Australian Journal of General Practice最新文献_第4页

September 2024 correspondence. 2024 年 9 月通信。

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2024-09-01

引用次数: 0

Clinical prediction rules for surgical site infection after minor surgery in general practice. 全科小手术后手术部位感染的临床预测规则。

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2024-09-01 DOI: 10.31128/AJGP-08-23-6925

Clare Heal, Leanne Hall

引用次数: 0

General practitioner support needs to implement cardiovascular disease risk assessment and management guidelines: Qualitative interviews. 实施心血管疾病风险评估和管理指南所需的全科医生支持：定性访谈。

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2024-09-01 DOI: 10.31128/AJGP-06-23-6871

Carissa Bonner, James E Sharman, Shannon McKinn, Samuel Cornell, Mark R Nelson, Jenny Doust, Niamh Chapman

{"title":"General practitioner support needs to implement cardiovascular disease risk assessment and management guidelines: Qualitative interviews.","authors":"Carissa Bonner, James E Sharman, Shannon McKinn, Samuel Cornell, Mark R Nelson, Jenny Doust, Niamh Chapman","doi":"10.31128/AJGP-06-23-6871","DOIUrl":"10.31128/AJGP-06-23-6871","url":null,"abstract":"Background and objectives: Previous research identified numerous barriers to general practitioner (GP) use of cardiovascular disease (CVD) risk guidelines, and it is unclear whether these issues have been resolved. This study explored recent GP experiences.Method: Interviews with 18 GPs in an Australian state with relatively few COVID-19 cases in 2021 were transcribed and coded using a framework analysis approach, with data mapped to five previously identified CVD risk assessment strategies: absolute risk focused, absolute risk adjusted, clinical judgement, passive disregard and active disregard.Results: GPs used various CVD risk calculators to inform clinical decision making, but there were concerns about accuracy, the role of extra risk factors and less 'personalised' assessment. GPs addressed these concerns by requesting additional tests, subjectively adjusting the CVD risk assessment to account for extra risk factors and focusing on individual risk factors.Discussion: Many barriers to CVD risk assessment guidelines remain. GP support is needed to implement revised guidelines.","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142127302","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

Acute onset of inflammatory papules, pustules and nodules on the central face in a middle-aged man. 一名中年男子面部中央出现急性炎性丘疹、脓疱和结节。

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2024-09-01 DOI: 10.31128/AJGP-08-23-6922

Reza Amirtouri, Tahereh Taklif

引用次数: 0

Supporting healthcare professionals to reduce weight stigma. 支持医护人员减少体重耻辱感。

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2024-09-01 DOI: 10.31128/AJGP-07-23-6906

Briony Hill, Xochitl de la Piedad Garcia, Joanne A Rathbone, Zanab Malik, Elizabeth Holmes-Truscott, Blake J Lawrence, James Kite, Kelly Cooper, Timothy R Broady, John B Dixon

{"title":"Supporting healthcare professionals to reduce weight stigma.","authors":"Briony Hill, Xochitl de la Piedad Garcia, Joanne A Rathbone, Zanab Malik, Elizabeth Holmes-Truscott, Blake J Lawrence, James Kite, Kelly Cooper, Timothy R Broady, John B Dixon","doi":"10.31128/AJGP-07-23-6906","DOIUrl":"10.31128/AJGP-07-23-6906","url":null,"abstract":"Background: Reducing weight stigma in healthcare is critical to supporting and improving the health of people living with overweight or obesity and decreasing the risk of adverse patient outcomes. We were invited as stigma researchers to participate in an online workshop alongside community members, healthcare professionals and policymakers to codesign guidance for reducing weight stigma in healthcare. This workshop prompted us to reflect on why and how weight stigma should be addressed in healthcare, and to provide recommendations for healthcare professionals and policymakers to reduce weight stigma in healthcare.Objective: This paper presents our reflections and recommendations for addressing weight stigma in healthcare following the codesign workshop.Discussion: Recommendations include targeting individual healthcare professionals and involving clear, practical guidelines and training that leverage the notions of 'do no harm', improving practice and recognising biases. Importantly, such strategies must be couched in broader structural approaches to weight stigma reduction.","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142127316","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

Treatment options for a large facial lentigo maligna. 面部大面积恶性白斑的治疗方案。

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2024-09-01 DOI: 10.31128/AJGP-11-23-7024

Juliet Smith, Lisa Byrom, Jim Muir

引用次数: 0

Melanoma medicine: New drugs for melanoma and the role of the general practitioner. 黑色素瘤医学：治疗黑色素瘤的新药和全科医生的作用。

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2024-09-01 DOI: 10.31128/AJGP-01-24-7129

Andrea Boutros, Matteo S Carlino, Alexander M Menzies

{"title":"Melanoma medicine: New drugs for melanoma and the role of the general practitioner.","authors":"Andrea Boutros, Matteo S Carlino, Alexander M Menzies","doi":"10.31128/AJGP-01-24-7129","DOIUrl":"10.31128/AJGP-01-24-7129","url":null,"abstract":"Background: Following major achievements seen with drug therapies for the treatment of advanced melanoma in the last decade, they now also have an ever-increasing role for the treatment of earlier stage disease. This review outlines the current drugs used to treat melanoma, and how general practitioners (GPs) can assist in the management of patients with melanoma and the associated toxicities with treatment.Objective: This review summarises the evolving status of melanoma care, emphasising when to refer patients to medical oncologists as part of the multidisciplinary team. It provides guidance into recognising and managing immune-related adverse events (irAEs) associated with immunotherapy, and provides insights into the future changes in clinical practice.Discussion: Drug therapies are increasingly used for the treatment of many patients with melanoma. Early referral is crucial, and clinical trials remain the best choice for most patients. Recognition and prompt management of irAEs is vital, and collaboration between GPs and oncologists is essential for best care.","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142127305","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

Acromioclavicular dislocation: A common injury affecting a healthy population. 肩锁关节脱位：影响健康人群的常见损伤。

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2024-08-01 DOI: 10.31128/AJGP-07-23-6909

Michael A Roberts, Chris Wall

引用次数: 0

Effects of inadequate hospital clinical handover on metropolitan general practitioners in Queensland: A qualitative study. 医院临床交接不足对昆士兰州大都市全科医生的影响：定性研究。

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2024-08-01 DOI: 10.31128/AJGP-03-23-6783

Kate Johnston, Joan Cassimatis, Laetitia Hattingh

{"title":"Effects of inadequate hospital clinical handover on metropolitan general practitioners in Queensland: A qualitative study.","authors":"Kate Johnston, Joan Cassimatis, Laetitia Hattingh","doi":"10.31128/AJGP-03-23-6783","DOIUrl":"https://doi.org/10.31128/AJGP-03-23-6783","url":null,"abstract":"Background and objectives: Transition from hospital to community care is well established as a high-risk time for patients. Inadequate clinical handover to general practice puts patients at risk of medical error, adverse events and rehospitalisation. We sought to understand the effects on general practitioners (GPs) of poor clinical handover from the inpatient, outpatient and emergency department settings.Method: Qualitative methodology was used through conducting semi-structured interviews with purposively selected GPs. Interviews were undertaken until data reached saturation and no new themes emerged. The interviews were thematically analysed and coded.Results: Key themes emerging included poor communication leading to patient safety concerns, time taken away from patient care and GPs experiencing a lack of professional respect.Discussion: Clinical handover from the hospital sector remains a source of frustration for GPs. Poor handover demonstrates a lack of appreciation for the important role of the GP in continuing the care of patients and puts patients at risk of poor outcomes.","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141890930","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 pragmatic primary care approach to the patient with significant solar damage. 为严重晒伤患者提供实用的初级保健方法。

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2024-08-01 DOI: 10.31128/AJGP-02-24-7159

Charles Ayesa

引用次数: 0