{"title":"Providing effective treatment for borderline personality disorder.","authors":"Gillian Singleton, Josephine Beatson, Sathya Rao","doi":"10.31128/AJGP-11-23-7031","DOIUrl":"https://doi.org/10.31128/AJGP-11-23-7031","url":null,"abstract":"<p><strong>Background: </strong>Borderline personality disorder (BPD) is a serious but treatable mental health condition with a good prognosis for those who access appropriate treatment. Early identification, provision of brief interventions and continuity of care aids remission, and is possible without general practitioners (GPs) getting burned out.</p><p><strong>Objective: </strong>This paper provides a brief overview of practical tips and useful resources for GPs to feel more equipped to provide effective care and support remission for individuals diagnosed with BPD.</p><p><strong>Discussion: </strong>People with BPD frequently present with complex problems and GPs can perceive patients as challenging to work with. It can be empowering for clinicians to consider a diagnosis of BPD when expectations of a challenging encounter occur. Early recognition and validation of underlying distress, psychoeducation and structured support can make a significant difference. Suicidal behaviour occurs in 80% of individuals with BPD, and they have a 20 year reduction in life expectancy, largely attributable to chronic diseases. This emphasises the importance of continuity in primary care.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 3","pages":"112-116"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568831","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}
{"title":"Guest Editorial: Role of general practice in disaster health management.","authors":"Penelope Burns, Michelle Hamrosi, Michael Kidd","doi":"10.31128/AJGP-07-24-7357","DOIUrl":"10.31128/AJGP-07-24-7357","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 1-2","pages":"7-8"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257370","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}
Finn O'Sullivan, Jason Yu, Bosco Wu, Tim Tse, Jessica Qiu
{"title":"A case of burning feet.","authors":"Finn O'Sullivan, Jason Yu, Bosco Wu, Tim Tse, Jessica Qiu","doi":"10.31128/AJGP-08-24-7384","DOIUrl":"10.31128/AJGP-08-24-7384","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 1-2","pages":"70-72"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257350","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}
{"title":"Clinical insights: Impact of disasters on health.","authors":"Penelope Burns, Catherine Pendrey, John Murtagh","doi":"10.31128/AJGP-06-24-7313","DOIUrl":"10.31128/AJGP-06-24-7313","url":null,"abstract":"<p><strong>Background: </strong>As disasters increasingly affect Australian communities, the professional impacts on general practitioners (GPs) increase. In the days, weeks, months and years post disaster, a predictable pattern of presentations occur. Alongside increased healthcare needs, medical service availability might be impaired. Emergency departments are often overwhelmed; however, the majority of disaster-related presentations can be managed in general practice.</p><p><strong>Objective: </strong>The aim of this article is to review the evidence on disaster health effects from an all-hazards perspective and highlight GPs' essential role in disaster healthcare.</p><p><strong>Discussion: </strong>During and following disasters, health effects occur in most body systems. The largest healthcare burden involves taking care of chronic conditions, particularly cardiovascular, endocrine and respiratory illness. Managing deteriorations, access to medications and reviews, are crucial during disasters, and in the weeks and months following. GPs provide this essential healthcare provision and coordination during disasters. They have the ability to improve health outcomes for their patients and disaster recovery in their communities.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 1-2","pages":"42-50"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257356","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}
Michelle Hamrosi, Kate Wylie, Lai Heng Foong, Kim Loo
{"title":"Heat health in general practice: An evidence-based approach to the prevention of heat-related illness","authors":"Michelle Hamrosi, Kate Wylie, Lai Heng Foong, Kim Loo","doi":"10.31128/AJGP-06-24-7329","DOIUrl":"10.31128/AJGP-06-24-7329","url":null,"abstract":"<p><strong>Background: </strong>The year 2023 was the hottest on record, with heatwaves becoming more frequent and severe due to climate change. Extreme heat is the deadliest climate related event, causing significant morbidity and mortality globally. Vulnerable groups include older people, young children and pregnant women.</p><p><strong>Objective: </strong>This paper aims to equip general practitioners (GPs) with evidence-based strategies to prevent and mitigate heat related illnesses. It identifies at-risk populations through life stage analysis and advocates for effective adaptation and mitigation strategies.</p><p><strong>Discussion: </strong>This paper highlights essential practice points for GPs and discusses the expanding evidence on heat-related health impacts, including direct effects like heat stress and indirect effects such as exacerbation of chronic diseases. The importance of cooling strategies and heat action plans are emphasised while advocating for systemic changes to address the root causes of heat-related health risks.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 1-2","pages":"25-33"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257372","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}
{"title":"General practitioner disaster support for pregnant women, new mothers, infants and young children: Findings from the Babies and Young Children in the Black Summer (BiBS) study.","authors":"Michelle Hamrosi, Karleen Gribble","doi":"10.31128/AJGP-06-24-7311","DOIUrl":"https://doi.org/10.31128/AJGP-06-24-7311","url":null,"abstract":"<p><strong>Background and objectives: </strong>Pregnant women, new mothers, infants and young children are vulnerable during the disasters that commonly impact Australia. The aim of this paper is to explore the challenges faced by these groups during and after the 2019-20 Black Summer bushfires and identify how general practitioners (GPs) can provide support.</p><p><strong>Method: </strong>Caregivers of children aged 0-4 years who experienced the 2019-20 Black Summer bushfires, and emergency responders who had supported families during this and other emergencies, were surveyed and interviewed.</p><p><strong>Results: </strong>A total of 256 parents and 63 emergency responders were surveyed or interviewed. Disaster challenges faced by pregnant women and families with infants and young children were identified related to preparedness, response and recovery, as well as specific health and medical issues.</p><p><strong>Discussion: </strong>GPs can support the health and wellbeing of pregnant women and families with young children before, during and after disasters in many ways. Greater integration of GPs into emergency planning is needed.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 1-2","pages":"34-40"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257339","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}
{"title":"Guest Editorial.","authors":"Glynn Kelly","doi":"10.31128/AJGP-11-24-7481","DOIUrl":"https://doi.org/10.31128/AJGP-11-24-7481","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 1-2","pages":"9-10"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257346","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}
{"title":"Nurturing tomorrow: Mental health effect on children and youth due to climate change.","authors":"Emily Wall, Valsamma Eapen","doi":"10.31128/AJGP-06-24-7305","DOIUrl":"10.31128/AJGP-06-24-7305","url":null,"abstract":"<p><strong>Background: </strong>Few global challenges loom over public health as ominously as climate change, and this is especially pertinent for children and youth due to a combination of direct and indirect effects on their mental health and wellbeing.</p><p><strong>Objective: </strong>This paper describes the challenges faced by children and young people in the face of the unprecedented impact of climate related events or anxiety about planetary health and its impact on their health and wellbeing. Potential steps for realistic actions are also provided.</p><p><strong>Discussion: </strong>Health professionals need to be aware and vigilant about children and young people presenting with climate-related physical and mental health issues. It is essential that they are offered appropriate access to evidence-based resources to engage and empower them with relevant information alongside targeted interventions and supports matching their specific clinical presentations and needs.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 1-2","pages":"51-55"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257375","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}
{"title":"Beyond the clinic door: Could I have done more?","authors":"Sarah Nolan","doi":"10.31128/AJGP-06-24-7308","DOIUrl":"https://doi.org/10.31128/AJGP-06-24-7308","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 1-2","pages":"80"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257353","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}