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Australian Family Physician

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https://www.readbyqxmd.com/read/28189138/naevus-or-melanoma-an-inadequate-paradigm-for-a-small-number-of-clinically-important-lesions
#1
Benjamin A Wood, Nathan T Harvey
No abstract text is available yet for this article.
January 2017: Australian Family Physician
https://www.readbyqxmd.com/read/28189137/young-people-have-their-say-what-makes-a-youth-friendly-general-practice
#2
Laura Turner, Leah Spencer, Jack Strugnell, Isabel Di Tommaso, Magella Tate, Penny Allen, Colleen Cheek, Jane Cooper, Julian Chang
BACKGROUND: The health of young people can be considered an indicator of the health of Australia's future population. To improve access to healthcare, the perspectives of adolescents on the design and delivery of services need to be championed. The objective of this study was to identify what young people in north-west Tasmania value when seeking healthcare at general practices. METHODS: The study was conducted at a single high school in rural Tasmania. Students aged 16-18 years were invited to participate in an electronic survey seeking their views and preferences for presenting to their general practitioner (GP)...
January 2017: Australian Family Physician
https://www.readbyqxmd.com/read/28189136/audit-and-feedback-by-medical-students-to-improve-the-preventive-care-practices-of-general-practice-supervisors
#3
Lucy A Gilkes, Helena Liira, Jon Emery
BACKGROUND: Medical students benefit from their contact with clinicians and patients in the clinical setting. However, little is known about whether patients and clinicians also benefit from medical students. We developed an audit and feedback intervention activity to be delivered by medical students to their general practice supervisors. We tested whether the repeated cycle of audit had an effect on the preventive care practices of general practitioners (GPs). METHODS: The students performed an audit on topics of preventive medicine and gave feedback to their supervisors...
January 2017: Australian Family Physician
https://www.readbyqxmd.com/read/28189135/an-australian-discharge-summary-quality-assessment-tool-a-pilot-study
#4
Carl Mahfouz, Andrew Bonney, Judy Mullan, Warren Rich
BACKGROUND: Patients' transition from hospital care to their general practitioner (GP) can put them at risk of unforeseen adverse events, which can be minimised by the GP receiving timely access to hospital discharge summaries. The objective of this article was to develop and pilot a discharge summary assessment tool, inclusive of components that Australian GPs identified as being most important for the safe transfer of care. METHODS: Development of the instrument was informed by a literature review pertaining to key components of effective discharge summaries...
January 2017: Australian Family Physician
https://www.readbyqxmd.com/read/28189134/palliative-care-in-general-practice-gp-integration-in-caring-for-patients-with-advanced-cancer
#5
Brian Le, Peter Eastman, Sita Vij, Fiona McCormack, Cuong Duong, Jennifer Philip
BACKGROUND: Patients with advanced cancer often desire home-based care, placing general practitioners (GPs) at the centre of complex clinical situations. The objective of this article was to determine GPs' needs when providing home-based palliative care in collaboration with existing palliative care services. METHODS: A survey of GPs was conducted to determine knowledge, skills and confidence in providing community-based palliative care. RESULTS: Of the 56 respondents, 82% reported that they were involved in palliative management of at least one cancer patient in the previous year...
January 2017: Australian Family Physician
https://www.readbyqxmd.com/read/28189133/multiple-hyperpigmented-patches-on-a-dark-skinned-patient
#6
Elisabeth Gómez Moyano, Leandro Martínez Pilar, Silvestre Martinez Garcia, Sara Simonsen
No abstract text is available yet for this article.
January 2017: Australian Family Physician
https://www.readbyqxmd.com/read/28189132/a-pruritic-vesicular-rash
#7
Ana Baptista, Sofia Madanelo, Paulo Morais
No abstract text is available yet for this article.
January 2017: Australian Family Physician
https://www.readbyqxmd.com/read/28189131/oxycodone-naloxone-an-unusual-adverse-drug-reaction
#8
Fiona Lau, Matthew Gardiner
No abstract text is available yet for this article.
January 2017: Australian Family Physician
https://www.readbyqxmd.com/read/28189130/persistent-suppression-of-viral-load-in-chronic-hepatitis-b
#9
Lester Mascarenhas, Leonie Sutton
No abstract text is available yet for this article.
January 2017: Australian Family Physician
https://www.readbyqxmd.com/read/28189129/laryngopharyngeal-reflux-a-confounding-cause-of-aerodigestive-dysfunction
#10
Kristy Fraser-Kirk
BACKGROUND: Laryngopharyngeal reflux (LPR) is one of the most common and important disorders of upper airway inflammation. It causes significant impairment to quality of life, and can predict serious laryngeal and oesophageal pathology, yet it remains under-diagnosed and under-treated. OBJECTIVE: This paper attempts to unravel the diagnostic dilemma of LPR and provide a practical, discriminating approach to managing this common condition. DISCUSSION: Historical red flags mandating early referral for specialist review are identified, and pathophysiology, symptomatology and common signs are reviewed...
January 2017: Australian Family Physician
https://www.readbyqxmd.com/read/28189128/trans-oral-robotic-surgery-in-oropharyngeal-carcinoma-a-guide-for-general-practitioners-and-patients
#11
Wendy Sijia Liu, Alex Limmer, Joe Jabbour, Jonathan Clark
BACKGROUND: Trans-oral robotic surgery (TORS) is emerging as a minimally invasive alternative to open surgery, or trans-oral laser surgery, for the treatment of some head and neck pathologies, particularly oropharyngeal carcinoma, which is rapidly increasing in incidence. OBJECTIVE: In this article we review current evidence regarding the use of TORS in head and neck surgery in a manner relevant to general practice. This information may be used to facilitate discussion with patients...
January 2017: Australian Family Physician
https://www.readbyqxmd.com/read/28189127/healthy-ageing
#12
Jane Sims
BACKGROUND: The increasing number of people reaching their 80s and 90s has triggered multidisciplinary consideration of how to address and capitalise on the longevity phenomenon. OBJECTIVE: The aim of this article is to provide an overview of ways in which clinicians can work with older patients to optimise their health and wellbeing during the later years of life. DISCUSSION: Old age need not be burdensome to individuals or society. There is strong evidence to support the management of many chronic diseases presenting in - or extending into - old age...
January 2017: Australian Family Physician
https://www.readbyqxmd.com/read/28189126/enjoying-a-healthy-pregnancy-gps-essential-role-in-health-promotion
#13
Jacqueline Frayne, Yvonne Hauck
BACKGROUND: For many women, a major pregnancy goal is to achieve an enjoyable, healthy pregnancy. The continuum of care from preconception counselling, management of early pregnancy, referral or continued pregnancy care and management into the postpartum period places general practitioners (GPs) in a unique position to meaningfully contribute on many levels to this realisation. OBJECTIVE: The aim of this article is to explore the determinants of a healthy and enjoyable pregnancy, and asks how GPs can facilitate an optimum experience for women in pregnancy, regardless of risk...
January 2017: Australian Family Physician
https://www.readbyqxmd.com/read/28189125/let-s-talk-about-sex
#14
Raie Goodwach
BACKGROUND: As sexual wellbeing is an important aspect of good general health, and sexual difficulties are a concern for 20-40% of the adult population, general practitioners (GPs) have a key role to play in initiating discussions about sex and sexual difficulties with their patients. OBJECTIVE: This article encourages GPs to take the lead in initiating a conversation about sex and sexual difficulties with their patients by taking a brief sexual history as a routine part of a medical history...
January 2017: Australian Family Physician
https://www.readbyqxmd.com/read/28189124/healthy-living
#15
Garry Egger
BACKGROUND: The nature of disease changes with the nature of societies. Modern chronic diseases that have superseded infections in the Anthropocene era, for example, have come largely from modern environments and lifestyles emanating from this. The concept of healthy living has subsequently changed accordingly. OBJECTIVE: The objective of this article is to examine the determinants of modern chronic disease and the changes that can be made at the individual level to reduce the impact of these...
January 2017: Australian Family Physician
https://www.readbyqxmd.com/read/27903048/resistance-exercise-induced-rhabdomyolysis-need-for-immediate-intervention-and-proper-counselling
#16
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
#17
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
#18
(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
#19
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
#20
Justin Beilby
No abstract text is available yet for this article.
December 2016: Australian Family Physician
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