发布求助
文献互助 智能选刊 最新文献

Australian Journal of General Practice最新文献

筛选
英文 中文
Optimising sleep in adolescents: The challenges. 优化青少年睡眠：挑战。
IF 2.2 4区 医学
Australian Journal of General Practice Pub Date : 2024-06-01 DOI: 10.31128/AJGP-12-23-6841
Nicole Lovato, Jasneek Chawla, Matthew Wong, James Best, Rifat Chaudry, A. Kevat, Moya Vandeleur
{"title":"Optimising sleep in adolescents: The challenges.","authors":"Nicole Lovato, Jasneek Chawla, Matthew Wong, James Best, Rifat Chaudry, A. Kevat, Moya Vandeleur","doi":"10.31128/AJGP-12-23-6841","DOIUrl":"https://doi.org/10.31128/AJGP-12-23-6841","url":null,"abstract":"BACKGROUND\u0000Adolescence is a stage of significant transition as children develop into young adults. Optimal sleep is crucial during this period to ensure physical, emotional and mental wellbeing. However, it is well recognised that insufficient quality and quantity of sleep is common among adolescents worldwide.\u0000\u0000\u0000OBJECTIVE\u0000This article aims to provide general practitioners with an overview of the key issues encountered in adolescent patients relating to sleep and summarises approaches to assessment and evidence-based management of sleep problems in this population.\u0000\u0000\u0000DISCUSSION\u0000This review highlights the physiological changes that affect sleep during adolescence and how other factors, including unhealthy sleep behaviours, influence these. It discusses the importance of healthy sleep and the consequences of sleep disturbance in adolescents. Management strategies are outlined, focusing on the key common issues that affect sleep in the teenage years, and guidance on when to consider co-management with specialist care is provided.","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141406776","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: Sleep - A key concern for primary care. 特邀社论：睡眠--初级保健的关键问题。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-06-01 DOI: 10.31128/AJGP-03-24-7192
Garun S Hamilton
{"title":"Guest Editorial: Sleep - A key concern for primary care.","authors":"Garun S Hamilton","doi":"10.31128/AJGP-03-24-7192","DOIUrl":"10.31128/AJGP-03-24-7192","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141263078","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 general practitioner's perspective on shifting to a multidisciplinary model in primary care: A viewpoint from the United Kingdom. 从全科医生的角度看基层医疗向多学科模式的转变：来自英国的观点。
IF 2.2 4区 医学
Australian Journal of General Practice Pub Date : 2024-06-01 DOI: 10.31128/AJGP-09-23-6954
Waseem Jerjes
{"title":"A general practitioner's perspective on shifting to a multidisciplinary model in primary care: A viewpoint from the United Kingdom.","authors":"Waseem Jerjes","doi":"10.31128/AJGP-09-23-6954","DOIUrl":"https://doi.org/10.31128/AJGP-09-23-6954","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141263037","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
Assessment and management of sleep disorders in shift workers: Challenges and considerations for general practice. 轮班工人睡眠障碍的评估和管理：全科医生面临的挑战和需要考虑的因素。
IF 2.2 4区 医学
Australian Journal of General Practice Pub Date : 2024-06-01 DOI: 10.31128/AJGP-12-22-6647
Amy C Reynolds, Nicole Lovato, Tracey L Sletten, Sally A Ferguson, Luke Katahanas, Shantha MW Rajaratnam, Robert J Adams
{"title":"Assessment and management of sleep disorders in shift workers: Challenges and considerations for general practice.","authors":"Amy C Reynolds, Nicole Lovato, Tracey L Sletten, Sally A Ferguson, Luke Katahanas, Shantha MW Rajaratnam, Robert J Adams","doi":"10.31128/AJGP-12-22-6647","DOIUrl":"10.31128/AJGP-12-22-6647","url":null,"abstract":"<p><strong>Background: </strong>Shift work is characterised by displaced sleep opportunities and associated sleep disturbance. Shift workers often report sleepiness and other wake time symptoms associated with poor sleep. However, clinical sleep disorders are also prevalent in shift workers. Although prevalence rates are similar or higher in shift workers compared with the general population, help seeking in shift workers with sleep disorders is low.</p><p><strong>Objective: </strong>This article aims to provide general practitioners with a contemporary overview of the prevalence rates for sleep disorders in shift workers, to clarify the existing evidence relating to mental and physical health consequences of sleep disorders in shift workers and to highlight the need to consider undiagnosed sleep disorders before attributing sleep-related symptoms solely to work schedules.</p><p><strong>Discussion: </strong>Symptoms of sleep loss associated with shift work overlap with symptoms experienced by individuals living with sleep disorders. Although >40% of middle-aged Australians live with a sleep disorder that requires investigation and management, symptoms in shift workers are often attributed to the work schedule and, as a result, might not be investigated for appropriate diagnosis and treatment. We argue that screening for sleep disorders in shift workers with sleep complaints should be a priority.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141263071","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
Management of obstructive sleep apnoea in primary care. 基层医疗机构对阻塞性睡眠呼吸暂停的管理。
IF 2.2 4区 医学
Australian Journal of General Practice Pub Date : 2024-06-01 DOI: 10.31128/AJGP-08-23-6933
Claire M Ellender, Andrew Vakulin, Nigel Stocks, Ching Li Chai-Coetzer
{"title":"Management of obstructive sleep apnoea in primary care.","authors":"Claire M Ellender, Andrew Vakulin, Nigel Stocks, Ching Li Chai-Coetzer","doi":"10.31128/AJGP-08-23-6933","DOIUrl":"10.31128/AJGP-08-23-6933","url":null,"abstract":"<p><strong>Background: </strong>Obstructive sleep apnoea (OSA) is common in the community and is increasing in prevalence. Primary care plays a pivotal role in the diagnosis and management of OSA.</p><p><strong>Objective: </strong>This article focuses on the management options for a patient with an established diagnosis of OSA and provides a guide for driving licensing requirements. Indications for continuous positive airway pressure (CPAP) are discussed and tips provided to consider when conducting a review appointment, including trouble shooting.</p><p><strong>Discussion: </strong>There are several treatment options available for patients with an established diagnosis of OSA. Selecting the optimal therapy involves aligning the symptoms and severity of OSA with the presence of comorbidities. CPAP is a highly effective therapy for symptomatic adults with moderate-to-severe OSA and for some symptomatic patients with mild OSA. Early trouble shooting of side effects and using supportive interventions increases the probability of long-term adherence, which is key to symptomatic improvement.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141263188","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
Using primary care data for research: What are the issues and potential solutions? 将初级保健数据用于研究：有哪些问题和潜在解决方案？
IF 2.2 4区 医学
Australian Journal of General Practice Pub Date : 2024-06-01 DOI: 10.31128/AJGP-07-23-6887
Ron Cheah, Rachel Canaway, Christine Mary Hallinan, Lucas de Mendonça, Jo-Anne Manski-Nankervis
{"title":"Using primary care data for research: What are the issues and potential solutions?","authors":"Ron Cheah, Rachel Canaway, Christine Mary Hallinan, Lucas de Mendonça, Jo-Anne Manski-Nankervis","doi":"10.31128/AJGP-07-23-6887","DOIUrl":"10.31128/AJGP-07-23-6887","url":null,"abstract":"<p><strong>Background: </strong>Interest in using primary care data for research is growing with increasing recognition of its potential for improving healthcare. Many issues exist, some inherent in the data and others external.</p><p><strong>Objective: </strong>This paper explores the main issues associated with the use of primary care data for research and proposed solutions to address them.</p><p><strong>Discussion: </strong>Issues related to the use of primary care data for research are complex. Government reimbursement system administrative data have limitations as they lack clinical detail. General practice electronic medical record data are more suitable; however, challenges include variable data quality and interoperability. There are concerns from general practices and the public about data access and use. Strategies to address these issues include incorporating best-practice principles, implementing standards and data quality frameworks, creating partnerships between data custodians and ensuring robust governance systems exist. Leadership and the will of key stakeholders to reform, with governmental support in implementing required actions, must be prioritised.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141263193","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
An approach to common sleep presentations in infants and toddlers. 解决婴幼儿常见睡眠症状的方法。
IF 2.2 4区 医学
Australian Journal of General Practice Pub Date : 2024-06-01 DOI: 10.31128/AJGP-05-23-6825
Matthew Wong, Rifat Chaudry, Ajay Kevat, James Best, Nicole Lovato, Moya Vandeleur, Jasneek Chawla
{"title":"An approach to common sleep presentations in infants and toddlers.","authors":"Matthew Wong, Rifat Chaudry, Ajay Kevat, James Best, Nicole Lovato, Moya Vandeleur, Jasneek Chawla","doi":"10.31128/AJGP-05-23-6825","DOIUrl":"10.31128/AJGP-05-23-6825","url":null,"abstract":"<p><strong>Background: </strong>Healthy sleep is vital for optimal child development, yet over 30% of Australian parents report having children with disrupted sleep affecting all family members. These sleep difficulties might co-exist with sleep breathing disorders, contributing to morbidity and reduced quality of life.</p><p><strong>Objective: </strong>This article aims to provide general practitioners (GPs) with an evidence-based, biopsychosocial approach to managing common sleep problems in infants and preschool-aged children.</p><p><strong>Discussion: </strong>Strategies and techniques are outlined to aid GPs in promoting healthy sleep during infancy, educating parents on typical sleep patterns and supporting families in managing problematic sleep patterns in toddlers. Emphasis is placed on a tailored approach to developing a healthy sleep environment to meet the child's needs and parental values. Valuable resources and indications for specialist consultation are included.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141263070","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
Sleep health primary care clinical resource. 睡眠健康初级保健临床资源。
IF 2.2 4区 医学
Australian Journal of General Practice Pub Date : 2024-06-01 DOI: 10.31128/AJGP-03-23-6779
Stijn Soenen, Alexander Sweetman, Marcia Balzer, Sutapa Mukherjee, Alan Young, Robert J Adams, Nicholas Zwar
{"title":"Sleep health primary care clinical resource.","authors":"Stijn Soenen, Alexander Sweetman, Marcia Balzer, Sutapa Mukherjee, Alan Young, Robert J Adams, Nicholas Zwar","doi":"10.31128/AJGP-03-23-6779","DOIUrl":"10.31128/AJGP-03-23-6779","url":null,"abstract":"<p><strong>Background: </strong>Obstructive sleep apnoea (OSA) and insomnia are the two most common sleep disorders and are frequent reasons for presentation in Australian general practice.</p><p><strong>Objective: </strong>This article describes the development, content and suggested uses of the online sleep health primary care clinical resource, which provides general practitioners and other primary healthcare professionals with evidence-based information on the aetiology, assessment, management, referral and ongoing care for OSA and chronic insomnia.</p><p><strong>Discussion: </strong>The Royal Australian College of General Practitioners-accepted clinical resource for the management of OSA and chronic insomnia in primary care was developed by the Australian National Centre for Sleep Health Services Research. The resource is designed to be used during consultations (eg following the steps in assessment and management and the use of online questionnaires for the assessment of OSA [Epworth Sleepiness Scale/OSA50/STOP-Bang] and insomnia [Sleep Condition Indicator/and Insomnia Severity Index]) and as an education/training tool (eg evidence on the role of continuous positive airway pressure/mandibular advancement splints for management of OSA and brief behavioural therapy for insomnia/cognitive behavioural therapy for insomnia for the management of insomnia).</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141263158","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
Guide to shave procedures in general practice. 全科剃须程序指南。
IF 2.2 4区 医学
Australian Journal of General Practice Pub Date : 2024-06-01 DOI: 10.31128/AJGP-06-23-6872
Gabriela Gonzalez Matheus, Christopher Paul Robins, Jim Muir
{"title":"Guide to shave procedures in general practice.","authors":"Gabriela Gonzalez Matheus, Christopher Paul Robins, Jim Muir","doi":"10.31128/AJGP-06-23-6872","DOIUrl":"10.31128/AJGP-06-23-6872","url":null,"abstract":"<p><strong>Background: </strong>General practitioners manage a significant proportion of inflammatory and neoplastic skin conditions on a daily basis. Various surgical techniques can be employed to aid in diagnosis, including punch biopsies, shave biopsy, shave excision, incisional biopsy, curettage and formal excision with closure. Requiring minimal equipment, shave procedures are quick to perform, produce good cosmetic outcomes and minimise costs.</p><p><strong>Objective: </strong>Our aim is to discuss shave procedures in detail and highlight the difference between shave biopsies and shave excisions, as well as the role they each have in diagnosing an array of benign, inflammatory and malignant skin conditions, including melanocytic lesions.</p><p><strong>Discussion: </strong>Shave procedures performed on suitable lesions by trained practitioners can be used for sampling or removing suspect lesions. Where the intent is complete removal, margin involvement is rare given good lesion selection and technique.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141263143","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
Sleep. 睡眠
IF 2.2 4区 医学
Australian Journal of General Practice Pub Date : 2024-06-01 DOI: 10.31128/AJGP-03-24-7192
Garun S Hamilton
{"title":"Sleep.","authors":"Garun S Hamilton","doi":"10.31128/AJGP-03-24-7192","DOIUrl":"https://doi.org/10.31128/AJGP-03-24-7192","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141263190","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
首页 上一页
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整，为了账户安全，请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们：info@booksci.cn Book学术提供免费学术资源搜索服务，方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号：481959085
Book学术官方微信