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Australian Journal of General Practice最新文献

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Clinical care for women seeking pregnancy after miscarriage. 为流产后怀孕的妇女提供临床护理。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-11-01 DOI: 10.31128/AJGP-08-23-6931
Evangeline R Shalou, Alex Polyakov
{"title":"Clinical care for women seeking pregnancy after miscarriage.","authors":"Evangeline R Shalou, Alex Polyakov","doi":"10.31128/AJGP-08-23-6931","DOIUrl":"10.31128/AJGP-08-23-6931","url":null,"abstract":"<p><strong>Background: </strong>Miscarriage is a common and distressing event that impacts women's physical and psychological wellbeing. Determining the appropriate time for a subsequent pregnancy and providing holistic care are essential for affected individuals.</p><p><strong>Objective: </strong>This article aims to address the question of when it is deemed safe to attempt conception after a miscarriage and discuss strategies to promote a healthy pregnancy, considering inter-pregnancy intervals, psychological implications and medical management.</p><p><strong>Discussion: </strong>Current evidence suggests that delaying conception does not yield any tangible benefits, and conception immediately after a miscarriage is safe. Psychological support, screening for depression and access to mental health services are crucial for comprehensive care. Medical considerations, including addressing modifiable risk factors and preconception counselling, play a vital role in reducing the risk of future miscarriages. A multidisciplinary and patient-centred approach is essential for holistic care and improving overall outcomes.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142585185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clindamycin and bacterial load reduction as prophylaxis for surgical site infection after below-knee flap and graft procedures: A trial protocol. 克林霉素和减少细菌量作为膝下皮瓣和移植手术后手术部位感染的预防措施：试验方案。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-11-01 DOI: 10.31128/AJGP-06-23-6881
Clare Heal, Helena Rosengren, Leanne Hall
{"title":"Clindamycin and bacterial load reduction as prophylaxis for surgical site infection after below-knee flap and graft procedures: A trial protocol.","authors":"Clare Heal, Helena Rosengren, Leanne Hall","doi":"10.31128/AJGP-06-23-6881","DOIUrl":"https://doi.org/10.31128/AJGP-06-23-6881","url":null,"abstract":"<p><strong>Background and objectives: </strong>Management of skin cancer comprises a substantial proportion of general practitioner (GP) workload in Australia. Flap and graft procedures below the knee have an increased risk of infection. Antibiotic resistance is a threat to global health, and any decision about antibiotic prophylaxis must balance adverse outcomes of antibiotic use with patient morbidity. This study will investigate the effectiveness of two interventions to prevent surgical site infection (SSI) after below-knee surgery: (1) 450 mg of clindamycin preoperatively and postoperatively; and (2) preoperative chlorhexidine wash and nasal mupirocin.</p><p><strong>Method: </strong>This prospective randomised controlled trial will be conducted across three skin cancer clinics over nine months, with 155 participants. Consecutive patients presenting for below-knee flap and graft procedures will be eligible to participate. The primary outcome is superficial SSI in the first 30 days following excision. Secondary outcomes include adverse effects (anaphylaxis, skin irritation and foreign body reaction) and patterns of antibiotic resistance.</p><p><strong>Results: </strong>As this is a study protocol paper, there are no results available to present.</p><p><strong>Discussion: </strong>As this is a study protocol paper, there are no results to be discussed.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142585176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Foreign bodies in the ear and nose of the Australian paediatric population: A standardised approach. 澳大利亚儿科耳鼻异物：标准化方法。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-11-01 DOI: 10.31128/AJGP-08-23-6916
Jeremy Lee, Stephanie Yau
{"title":"Foreign bodies in the ear and nose of the Australian paediatric population: A standardised approach.","authors":"Jeremy Lee, Stephanie Yau","doi":"10.31128/AJGP-08-23-6916","DOIUrl":"https://doi.org/10.31128/AJGP-08-23-6916","url":null,"abstract":"<p><strong>Background: </strong>Foreign bodies (FBs) in the ears and nose are common presentations among paediatric patients, necessitating prompt and appropriate management to avoid potential complications.</p><p><strong>Objective: </strong>This article presents a standardised approach for FB retrieval based on local clinical data from a tertiary paediatric centre, addressing the challenges of identifying patients requiring specialist referral.</p><p><strong>Discussion: </strong>The approach involves a detailed initial consultation and succinct examination to determine the most suitable retrieval method. Patient preparation and equipment availability are key to successful outcomes. A combination of microsuction and alligator forceps with adequate illumination is strongly recommended, along with various adjunct tools commonly available. Urgent referral to otorhinolaryngology is indicated for button batteries and previous failed attempts. This comprehensive approach seeks to achieve successful FB removal and optimise patient outcomes in both community and hospital settings.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142585280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Preconception care. 孕前保健。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-11-01 DOI: 10.31128/AJGP-08-23-6927
Edwina Dorney, Kirsten Black
{"title":"Preconception care.","authors":"Edwina Dorney, Kirsten Black","doi":"10.31128/AJGP-08-23-6927","DOIUrl":"https://doi.org/10.31128/AJGP-08-23-6927","url":null,"abstract":"<p><strong>Background: </strong>Preconception care (PCC) entails a comprehensive suite of interventions to improve the health of potential parents, their babies and future generations. PCC is not limited to a first pregnancy, and addressing health and wellbeing is equally important in the interconception period.</p><p><strong>Objective: </strong>The aims of this paper are to discuss the evidence for and components of PCC, as well as the role of the general practitioner in the delivery of PCC.</p><p><strong>Discussion: </strong>It is estimated that 90% of women and over 50% of men have preconception health issues to address. Although all people stand to benefit from PCC, certain population groups experience increased risk of adverse outcomes and require more targeted attention. Although most do not present for a dedicated PCC consultation, asking about pregnancy intention can start the conversation. Evidence shows that interventions delivered in primary care can improve preconception health knowledge and reduce preconception risk factors.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142585339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Conjunctivitis: A review. 结膜炎：回顾。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-11-01 DOI: 10.31128/AJGP-09-23-6960
Callum Gin, Carmel Crock, Kristen Wells
{"title":"Conjunctivitis: A review.","authors":"Callum Gin, Carmel Crock, Kristen Wells","doi":"10.31128/AJGP-09-23-6960","DOIUrl":"10.31128/AJGP-09-23-6960","url":null,"abstract":"<p><strong>Background: </strong>General practitioners (GPs) face the challenge of diagnosing conjunctivitis accurately and confidently. Conjunctivitis and red eye are common presentations that confer diagnostic uncertainty. GPs are pivotal in diagnosing and managing conjunctivitis-like symptoms, making them a critical first port of call for patients. Accurately identifying and treating this common eye infection can help ensure the best possible outcomes.</p><p><strong>Objective: </strong>This article presents an overview of conjunctivitis, exploring its causes and how to accurately assess and diagnose. We also discuss how to safely refer patients for investigation and provide appropriate safety netting.</p><p><strong>Discussion: </strong>Conjunctivitis can be secondary to a range of conditions, commonly viral, bacterial and allergic pathogens. It tends to be a self-limiting disease; however, symptoms might persist for up to three weeks. Accurate clinical diagnosis for conjunctivitis is difficult, and thus it can be useful to send a swab for polymerase chain reaction and culture to confirm the diagnosis.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142585200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Breast density in screening mammography. 乳房 X 射线摄影筛查中的乳房密度。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-11-01 DOI: 10.31128/AJGP-07-23-6895
Tim Tse, Bosco Wu, Simon Willcock, Sanjyot Vagholkar, Negin Sedaghat
{"title":"Breast density in screening mammography.","authors":"Tim Tse, Bosco Wu, Simon Willcock, Sanjyot Vagholkar, Negin Sedaghat","doi":"10.31128/AJGP-07-23-6895","DOIUrl":"10.31128/AJGP-07-23-6895","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142585162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Intraductal papillary mucinous neoplasm: Overview of management. 导管内乳头状粘液瘤：治疗概述。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-11-01 DOI: 10.31128/AJGP-05-23-6822
June Oo, Lisa Brown, Benjamin PT Loveday
{"title":"Intraductal papillary mucinous neoplasm: Overview of management.","authors":"June Oo, Lisa Brown, Benjamin PT Loveday","doi":"10.31128/AJGP-05-23-6822","DOIUrl":"10.31128/AJGP-05-23-6822","url":null,"abstract":"<p><strong>Background: </strong>Intraductal papillary mucinous neoplasm (IPMN) of the pancreas is increasingly being diagnosed incidentally on imaging. It has malignant potential, making it vital to establish the correct diagnosis, assess its malignant risk and follow a management strategy to prevent development of invasive carcinoma of the pancreas.</p><p><strong>Objective: </strong>This review focuses on the epidemiology, natural history, risk factors, diagnosis and management of IPMN of the pancreas, and will provide practical points for general practitioners.</p><p><strong>Discussion: </strong>IPMN of the pancreas can transform into invasive pancreatic carcinoma at a low rate of approximately 2%/year. Upon diagnosis of IPMN, it is risk stratified based on the presence of worrisome or high-risk stigmata, which guides further management. Management needs to be individualised based on IPMN and patient factors due to limitations with the current diagnostic tools.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142585335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Women's sexual and reproductive health. 妇女的性健康和生殖健康。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-11-01 DOI: 10.31128/AJGP-11-24-1234e
Claire Denness
{"title":"Women's sexual and reproductive health.","authors":"Claire Denness","doi":"10.31128/AJGP-11-24-1234e","DOIUrl":"https://doi.org/10.31128/AJGP-11-24-1234e","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142585344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
November 2024 correspondence. 2024 年 11 月通信。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-11-01
{"title":"November 2024 correspondence.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142585338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Updates in digital shared care: Launching into the 21st century. 数字共享护理的最新进展：迈入 21 世纪。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-11-01 DOI: 10.31128/AJGP-10-23-7005
David Homewood, Kevin G Keane, James Haridy, Zina Valaydon, Todd Manning, Jane Crowe, Edmund Tse, Guru Iyngkaran, Niall M Corcoran
{"title":"Updates in digital shared care: Launching into the 21st century.","authors":"David Homewood, Kevin G Keane, James Haridy, Zina Valaydon, Todd Manning, Jane Crowe, Edmund Tse, Guru Iyngkaran, Niall M Corcoran","doi":"10.31128/AJGP-10-23-7005","DOIUrl":"10.31128/AJGP-10-23-7005","url":null,"abstract":"<p><strong>Background: </strong>The recent Intergenerational Report (2023) highlighted that the Australian healthcare system will face increasing economic and logistical challenges, with projected growth in health spending due to an ageing population and an increasing number of chronic diseases. Shared care, a model emphasising collaboration between nursing and allied health, general practice and specialist care providers, has emerged as one solution.</p><p><strong>Objective: </strong>This paper explores the contemporary shared care landscape in Australia, highlighting the digital transformation of healthcare, the adoption of eHealth technologies, and their impact on improving patient care coordination.</p><p><strong>Discussion: </strong>The roles of shared electronic health records, secure electronic communication and consultation, electronic patient portals and telehealth in enhancing healthcare accessibility and management of chronic diseases are individually explored. Infrastructure for future inter-electronic medical record integrations are then discussed. Innovative care models combining novel technology and shared care hold promise for more efficient, patient‑centric healthcare systems. Given Australia's unique healthcare challenges, it provides the ideal environment to lead the way in the digital transformation of shared care.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142585343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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