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

Obesity and weight management.

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2025-04-01 DOI: 10.31128/AJGP-04-25-1234e

Chris Dickie

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Fads and facts: Popular diets and their medical management.

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2025-04-01 DOI: 10.31128/AJGP-11-24-7459

Terri-Lynne South

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Glucagon-like peptide-1 receptor agonists for weight loss: Consider the case for selective pharmacotherapy.

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2025-04-01 DOI: 10.31128/AJGP-06-23-6877

Yifu Richard Li, Bosco Wu, Cameron Nik, Linda Wu, Tim Tse

引用次数: 0

A refresher on the primary care and public health management of acute post-streptococcal glomerulonephritis.

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2025-04-01 DOI: 10.31128/AJGP-03-24-7206

Jasraaj Singh, Allison Hempenstall, Melania Scrace, Louise Craig, Malcolm McDonald

{"title":"A refresher on the primary care and public health management of acute post-streptococcal glomerulonephritis.","authors":"Jasraaj Singh, Allison Hempenstall, Melania Scrace, Louise Craig, Malcolm McDonald","doi":"10.31128/AJGP-03-24-7206","DOIUrl":"10.31128/AJGP-03-24-7206","url":null,"abstract":"Background: Acute post-streptococcal glomerulonephritis (APSGN) is an acute autoimmune kidney condition triggered by skin infection or pharyngitis caused by specific strains of Streptococcus pyogenes (Group A streptococcus). In Australia, APSGN is primarily a disease of childhood disadvantage.Objective: The aim of this review is to draw attention to a preventable childhood condition, detailing the clinical presentation, diagnostic pathway and management.Discussion: Children typically present with a nephritic clinical picture: oedema, painless haematuria and hypertension. Diagnostic confirmation requires specific laboratory findings or both clinical and laboratory suggestive evidence. 'Probable' cases only require clinical evidence and 'possible' cases only require suggestive laboratory evidence. Treatment is largely supportive, focusing on the management of hypertension and fluid overload. Suspected and confirmed cases must be notified immediately to regional public health authorities. Outbreaks require a broad-based public health response in accordance with state-based guidelines.","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 4","pages":"213-217"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774794","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

Adult obesity management in Australia: How can we bridge the gap between guidelines and current general practice?

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2025-04-01 DOI: 10.31128/AJGP-07-23-6903

Bo Bi, Tiana Gurney, Srinivas Kondalsamy Chennakesavan

{"title":"Adult obesity management in Australia: How can we bridge the gap between guidelines and current general practice?","authors":"Bo Bi, Tiana Gurney, Srinivas Kondalsamy Chennakesavan","doi":"10.31128/AJGP-07-23-6903","DOIUrl":"10.31128/AJGP-07-23-6903","url":null,"abstract":"Background and objectives: Obesity is still recognised as a risk factor rather than a chronic disease in Australia. General practitioners (GPs) have reported a lack of confidence and support in the management of obesity. In this study, we explored GPs' current definitions and treatment of obesity and their attitudes towards proposed clinician educational and billing strategies.Method: In this cross-sectional study, an online survey was distributed to GPs across Australia.Results: Of the 189 GPs who completed the survey, 82% defined obesity, with and/or without comorbidities, as a chronic disease. There is a significant gap between current practice and clinical guidelines, particularly in screening and prevention. The overall attitude towards proposed solutions was very positive. Descriptive analysis was used to present the characteristics of the participants. Chi-squared tests or Fisher's exact test were used to evaluate the relationship between categorical variables.Discussion: Australia's outdated definition of obesity likely hinders management and contributes to the observed gap between clinical guidelines and current practice. Clinician education on behaviour change and long-term weight management, funding for more enhanced primary care referrals and Pharmaceutical Benefits Scheme listing of pharmacotherapy for weight loss might be possible solutions.","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 4","pages":"171-178"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774797","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

Out of sight, out of mind: Investing in prison primary healthcare to target vulnerable groups.

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2025-04-01 DOI: 10.31128/AJGP-09-24-7397

Stephen Hampton, Penelope Abbott

引用次数: 0

'They made a hard day feel a little easier': Patients' experiences of an integrated crisis response following recent sexual assault.

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2025-03-01 DOI: 10.31128/AJGP-06-24-7303

Mary Stewart, David J Templeton, Julie Mooney-Somers, Kevin McGeechan, Ellie Freedman, Elisabeth Awad, Tara Hunter, Rita Shackel

{"title":"'They made a hard day feel a little easier': Patients' experiences of an integrated crisis response following recent sexual assault.","authors":"Mary Stewart, David J Templeton, Julie Mooney-Somers, Kevin McGeechan, Ellie Freedman, Elisabeth Awad, Tara Hunter, Rita Shackel","doi":"10.31128/AJGP-06-24-7303","DOIUrl":"10.31128/AJGP-06-24-7303","url":null,"abstract":"Background and objectives: Sexual assault services in New South Wales (NSW), Australia provide crisis support from a counsellor working with a forensically trained doctor, or nurse, providing medical care and the option of forensic examination. The aim of this paper is to gain an understanding of the experience of recent sexual assault victim-survivors who accessed one of these 24-hour services.Method: A feedback questionnaire was offered to victim-survivors on completion of the integrated crisis response. A descriptive analysis was performed.Results: Results demonstrate that the patients' experiences were positive, with 98% (279/284) recommending a friend that is in the same situation to access the service. Most found the examination reassuring 75% (202) or OK 20% (54), with only 2% (6) reporting it as traumatising and 3% (7) other. Many said the service was not visible enough. Only 4% of patients were referred from general practitioners (GPs).Discussion: The service provided a positive experience for victim-survivors but needs to be more visible. GPs might benefit from increased knowledge of services and referral pathways available to victim-survivors of sexual assault.","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 3","pages":"135-141"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568834","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

Stopping antidepressants or not?

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2025-03-01 DOI: 10.31128/AJGP-09-23-6967

Jeffrey Cl Looi, Stephen Allison, Tarun Bastiampillai, Steve Kisely, Paul A Maguire, Luke Woon, Katrina Anderson

{"title":"Stopping antidepressants or not?","authors":"Jeffrey Cl Looi, Stephen Allison, Tarun Bastiampillai, Steve Kisely, Paul A Maguire, Luke Woon, Katrina Anderson","doi":"10.31128/AJGP-09-23-6967","DOIUrl":"10.31128/AJGP-09-23-6967","url":null,"abstract":"Background: Recently, there has been media and public interest regarding discontinuation of antidepressant treatment, especially in primary care. In this context, we provide a primary care update on the maintenance or discontinuation of antidepressant medication for the treatment of moderate-to-severe depression in adults.Objective: This article aims to provide a primary care update on the maintenance or discontinuation of antidepressant medication for the treatment of moderate-to-severe depression in adults. To this end, we performed a qualitative narrative review and provide commentary on recent research and systematic reviews.Discussion: In primary care, recent research has shown that there are substantial risks of depressive relapse resulting from antidepressant discontinuation. For a first episode of moderate-to-severe depression, antidepressants should be continued for 9-12 months after remission. Systematic reviews indicate that, overall, there is limited evidence of benefits from ceasing antidepressant treatment for recurrent depression. The existing evidence base on antidepressant withdrawal is limited in quality and extent, providing some evidence of harms, such as relapse, and not necessarily any gains, although reducing the burden of adverse effects is a consideration. There is a benefit-to-risk ratio in any decision to continue or withdraw antidepressant treatment.","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 3","pages":"91-94"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568833","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

Experiences of Australian transgender, gender-diverse and non-binary patients accessing and receiving gender-affirming care.

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2025-03-01 DOI: 10.31128/AJGP-06-24-7324

Mary Stewart, Aman Bedi, Dash Gray, Joseph Cotter, Catriona Ooi

{"title":"Experiences of Australian transgender, gender-diverse and non-binary patients accessing and receiving gender-affirming care.","authors":"Mary Stewart, Aman Bedi, Dash Gray, Joseph Cotter, Catriona Ooi","doi":"10.31128/AJGP-06-24-7324","DOIUrl":"10.31128/AJGP-06-24-7324","url":null,"abstract":"Background and objectives: It is important for general practitioners (GPs) to understand the barriers and facilitators that transgender, gender-diverse and non-binary patients (TGDNB) experience when accessing health care. The aim of this study was to explore the experiences of patients accessing and receiving gender-affirming care.Method: Patients who attended a sexual health clinic for gender-affirming care (GAC) were invited to participate in a feedback questionnaire that explored the referral process, access to care and perceptions of the clinic.Results: Few patients found out about the service from their GP. Many patients had difficulty accessing GAC but, once aware of services, most had no difficulty obtaining a GP referral. Difficulties accessing GAC included a lack of knowledge from medical professionals, lengthy and complicated processes, cost, confidentiality concerns and being misgendered. Patients found inclusive signage helpful and appreciated being asked about pronouns and chosen name. There was a high level of satisfaction with GAC.Discussion: GPs should be aware of strategies to ensure TGDNB patients feel safe accessing healthcare, including the availability of specialist services and referral pathways.","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 3","pages":"143-151"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568826","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

SafeScript: Victoria's real-time prescription monitoring system.

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2025-03-01 DOI: 10.31128/AJGP-09-23-6972

Malcolm Dobbin

{"title":"SafeScript: Victoria's real-time prescription monitoring system.","authors":"Malcolm Dobbin","doi":"10.31128/AJGP-09-23-6972","DOIUrl":"https://doi.org/10.31128/AJGP-09-23-6972","url":null,"abstract":"Background: A substantial increase in prescribing and dispensing of high-risk psychoactive medicines, including opioid analgesics and benzodiazepines, has resulted in an increase in serious harm from use and misuse, including non-fatal and fatal overdose.Objective: The aim of this paper is to describe the need for real-time information about patients' receipt of high-risk psychoactive medicines and the development of SafeScript, Victoria's real-time prescription monitoring system.Discussion: SafeScript uses existing prescription exchange services to collect prescribing and dispensing data about psychoactive medicines subject to misuse or high-risk use. The introduction of SafeScript was accompanied by extensive support measures to encourage and support an effective professional response for patients recognised to be at risk of harm from their use of these medicines. Use is mandatory, and SafeScript is integrated into the professional's workflow. Alerts about several high-risk situations (high opioid daily dose, high-risk medicine combinations, supply by multiple providers) are automatically generated and provided to the professional user at the time of their SafeScript use.","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 3","pages":"96-100"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568361","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