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Australian Journal of General Practice最新文献

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Once bitten, twice shy: Antimicrobial stewardship in the setting of arthropod-associated superficial lymphangitis. 一朝被蛇咬，十年怕井绳：节肢动物相关浅表淋巴管炎的抗菌管理。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-12-01 DOI: 10.31128/AJGP-04-24-7220
Melinda Jiang, Christina Guo, Stephen Bacchi
{"title":"Once bitten, twice shy: Antimicrobial stewardship in the setting of arthropod-associated superficial lymphangitis.","authors":"Melinda Jiang, Christina Guo, Stephen Bacchi","doi":"10.31128/AJGP-04-24-7220","DOIUrl":"10.31128/AJGP-04-24-7220","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"53 12 Suppl","pages":"S68-S70"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856651","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
Guest editorial: Times of change and opportunity for Australian general practice training. 嘉宾评论：澳大利亚全科医生培训的变革与机遇。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-12-01 DOI: 10.31128/AJGP-10-24-7440
James Brown
{"title":"Guest editorial: Times of change and opportunity for Australian general practice training.","authors":"James Brown","doi":"10.31128/AJGP-10-24-7440","DOIUrl":"https://doi.org/10.31128/AJGP-10-24-7440","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"53 12","pages":"887"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774748","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
A primary care approach to the discharging ear. 出院耳的初级保健方法。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-12-01 DOI: 10.31128/AJGP-11-23-7016
Raymond Li, Kristy Fraser-Kirk
{"title":"A primary care approach to the discharging ear.","authors":"Raymond Li, Kristy Fraser-Kirk","doi":"10.31128/AJGP-11-23-7016","DOIUrl":"10.31128/AJGP-11-23-7016","url":null,"abstract":"<p><strong>Background: </strong>Otorrhoea is a common presentation in both primary care and emergency settings, with a broad range of differential diagnoses that can make accurate assessment and management challenging for the primary care practitioner.</p><p><strong>Objective: </strong>This article describes a systematic approach to the assessment of otorrhoea, outlines common causes and their first principles of management in the primary care setting, and provides recommendations for when specialist referral is indicated.</p><p><strong>Discussion: </strong>A clear clinical assessment and targeted investigations are essential in the identification and initial management of otorrhoea. Many causes of a discharging ear can be managed in the primary care setting; however, it is also important to recognise circumstances in which escalation is required to a specialist otolaryngology service.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"53 12 Suppl","pages":"S49-S51"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856141","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
Risk treatment thresholds for initiating cardiovascular disease pharmacotherapy: Synthesis of international evidence to support guideline recommendations. 启动心血管疾病药物治疗的风险治疗阈值：支持指南建议的国际证据综合
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-12-01 DOI: 10.31128/AJGP-11-23-7012
Mai TH Nguyen, Sinan Brown, Emily Banks, Mark Woodward, Yuehan Zhang, Natalie Raffoul, Garry Jennings, Anushka Patel, Ellie Paige
{"title":"Risk treatment thresholds for initiating cardiovascular disease pharmacotherapy: Synthesis of international evidence to support guideline recommendations.","authors":"Mai TH Nguyen, Sinan Brown, Emily Banks, Mark Woodward, Yuehan Zhang, Natalie Raffoul, Garry Jennings, Anushka Patel, Ellie Paige","doi":"10.31128/AJGP-11-23-7012","DOIUrl":"10.31128/AJGP-11-23-7012","url":null,"abstract":"<p><strong>Background: </strong>A new Australian guideline for cardiovascular disease (CVD) risk assessment and management was published in 2023, including new risk treatment thresholds.</p><p><strong>Objective: </strong>This article summarises the published peer-reviewed global evidence that informed guideline recommendations on risk treatment thresholds for initiating blood pressure- and lipid-lowering therapy for CVD primary prevention.</p><p><strong>Discussion: </strong>Evidence from 13 meta-analyses, randomised controlled trials and modelling studies involving more than 515,700 patients showed that preventive pharmacotherapy reduced the number of CVD events at all risk levels. Findings informed the new risk treatment thresholds outlined in the 2023 Australian CVD risk assessment and management guideline, which recommends blood pressure- and lipid-lowering pharmacotherapy for people at high five-year risk (≥10% based on the new risk calculator) and consideration of therapy for those at intermediate risk (5% to <10%) and generally does not recommend preventive pharmacotherapy for those at low risk (<5%).</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"53 12 Suppl","pages":"S20-S24"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856655","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
Tremor: A systematic approach. 震颤：系统的方法。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-12-01 DOI: 10.31128/AJGP-02-24-7151
Jun Hua Bowen Lim, Victoria Newgreen, Paul Kopanidis
{"title":"Tremor: A systematic approach.","authors":"Jun Hua Bowen Lim, Victoria Newgreen, Paul Kopanidis","doi":"10.31128/AJGP-02-24-7151","DOIUrl":"10.31128/AJGP-02-24-7151","url":null,"abstract":"<p><strong>Background: </strong>Tremor is a common but complex involuntary movement disorder often first assessed by general practitioners (GPs). Due to its diverse causes and manifestations, an accurate assessment of a patient's tremor helps guide initial investigations and treatments.</p><p><strong>Objective: </strong>The purpose of this paper is to equip GPs with a framework for the identification, diagnosis and management of different types of tremors.</p><p><strong>Discussion: </strong>This paper offers a comprehensive, current overview of tremor assessment in general practice. It particularly focuses on Parkinson's disease, essential tremor syndrome and dystonic tremor, while highlighting diagnostic masquerades and red flags for urgent neurological evaluation.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"53 12 Suppl","pages":"S61-S67"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856665","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
Writing grant applications: A practical guide for the novice researcher. 写作拨款申请：新手研究人员的实用指南。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-12-01 DOI: 10.31128/AJGP-08-23-6947
Shaun Prentice, Angelo D'Amore, Parker Magin
{"title":"Writing grant applications: A practical guide for the novice researcher.","authors":"Shaun Prentice, Angelo D'Amore, Parker Magin","doi":"10.31128/AJGP-08-23-6947","DOIUrl":"10.31128/AJGP-08-23-6947","url":null,"abstract":"<p><strong>Background: </strong>Grants are a vital element in clinical research activities and research careers, unlocking opportunities to delve into an area and make new discoveries. However, securing a grant can be a daunting task.</p><p><strong>Objective: </strong>In this article, the authors provide guidance for novice researchers regarding the grant application process. The article is aimed especially at clinicians with an interest in research, acknowledging the current need for more clinician researchers.</p><p><strong>Discussion: </strong>The authors encourage those writing grant applications to view their task as that of a narrator. This will help identify several key questions: What is the topic? Why is it important? How will you examine it? Who will work with you? When and where will you do the research? Then what will you do? How much will it cost? The authors encourage applicants to create a diverse, complementary team to support them and to be mindful of the resource constraints.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"53 12","pages":"910-914"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774822","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
Hypertensive disorders in pregnancy: Approach to diagnosis and management in general practice. 妊娠期高血压疾病：诊断和管理的方法。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-12-01 DOI: 10.31128/AJGP-01-24-7133
Vanessa Fowosere
{"title":"Hypertensive disorders in pregnancy: Approach to diagnosis and management in general practice.","authors":"Vanessa Fowosere","doi":"10.31128/AJGP-01-24-7133","DOIUrl":"https://doi.org/10.31128/AJGP-01-24-7133","url":null,"abstract":"<p><strong>Background: </strong>Hypertensive disorders in pregnancy (HDIP) are among the leading causes of maternal and perinatal morbidity and mortality and should not be reserved for specialist care and expertise.1 General practitioners (GPs) are inevitably involved in the care of women with HDIP, particularly in the preconception, early pregnancy and postpartum periods and, also, as shared maternity care providers. It is, therefore, critical that GPs can assess and manage HDIP.</p><p><strong>Objective: </strong>This article aims to provide GPs with a practical approach to the diagnosis and management of hypertensive disorders in pregnancy, including postpartum monitoring and ongoing cardiovascular risk surveillance.</p><p><strong>Discussion: </strong>The spectrum of HDIP includes gestational hypertension, chronic hypertension, pre-eclampsia (PET)/eclampsia and PET superimposed on chronic (pre-existing) hypertension, and this can affect up to 8-10% of pregnant women.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"53 12 Suppl","pages":"S52-S55"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856450","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
Sodium-glucose cotransporter 2 inhibitors for chronic kidney disease: Why, when and when not. 钠-葡萄糖共转运蛋白2抑制剂治疗慢性肾脏疾病：为什么，何时，何时
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-12-01 DOI: 10.31128/AJGP-11-23-7041
Muhammad M Javaid, Rachel Frederick, Sheema Itrat, Adel Ekladious
{"title":"Sodium-glucose cotransporter 2 inhibitors for chronic kidney disease: Why, when and when not.","authors":"Muhammad M Javaid, Rachel Frederick, Sheema Itrat, Adel Ekladious","doi":"10.31128/AJGP-11-23-7041","DOIUrl":"https://doi.org/10.31128/AJGP-11-23-7041","url":null,"abstract":"<p><strong>Background: </strong>Chronic kidney disease (CKD) is a significant healthcare problem. More advanced stages are associated with increased mortality, morbidity and cost. Instigating measures to slow down disease progression at an early stage can save lives, and millions of dollars of taxpayers' money.</p><p><strong>Objective: </strong>This article aims to provide evidence-based information to general practitioners, aiding the decision to initiate sodium-glucose cotransporter 2 (SGLT2) inhibitors for CKD patients in their day-to-day practice.</p><p><strong>Discussion: </strong>SGLT2 inhibitors have emerged as a promising and safe addition to the renin-angiotensin-aldosterone system blockers for managing CKD. Randomised controlled trials have shown that SGLT2 inhibitors effectively slow CKD progression in both early and more advanced disease stages, regardless of diabetes status. SGLT2 inhibitors can be a valuable additional treatment option for CKD management in primary care and should be considered for most CKD patients.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"53 12 Suppl","pages":"S15-S19"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856660","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
A fire to be kindled. 要点燃的火。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-12-01 DOI: 10.31128/AJGP-12-24-1234e
Chris Dickie
{"title":"A fire to be kindled.","authors":"Chris Dickie","doi":"10.31128/AJGP-12-24-1234e","DOIUrl":"https://doi.org/10.31128/AJGP-12-24-1234e","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"53 12","pages":"885"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774728","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 the management of chronic rhinosinusitis. 慢性鼻窦炎治疗的最新进展。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-12-01 DOI: 10.31128/AJGP-11-23-7032
Howard Webb, Samuel Morcom
{"title":"Updates in the management of chronic rhinosinusitis.","authors":"Howard Webb, Samuel Morcom","doi":"10.31128/AJGP-11-23-7032","DOIUrl":"https://doi.org/10.31128/AJGP-11-23-7032","url":null,"abstract":"<p><strong>Background: </strong>Chronic rhinosinusitis (CRS) is a very common reason for presentation to a general practitioner. It can be very difficult to manage and can have a significant effect on the quality of life of patients.</p><p><strong>Objective: </strong>The objective of this article is to provide an up-to-date review of the pathophysiology, diagnosis and multimodal approach to management of this chronic condition.</p><p><strong>Discussion: </strong>Biologic agents are becoming increasingly common in Australia for the management of CRS with polyposis. This review includes an overview of these biologic agents and highlights their indications, efficacy and place in the management of CRS.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"53 12","pages":"928-931"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774805","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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