Australian Journal of General Practice最新文献_第2页

Recruiting general practitioners: The role of the 'hidden curriculum'. 招聘全科医生：“隐性课程”的作用。

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2024-12-01 DOI: 10.31128/AJGP-08-23-6942

Tim Tse, Bosco Wu

引用次数: 0

Offering reproductive genetic carrier screening for cystic fibrosis, spinal muscular atrophy and fragile X syndrome: Views of Victorian general practitioners. 提供生殖遗传载体筛选囊性纤维化，脊髓性肌萎缩和脆性X综合征：维多利亚全科医生的观点。

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2024-12-01 DOI: 10.31128/AJGP-10-23-6989

Ruth Leibowitz, Sharon Lewis, Martin Delatycki, John Massie, Jon Emery, Alison Archibald

{"title":"Offering reproductive genetic carrier screening for cystic fibrosis, spinal muscular atrophy and fragile X syndrome: Views of Victorian general practitioners.","authors":"Ruth Leibowitz, Sharon Lewis, Martin Delatycki, John Massie, Jon Emery, Alison Archibald","doi":"10.31128/AJGP-10-23-6989","DOIUrl":"10.31128/AJGP-10-23-6989","url":null,"abstract":"Background and objectives: The Royal Australian College of General Practice recommends that all women contemplating pregnancy or in early pregnancy should be offered reproductive genetic carrier screening (RGCS). In November 2023, a new Medicare item number was introduced for RGCS to detect cystic fibrosis (CF), spinal muscular atrophy (SMA) and fragile X syndrome (FXS) carrier status. The role of general practice in offering RGCS is recognised as being of crucial importance, but only a minority of general practitioners (GPs) are offering such screening. This study investigates the facilitators and barriers to offering RGCS in general practice.Method: Fifteen Victorian GPs who had offered RGCS for CF, SMA and FXS participated in semi-structured telephone interviews. A behavioural change framework was used for this study.Results: Barriers to offering screening (eg out-of-pocket costs, low frequency of preconception care and lack of GP education) mapped predominantly onto the 'opportunity' domain of the behaviour change framework.Discussion: Reducing out-of-pocket costs and increasing the provision of preconception care and GP education will provide more people with the opportunity to make informed choices about participation in RGCS.","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"53 12 Suppl","pages":"S78-S84"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856650","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

Patient digital self-screening tool for familial hypercholesterolaemia: A pilot study. 家族性高胆固醇血症患者数字自我筛查工具：一项初步研究。

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2024-12-01 DOI: 10.31128/AJGP-03-24-7187

Stephanie Eid, Katrina Giskes, Donna Jeong, Luke Jennings, Edward Dababneh, Margot Woods, Charlotte Hespe

{"title":"Patient digital self-screening tool for familial hypercholesterolaemia: A pilot study.","authors":"Stephanie Eid, Katrina Giskes, Donna Jeong, Luke Jennings, Edward Dababneh, Margot Woods, Charlotte Hespe","doi":"10.31128/AJGP-03-24-7187","DOIUrl":"10.31128/AJGP-03-24-7187","url":null,"abstract":"Background and objectives: Familial hypercholesterolaemia (FH) is a genetic condition contributing to premature cardiovascular disease. Currently, general practitioners (GPs) do not proactively screen for the condition. This study implemented and evaluated a digital FH self-screening questionnaire administered in general practice.Method: Patients aged 18-60 years in four general practices were sent an FH screening questionnaire via SMS prior to their GP appointment. The survey identified at-risk patients, and results were exported to the patients' electronic medical record.Results: In all, 1258 patients were sent the survey; 234 (18.6%) interacted with it, 137 completed self-screening and nine patients were identified as high risk. Self-screening took 3.5 minutes (on average) and was positively evaluated by patients.Discussion: This proof-of-concept study identified that FH self-screening can be implemented, but further refinements to the self-screening method and interface might be required for greater patient engagement. FH self-screening has the potential to increase FH detection and reduce preventable cardiovascular disease.","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"53 12 Suppl","pages":"S91-S97"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856652","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

Impact of the COVID-19 pandemic on the diagnosis and management of primary cutaneous melanomas in New South Wales, Australia: A retrospective cohort study. COVID-19大流行对澳大利亚新南威尔士州原发性皮肤黑色素瘤诊断和治疗的影响：一项回顾性队列研究

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2024-12-01 DOI: 10.31128/AJGP-10-23-6991

Meryl Thomas, Maria Jones-Caballero, Marlene Wijaya, Pablo Fernandez-Penas, Raquel Ruiz Araujo

{"title":"Impact of the COVID-19 pandemic on the diagnosis and management of primary cutaneous melanomas in New South Wales, Australia: A retrospective cohort study.","authors":"Meryl Thomas, Maria Jones-Caballero, Marlene Wijaya, Pablo Fernandez-Penas, Raquel Ruiz Araujo","doi":"10.31128/AJGP-10-23-6991","DOIUrl":"10.31128/AJGP-10-23-6991","url":null,"abstract":"Background and objectives: The COVID-19 pandemic caused upheaval of healthcare systems, with evolving consequences. The aim of this study was to evaluate the impact of the pandemic on melanoma diagnosis and management in New South Wales, Australia.Method: In this retrospective cohort study, we analysed all new melanomas diagnosed at a tertiary care hospital over a three-year period. We compared outcomes between pre-pandemic (1 January 2019 - 30 March 2020) and pandemic (31 March 2020 - 31 December 2021) periods.Results: A total of 426 melanomas were included. No significant differences in patient demographics, Breslow thickness, ulceration, subtype or lymph node positivity were observed. During the pandemic, there was an 11% decrease in the number of melanomas diagnosed in the community (P=0.016) and an 11-day reduction in time from referral to wide local excision (P=0.013).Discussion: The prioritisation of melanoma care during the pandemic in New South Wales, Australia, has resulted in no apparent diagnostic delays.","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"53 12 Suppl","pages":"S71-S77"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856480","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

Pelvic congestion syndrome: Not all pelvic pain is gynaecological. 盆腔充血综合征：不是所有的盆腔疼痛都是妇科的。

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2024-12-01 DOI: 10.31128/AJGP-07-23-6889

Joseph Hanna, Joshua Bruinsma, Mitchell Barns, Mark Hanna, Basim Boulos, Stefan Ponosh

{"title":"Pelvic congestion syndrome: Not all pelvic pain is gynaecological.","authors":"Joseph Hanna, Joshua Bruinsma, Mitchell Barns, Mark Hanna, Basim Boulos, Stefan Ponosh","doi":"10.31128/AJGP-07-23-6889","DOIUrl":"https://doi.org/10.31128/AJGP-07-23-6889","url":null,"abstract":"Background: Chronic pelvic pain is a debilitating but common syndrome that is a burden both for patients and health systems. Pelvic congestion syndrome (PCS) contributes to 30-40% of patients presenting with chronic pelvic pain where no other cause is identified. However, PCS is poorly understood, underdiagnosed and undertreated, with the average time to diagnosis being reported as up to four years after initial presentation.Objective: This article describes the pathophysiology of PCS and outlines the symptomatology, the most efficient diagnostic pathway and the optimal treatment methods for practitioners encountering patients presenting with PCS.Discussion: The aetiology of PCS is multifactorial and it is thought to be caused by both hormonal and anatomical dysfunction. Patients with PCS present with a cluster of symptoms related to pelvic venous congestion, including pelvic pain worse on standing, irritable bowel symptoms, dyspareunia, vulval varicosities and lower limb venous pathology. Transvaginal ultrasound is a non-invasive and sensitive test for PCS. Ovarian vein embolisation is a safe, minimally invasive and efficacious treatment for PCS.","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"53 12 Suppl","pages":"S41-S44"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856653","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

Consultation skill tips for new general practice registrars: An update. 咨询技巧提示新的全科医生注册：更新。

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2024-12-01 DOI: 10.31128/AJGP-07-23-6891

Simon Morgan, Jessica V Wrigley

引用次数: 0

December 2024 correspondence. 2024年12月通信。

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2024-12-01

引用次数: 0

General practice training and education. 全科实习培训和教育。

IF 1.6 4区医学