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Australian Family Physician

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https://www.readbyqxmd.com/read/27903048/resistance-exercise-induced-rhabdomyolysis-need-for-immediate-intervention-and-proper-counselling
#1
Maysaa A Khalil, Basem R Saab
BACKGROUND: Rhabdomyolysis results from damage to skeletal muscle. Improper resistance training may result in rhabdomyolysis, which can cause acute kidney injury, serious metabolic abnormalities, compartmental syndrome and even death. Proper counselling for athletes may prevent this condition. OBJECTIVE: We present two patients with unilateral swelling after resistance exercise. The workup revealed rhabdomyolysis. We highlight the importance of counselling to prevent rhabdomyolysis secondary to resistance exercise...
December 2016: Australian Family Physician
https://www.readbyqxmd.com/read/27903047/adding-random-case-analysis-to-direct-observation-arcado-updating-the-external-clinical-teaching-visit-to-improve-general-practice-registrar-assessments
#2
Gerard Ingham, Jennifer Fry, Bernadette Ward
BACKGROUND: In response to the advent of competency-based training and the increase in the number of general practice registrars, the Australian general practice education community is seeking valid, reliable, time-efficient and cost-efficient tools to assess registrars. Despite the central role of the external clinical teaching visit (ECTV) in formative assessment of general practice registrars, the ECTV has been an infrequent subject of research or evaluation. OBJECTIVE: The objective of this article is to report on the development of a new approach to ECTV that adds random case analysis to direct observation of consultations - ARCADO ECTV...
December 2016: Australian Family Physician
https://www.readbyqxmd.com/read/27903046/clinical-challenge
#3
(no author information available yet)
Questions for this month's clinical challenge are based on articles in this issue. The clinical challenge is endorsed by the RACGP Quality Improvement and Continuing Professional Development (QI&CPD) program and has been allocated four Category 2 points (Activity ID: 69787). Answers to this clinical challenge are available immediately following successful completion online at http://gplearning.racgp.org.au. Clinical challenge quizzes may be completed at any time throughout the 2014-16 triennium; therefore, the previous months' answers are not published...
December 2016: Australian Family Physician
https://www.readbyqxmd.com/read/27903045/the-case-for-establishing-an-australasian-integrative-medicine-practice-based-research-network
#4
Jennifer Hunter, Jon Wardle, Vicki Kotsirilos Am, Eugen Molodysky, Tim Ewer
No abstract text is available yet for this article.
December 2016: Australian Family Physician
https://www.readbyqxmd.com/read/27903044/bettering-the-evaluation-and-care-of-health-beach-a-unique-role-in-the-evolution-of-australian-general-practice
#5
Justin Beilby
No abstract text is available yet for this article.
December 2016: Australian Family Physician
https://www.readbyqxmd.com/read/27903043/a-nurse-led-model-of-chronic-disease-management-in-general-practice-patients-perspectives
#6
Jacqueline Young, Diann Eley, Elizabeth Patterson, Catherine Turner
BACKGROUND: Evidence suggests that current models of chronic disease management within general practice are not effective in meeting the needs of the community. OBJECTIVE: The objective of this article is to examine patients' perceptions of a nurse-led collaborative model of care trialled in three general practices in Australia. METHODS: This article reports on the second phase of a mixed-methods study in which semi-structured interviews with purposively selected patients were conducted to elicit information about their perceptions of nurse-led care...
December 2016: Australian Family Physician
https://www.readbyqxmd.com/read/27903042/prevalence-and-management-of-diabetes-in-residential-aged-care-facilities-in-north-east-victoria-australia
#7
Helen M Haines, Holly Bannon-Murphy, Tim Amos, Robert Krones
BACKGROUND: Managing diabetes in residential aged care facilities (RACFs) presents challenges to general practitioners (GPs) as the incidence of the disease increases. OBJECTIVE: The objective of this article is to describe the prevalence and management of diabetes in RACFs in north-east Victoria. METHODS: The method used for this study was a cross-sectional audit of medical files. RESULTS: Ten RACFs were invited and agreed to participate, giving a sample of 593 residents...
December 2016: Australian Family Physician
https://www.readbyqxmd.com/read/27903041/general-practitioners-knowledge-and-management-of-dry-mouth-a-qualitative-study
#8
Natalie J Appleby, Meredith J Temple-Smith, Margaret A Stacey, Denise L Bailey, Elizabeth M Deveny, Marie Pirotta
BACKGROUND: Dry mouth (xerostomia) is common and can have significant consequences for a patient's general and oral health. Multiple medications may compromise the flow and quality of saliva. OBJECTIVE: This study explored general practitioners' (GPs') perceptions, knowledge and management of dry mouth, and whether consideration of oral health influences prescribing patterns. METHODS: Semi-structured interviews with 20 GPs in Melbourne, Victoria, were audiotaped, transcribed and analysed...
December 2016: Australian Family Physician
https://www.readbyqxmd.com/read/27903040/tonsillotomy-an-alternative-surgical-option-to-total-tonsillectomy-in-children-with-obstructive-sleep-apnoea
#9
Sabin Smith
BACKGROUND: Total tonsillectomy remains one of the most common ear, nose and throat (ENT) procedures performed in children. General practitioners (GPs) are commonly involved in the referral of children with obstructive sleep apnoea (OSA). Intracapsular tonsilltomy (partial tonsillectomy) is fast becoming a popular surgical option to total tonsillectomy in children with OSA. OBJECTIVE: The objective of this article is to provide information about partial tonsillectomy and its potential benefits over total tonsillectomy in the treatment of children with OSA for referring GPs...
December 2016: Australian Family Physician
https://www.readbyqxmd.com/read/27903039/management-of-bipolar-disorder-over-the-perinatal-period
#10
Philip Boyce, Anne Buist
BACKGROUND: Women with bipolar disorder have a high risk of relapse following childbirth. The risk of relapse can be reduced by mood stabilisers, but they are potentially harmful to the developing fetus. OBJECTIVE: The objective of this article is to provide an up-to-date review of the strategies for managing women with bipolar disorder over the perinatal period. DISCUSSION: Discussing the risks of taking mood stabilisers or having a medication-free pregnancy is essential for women with bipolar disorder...
December 2016: Australian Family Physician
https://www.readbyqxmd.com/read/27903038/clinical-practice-guidelines-and-principles-of-care-for-people-with-dementia-in-australia
#11
Suzanne M Dyer, Kate Laver, Constance D Pond, Robert G Cumming, Craig Whitehead, Maria Crotty
BACKGROUND: Dementia is a national health priority in Australia. Most people with dementia are over the age of 65 years, have a number of comorbidities and experience a trajectory of functional decline. General practitioners (GPs) have an important role in the diagnosis and management of people with dementia. The Cognitive Decline Partnership Centre's Clinical practice guidelines and principles of care for people with dementia (Guidelines) was recently approved by the National Health and Medical Research Council (NHMRC)...
December 2016: Australian Family Physician
https://www.readbyqxmd.com/read/27903037/resuscitation-update-for-general-practitioners
#12
Hugh Grantham Asm, Rowena Christiansen
BACKGROUND: The latest changes to resuscitation guidelines in Australia were released in 2016. Few of the changes will have an impact on general practitioners (GPs) but there are some additional issues that they, as health professionals and leaders in the community, should be informed about. OBJECTIVE: The objective of this article is to provide an update for GPs on the current resuscitation guidelines. DISCUSSION: This article describes the latest changes in resuscitation recommendations in the fields of first aid, basic life support, advanced life support and paediatric resuscitation, with an emphasis on issues of particular relevance to GPs...
December 2016: Australian Family Physician
https://www.readbyqxmd.com/read/27903036/cannabis-use-and-its-associated-disorders-clinical-care
#13
Jan Copeland
BACKGROUND: Globally, cannabis is the most widely used and variably regulated illicit drug. The rates of use appeared to be stable in Australia at the time of the 2013 National Drug Strategy Household Survey, but levels of cannabis use disorder are rising and treatment seeking is increasing internationally. OBJECTIVE: This article describes the prevalence of cannabis use, associated disorders (eg harms with early and frequent use), and information on assessment and management...
December 2016: Australian Family Physician
https://www.readbyqxmd.com/read/27903035/the-inherited-chronic-pain-patient
#14
Paul Grinzi
BACKGROUND: The 'inherited' patient, where a patient switches to a new doctor, is a common and potentially challenging scenario, especially where drugs of dependence are involved. There are few resources to guide general practitioners (GPs) with an approach that ensures compassion and rational clinical decision-making. OBJECTIVE: The aim of this article is to guide GPs in an approach to taking over the care of an inherited patient and focuses on considerations of rational prescribing...
December 2016: Australian Family Physician
https://www.readbyqxmd.com/read/27903034/prescription-drug-abuse-a-timely-update
#15
Benny Monheit, Danusia Pietrzak, Sandra Hocking
BACKGROUND: Prescription drug abuse is a rising problem in Australia and pharmaceutical drugs have been the most frequent contributors to overdose deaths in Victoria in recent years. OBJECTIVE: The objectives of this article are to examine the main prescription drugs contributing to overdose deaths and to consider how doctors may help in reducing this problem. DISCUSSION: Data from the Coroners Court of Victoria list the main drugs that contributed to drug-related deaths in 2009-15...
December 2016: Australian Family Physician
https://www.readbyqxmd.com/read/27903033/chronic-alcohol-abuse
#16
Christopher Harrison, Janice Charles, Graeme C Miller, Helena Britt
No abstract text is available yet for this article.
December 2016: Australian Family Physician
https://www.readbyqxmd.com/read/27806457/healthcare-apps
#17
Richard Hays
No abstract text is available yet for this article.
November 2016: Australian Family Physician
https://www.readbyqxmd.com/read/27806456/contraceptive-use-at-the-time-of-unintended-pregnancy-findings-from-the-contraceptive-use-pregnancy-intention-and-decisions-study
#18
Jacqueline Coombe, Melissa L Harris, Britta Wigginton, Jayne Lucke, Deborah Loxton
BACKGROUND: Unintended pregnancy disproportionately affects young Australian women. However, contraceptive behaviours associated with unintended pregnancy are unclear. OBJECTIVE: The objective of this article was to examine contraceptive use before unintended conception. METHODS: Data from 3795 women (aged 18-23 years) who completed the baseline Contraceptive Use, Pregnancy Intention and Decisions (CUPID) study were analysed. RESULTS: The study found that 21...
November 2016: Australian Family Physician
https://www.readbyqxmd.com/read/27806455/outcomes-of-intrauterine-device-insertion-training-for-doctors-working-in-primary-care
#19
Mary Stewart, Erol Digiusto, Deborah Bateson, Rebecca South, Kirsten I Black
BACKGROUND: Intrauterine devices (IUDs) are underused in Australia despite being one of the most effective, reversible methods of contraception. OBJECTIVE: The objective of this article is to report on the outcomes of a competency-based IUD training program by Family Planning NSW for general practitioners (GPs). METHODS: Pre-training and post-training questionnaires were used for a 12-month cohort study of GPs who undertook IUD insertion training...
November 2016: Australian Family Physician
https://www.readbyqxmd.com/read/27806454/prevalence-and-severity-of-dysmenorrhoea-and-management-options-reported-by-young-australian-women
#20
Asvini K Subasinghe, Lina Happo, Yasmin L Jayasinghe, Suzanne M Garland, Alexandra Gorelik, John D Wark
BACKGROUND: Little is known about the severity of dysmenorrhoea and attitudes towards its management in young females. OBJECTIVE: The aim of this study was to evaluate the prevalence and severity of dysmenorrhoea in women aged 16-25 years. METHODS: Participants were recruited via targeted Facebook advertising and asked to complete an online questionnaire covering medications, menstruation and lifestyle-related themes. A follow-up questionnaire on dysmenorrhoea was also administered...
November 2016: Australian Family Physician
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