonoscopy. OBJECTIVE: The objectives of this article are to evaluate the literature regarding dietary factors and diverticular disease, routine colonoscopy and antibiotic treatment in acute diverticulitis, to enable primary care physicians to manage patients and provide sound advice after hospital admission...
November 2017: Australian Family Physician
https://www.readbyqxmd.com/read/29101917/troponin-testing-in-the-primary-care-setting
#9
Manuela S Mauro, Adam J Nelson, Michael B Stokes
BACKGROUND: Chest pain is a common presenting complaint in general practice. Serum troponin testing is an important clinical tool to help identify patients who present with suspected acute coronary syndrome (ACS). OBJECTIVE: This article will discuss the role of troponin testing in the diagnosis of ACS, and the role of high-sensitive troponin, which is now in widespread use. The importance of clinical acumen in the interpretation of troponin testing and the pitfalls of troponin testing in the primary care setting will also be explored...
November 2017: Australian Family Physician
https://www.readbyqxmd.com/read/29101916/pulmonary-embolism-an-update
#10
Steven Doherty
BACKGROUND: Pulmonary embolism is a common condition and can be the source of significant morbidity and mortality. OBJECTIVE: This article reviews the approach to the diagnostic assessment and management of patients with suspected pulmonary embolism. DISCUSSION: Various clinical decision rules and algorithms are available to assist in the diagnosis of pulmonary embolism, and the Wells score and Pulmonary Embolism Rule-out Criteria rule are presented in this article...
November 2017: Australian Family Physician
https://www.readbyqxmd.com/read/29101915/pericarditis
#11
Atifur Rahman, Avadhesh Saraswat
BACKGROUND: Pericarditis is an important diagnosis to consider, along with various other differential diagnoses, in a patient who presents with chest pain. OBJECTIVE: This article describes in detail the common features, management and complications of pericarditis in the general practice setting. DISCUSSION: Characteristic clinical findings in pericarditis include pleuritic chest pain and pericardial friction rub on auscultation of the left lower sternal border...
November 2017: Australian Family Physician
https://www.readbyqxmd.com/read/29036782/practice-based-research-networks
#12
Marie Pirotta, Meredith Temple-Smith
BACKGROUND: Practice-based research networks (PBRNs) are collaborations between clinical practitioners and academics. PBRNs aim to foster research in general practice through opportunities to learn more about how to undertake and participate in research, and assist in translating new knowledge into practice. Critically, PBRNs also offer clinicians the chance to contribute to research by posing questions of importance to quality clinical care. OBJECTIVE: The objectives of this article are to describe why PRBNs are needed, the current situation regarding PBRNs in Australia, and why Australian general practice and patient outcomes could benefit from further investment in PBRNs...
October 2017: Australian Family Physician
https://www.readbyqxmd.com/read/29036781/transport-on-prescription-how-can-gps-contribute-to-the-promotion-of-active-transport
#13
Chance Pistoll, John Furler
BACKGROUND: Active transport (ie walking, cycling, using public transport) can play a part in reducing non-communicable diseases (NCDs). Very little is known about how general practitioners (GPs) can contribute to promoting active transport. We explored GPs' ideas around active transport, and potential barriers and facilitators to its promotion in the clinical setting. METHODS: Using a maximal variation sample, we conducted 10 semi-structured interviews with GPs in Victoria, Australia...
October 2017: Australian Family Physician
https://www.readbyqxmd.com/read/29036780/morphine-use-in-cancer-care-a-survey-of-attitudes-and-perceptions-in-general-practice-patients
#14
Matthew Grant, Anna Ugalde, Serafino G Mancuso, Platon Vafiadis, Jennifer Philip
BACKGROUND: Morphine is widely prescribed for patients with cancer, although a number of attitudes have been cited as barriers to its use, including fear, addiction and associations with death. The aim of this study was to explore the nature of these beliefs, and assess the extent to which these attitudes exist in a general practice patient population that may require morphine in the future. METHODS: A 30-item survey was distributed through general practices in Victoria, Australia...
October 2017: Australian Family Physician
https://www.readbyqxmd.com/read/29036779/barriers-to-effective-conversations-regarding-overweight-and-obesity-in-regional-victoria
#15
Kristen M Glenister, Christina Ar Malatzky, Julian Wright
BACKGROUND: General practitioners (GPs) have a crucial role to play in engaging patients in discussions about overweight and obesity. However, such discussions are currently uncommon. The aim of this study was to examine how GPs in rural areas talk about overweight and obesity with their patients, specifically to identify key barriers to effective conversations. METHODS: This study used a qualitative methodology. Semi-structured interviews were conducted with GPs (n = 7) and patients (n = 7) across two rural areas...
October 2017: Australian Family Physician
https://www.readbyqxmd.com/read/29036778/electronic-clinical-decision-support-tool-for-the-evaluation-of-cardiovascular-risk-in-general-practice-a-pilot-study
#16
Jason Chiang, John Furler, Douglas Boyle, Malcolm Clark, Jo-Anne Manski-Nankervis
BACKGROUND: Cardiovascular disease (CVD) is a major cause of death in Australia. Electronic medical record (EMR)-based clinical decision support (CDS) tools have the potential to support absolute CVD risk (ACVDR) evaluation and management. The objective of this study was to test the acceptability and feasibility of the Treat to Target CVD (T3CVD), an EMR-based CDS tool, for the evaluation of ACVDR in general practice. METHODS: Five general practitioners (GPs) piloted the T3CVD tool in their clinic...
October 2017: Australian Family Physician
https://www.readbyqxmd.com/read/29036777/growing-and-retaining-general-practice-research-leaders-in-australia-how-can-we-do-better
#17
Mieke van Driel, Laura Deckx, Georga Cooke, Marie Pirotta, Gerard F Gill, Tania Winzenberg
BACKGROUND: The aim of this study was to explore the experiences of Australian general practitioners (GPs) with a Doctor of Philosophy (PhD) about their choice to abandon or pursue an academic career. METHODS: A qualitative study of 18 GPs (PhD obtained between 2006 and 2016) was conducted. Semi-structured telephone interviews were transcribed and analysed using concurrent thematic analysis. RESULTS: General practice researchers faced insecure career pathways...
October 2017: Australian Family Physician
https://www.readbyqxmd.com/read/29036776/lifestyle-risk-factors-and-corresponding-levels-of-clinical-advice-and-counselling-in-general-practice
#18
Jessica Beattie, Marley Binder, Christopher Harrison, Graeme C Miller, Daryl Pedler
BACKGROUND: The objective of this study was to examine prevalence rates of lifestyle risk factors in the Western Victorian Primary Health Network (WV PHN) general practice patient population and the corresponding levels of clinical advice and counselling. METHODS: Analysed data from the Bettering the Evaluation and Care of Health (BEACH) program from April 2011 to March 2015 were examined, providing a comparison of three geographical areas of general practice patients: WV PHN, Victoria and Australia...
October 2017: Australian Family Physician
https://www.readbyqxmd.com/read/29036775/subcutaneous-finger-nodules
#19
Olivia A Charlton, Thomas J Stewart
No abstract text is available yet for this article.
October 2017: Australian Family Physician
https://www.readbyqxmd.com/read/29036774/a-suspicious-haematoma
#20
On Bon Chan
No abstract text is available yet for this article.
October 2017: Australian Family Physician
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