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Australian Journal of General Practice最新文献

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Navigating heart murmurs in children. 导航儿童心脏杂音。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2025-06-01 DOI: 10.31128/AJGP-06-24-7321
Ashani Mahawattege, Lauren Shearer, Aaron Chambers
{"title":"Navigating heart murmurs in children.","authors":"Ashani Mahawattege, Lauren Shearer, Aaron Chambers","doi":"10.31128/AJGP-06-24-7321","DOIUrl":"10.31128/AJGP-06-24-7321","url":null,"abstract":"<p><strong>Background: </strong>Murmurs are a common finding in the paediatric population, with 99% being non-pathological. Cardiovascular examination is recommended to aid the detection of serious structural cardiac defects as a routine part of neonatal and child health checks. Incidentally noted murmurs are also a common finding, with a significant proportion of children developing an innocent murmur at some stage of childhood. It is therefore important for primary care physicians to be able to appropriately identify concerning features of both screening detected and incidentally noted murmurs in children.</p><p><strong>Objective: </strong>The aim of this article is to provide guidance around the assessment of a child with a murmur.</p><p><strong>Discussion: </strong>In the assessment of murmurs, decision making around the level of concern for a pathological murmur and urgency for referral is predominantly based on features other than the murmur itself. Red flags for serious pathology might be obtained through history, examination and preliminary investigations.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 6","pages":"357-361"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227619","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
The alarming rise of early-onset colorectal cancer. 早发性结直肠癌的惊人增长。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2025-06-01 DOI: 10.31128/AJGP-05-24-7281
William Markey, Havish Srinath
{"title":"The alarming rise of early-onset colorectal cancer.","authors":"William Markey, Havish Srinath","doi":"10.31128/AJGP-05-24-7281","DOIUrl":"10.31128/AJGP-05-24-7281","url":null,"abstract":"<p><strong>Background: </strong>Over the past 20 years of the Australian National Bowel Cancer Screening Program, there has been a reduction in Australia's overall rates of colorectal cancer. However, during this same period, there has been a steady rise in the incidence of early-onset colorectal cancer (EOCRC), presenting a new public health issue.</p><p><strong>Objective: </strong>The aim of this study was to evaluate the literature regarding the rising incidence of EOCRC, highlight the importance of the recent reduction in screening age and document what might be done in a primary healthcare setting.</p><p><strong>Discussion: </strong>The increasing incidence of EOCRC has been largely attributed to risk factors including a Western diet, obesity, tobacco use and alcohol intake, which contribute to microbiome dysgenesis and chronic inflammation from an early age. In response, the initial screening age for colorectal cancer was lowered to 45 years from July 2024 via an opt-in system; however, there is evidence to support a further reduction in screening age to 40 years.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 6","pages":"392-399"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227625","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
Could it be HIV? Using clinical indicator-guided HIV testing in general practice. 会是艾滋病毒吗？在一般实践中使用临床指标指导的艾滋病毒检测。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2025-06-01 DOI: 10.31128/AJGP-02-24-7161
Louise Owen, Karen Magraith
{"title":"Could it be HIV? Using clinical indicator-guided HIV testing in general practice.","authors":"Louise Owen, Karen Magraith","doi":"10.31128/AJGP-02-24-7161","DOIUrl":"10.31128/AJGP-02-24-7161","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 6","pages":"413-416"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227608","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
Challenging conversations. 具有挑战性的对话。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2025-06-01 DOI: 10.31128/AJGP-06-25-1234e
Brendon Evans
{"title":"Challenging conversations.","authors":"Brendon Evans","doi":"10.31128/AJGP-06-25-1234e","DOIUrl":"10.31128/AJGP-06-25-1234e","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 6","pages":"325"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227607","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
Educating antenatal patients about cytomegalovirus infection: An e-learning package improves general practitioners' knowledge and intention to implement clinical guidelines. 教育产前患者巨细胞病毒感染：一个电子学习包提高全科医生的知识和实施临床指南的意图。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2025-06-01 DOI: 10.31128/AJGP-11-24-7478
Hayley Smithers-Sheedy, Katherine Swinburn, Natalia Rode, Tanya Tripathi, Natasha Holmes, Emma Waight, Annabel Webb, Philip N Britton, Hugh Stump, Antonia Shand, Lisa Hui
{"title":"Educating antenatal patients about cytomegalovirus infection: An e-learning package improves general practitioners' knowledge and intention to implement clinical guidelines.","authors":"Hayley Smithers-Sheedy, Katherine Swinburn, Natalia Rode, Tanya Tripathi, Natasha Holmes, Emma Waight, Annabel Webb, Philip N Britton, Hugh Stump, Antonia Shand, Lisa Hui","doi":"10.31128/AJGP-11-24-7478","DOIUrl":"10.31128/AJGP-11-24-7478","url":null,"abstract":"<p><strong>Background and objectives: </strong>The Australian Government's Living Evidence for Australian Pregnancy and Postnatal Care guideline recommend all pregnant women be informed about cytomegalovirus (CMV) infection risk-reduction strategies. The aim of this paper was to determine the effectiveness of the 'Infections in Pregnancy' e-learning module in improving general practitioner (GP) knowledge, confidence in counselling and intended practice regarding CMV patient education.</p><p><strong>Method: </strong>This study used a pre-post quasi-experimental design. GPs undertaking the module in March to December 2023 completed questionnaires before and after completing the module. An adjusted linear mixed effects model was used to evaluate change in scores.</p><p><strong>Results: </strong>Of 164 study participants, 94% had not previously received CMV prevention education. Total adjusted mean CMV knowledge scores and confidence in CMV counselling were significantly higher after completing the module (P<0.001). The proportion of GPs intending to counsel pregnant patients about CMV increased from 24% to 97% after completing the module.</p><p><strong>Discussion: </strong>Targeted e-learning can improve GP knowledge and confidence, and can support the implementation of the national congenital CMV risk-reduction guidelines.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 6","pages":"407-412"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227609","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
Head and neck pits in an infant. 婴儿的头部和颈部有凹陷。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2025-06-01 DOI: 10.31128/AJGP-10-24-7430
Jean-Li Lim
{"title":"Head and neck pits in an infant.","authors":"Jean-Li Lim","doi":"10.31128/AJGP-10-24-7430","DOIUrl":"10.31128/AJGP-10-24-7430","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 6","pages":"375-377"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227614","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
Orbital cellulitis in the paediatric population. 儿童眼窝蜂窝织炎。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2025-06-01 DOI: 10.31128/AJGP-05-24-7293
Declan Delahunty, Anthony Liu, Habib Bhurawala
{"title":"Orbital cellulitis in the paediatric population.","authors":"Declan Delahunty, Anthony Liu, Habib Bhurawala","doi":"10.31128/AJGP-05-24-7293","DOIUrl":"10.31128/AJGP-05-24-7293","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 6","pages":"333-335"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227621","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
Paediatric care in general practice: Case mix, referral patterns and healthcare costs. 普通儿科护理：病例组合、转诊模式和医疗保健费用。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2025-06-01 DOI: 10.31128/AJGP-04-24-7227
Harriet Hiscock, Sonia Khano, Lena Sanci, Cecilia Moore, Kim Dalziel, Gary Freed, Douglas Boyle, Jane Le, Tammy Meyers Morris, Siaw-Teng Liaw, Raghu Lingam
{"title":"Paediatric care in general practice: Case mix, referral patterns and healthcare costs.","authors":"Harriet Hiscock, Sonia Khano, Lena Sanci, Cecilia Moore, Kim Dalziel, Gary Freed, Douglas Boyle, Jane Le, Tammy Meyers Morris, Siaw-Teng Liaw, Raghu Lingam","doi":"10.31128/AJGP-04-24-7227","DOIUrl":"10.31128/AJGP-04-24-7227","url":null,"abstract":"<p><strong>Background and objectives: </strong>There are no contemporary data to describe which paediatric conditions general practitioners (GPs) see, which conditions they refer, and where and whether referrals differ by general practice, patient or GP factors. A better understanding of the this could inform GP training needs and workforce planning. The aim of this study was to address knowledge gaps around the case mix of general practice paediatric consultations, as well as GP referral patterns, associated factors and costs.</p><p><strong>Method: </strong>A cross-sectional analysis of 49,932 paediatric consultations was performed across 22 general practices in Victoria and New South Wales involving 130 GPs. General practice electronic medical records were analysed to determine consultation reasons and referrals.</p><p><strong>Results: </strong>Common reasons for visits included medical issues, immunisations, developmental-behavioural concerns, check-ups and mental health. GPs referred 10% of visits, predominantly for mental health. Referral patterns were associated with private billing, GP demographics, patient characteristics and years of working in general practice. Most referrals were to private specialists. Estimated costs to the healthcare system were $1.39 million.</p><p><strong>Discussion: </strong>GPs mostly refer to private specialists for mental health and developmental-behavioural concerns, particularly with private billing, indicating access disparities. Increased public sector capacity for these conditions is needed. Strengthening paediatric primary care could yield significant cost savings by reducing referrals.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 6","pages":"347-355"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227622","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
Ready, set, blow: A mixed method enquiry into the use of nasal balloon auto-inflation treatment for otitis media with effusion. 准备、设置、吹：鼻球囊自动充气治疗积液性中耳炎的混合方法探讨。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2025-06-01 DOI: 10.31128/AJGP-08-24-7372
Letitia Campbell Wiradjuri, Shalini Malintha, Robyn Walsh, Wendy Hu, Kelvin Kong Worimi, Deborah Askew, Jennifer Reath, Penny Abbott
{"title":"Ready, set, blow: A mixed method enquiry into the use of nasal balloon auto-inflation treatment for otitis media with effusion.","authors":"Letitia Campbell Wiradjuri, Shalini Malintha, Robyn Walsh, Wendy Hu, Kelvin Kong Worimi, Deborah Askew, Jennifer Reath, Penny Abbott","doi":"10.31128/AJGP-08-24-7372","DOIUrl":"10.31128/AJGP-08-24-7372","url":null,"abstract":"<p><strong>Background and objectives: </strong>Otitis media with effusion (OME) is a common condition in Aboriginal and Torres Strait Islander children. Nasal balloon auto-inflation is a potential low-cost alternative to surgery to manage OME; however, the experiences of healthcare practitioners and parents in using this treatment strategy are not well understood. This study aimed to understand the experiences of using nasal balloon auto-inflation as a treatment for childhood OME.</p><p><strong>Method: </strong>Caregivers of 69 Aboriginal and Torres Strait Islander children using auto-inflation in the AutoINFLation for Aboriginal and Torres Strait Islander Children with Bilateral OME (INFLATE) randomised clinical trial answered the questionnaires. Interviews were undertaken with caregivers and Aboriginal community research officers.</p><p><strong>Results: </strong>The novelty of the experience excited children initially, but caregivers needed to ensure the treatment remained enjoyable and incorporated into the daily routine. The device was easy to use for most, with twice daily inflations the most manageable. The family dynamic (number of children, split-care arrangements) affected success.</p><p><strong>Discussion: </strong>Gamification of treatment, as well as regular check-ins by healthcare practitioners, can increase adherence and achievability of the treatment plan for Aboriginal and Torres Strait Islander children.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 6","pages":"369-374"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227624","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
Navigating the risk of stroke and bleeding in atrial fibrillation. 房颤卒中和出血风险的导航。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2025-05-01 DOI: 10.31128/AJGP-02-25-7554
Rawa Osman, Jarrah Anderson, Annette Katelaris, Sally Dooley, Jonathan Dartnell
{"title":"Navigating the risk of stroke and bleeding in atrial fibrillation.","authors":"Rawa Osman, Jarrah Anderson, Annette Katelaris, Sally Dooley, Jonathan Dartnell","doi":"10.31128/AJGP-02-25-7554","DOIUrl":"https://doi.org/10.31128/AJGP-02-25-7554","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 5","pages":"315-318"},"PeriodicalIF":1.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144008414","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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