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Australian Journal of General Practice最新文献

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Pharmaceutical pitfalls in treating patients with advanced cancer. 治疗晚期癌症患者的药物缺陷。
IF 1.7 4区 医学
Australian Journal of General Practice Pub Date : 2025-08-01 DOI: 10.31128/AJGP-10-24-7442
Taylan Gurgenci, Jones Chen, Benjamin Jull, Claire Stokes, Dominic Eu, Phillip Good
{"title":"Pharmaceutical pitfalls in treating patients with advanced cancer.","authors":"Taylan Gurgenci, Jones Chen, Benjamin Jull, Claire Stokes, Dominic Eu, Phillip Good","doi":"10.31128/AJGP-10-24-7442","DOIUrl":"10.31128/AJGP-10-24-7442","url":null,"abstract":"<p><strong>Background: </strong>This paper presents a collection of important topics that are not related to the other Focus papers in this AJGP issue on palliative care but are nevertheless important for clinical practice.</p><p><strong>Objective: </strong>This article reviews the safe use of fentanyl, the proper use of buprenorphine and oxycodone-naloxone, and the potential pitfalls of equianalgesic tables.</p><p><strong>Discussion: </strong>Sublingual and transdermal fentanyl are contraindicated in patients who are opioid-naïve. Opioid-naïve has a strict definition. Buprenorphine does not reduce the efficacy of other analgesics. Equianalgesic tables should not be followed blindly - they have many shortcomings, even if they are the best guidance we have. The benefit of combined oxycodone-naloxone products is modest in patients receiving palliative care in whom there is a higher risk of therapeutic failure and adverse effects. In summary, these are clinical topics that frequently arise when specialist input is sought but are not directly addressed in most clinical articles.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 8","pages":"530-533"},"PeriodicalIF":1.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776899","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
Erratum. 勘误表。
IF 1.7 4区 医学
Australian Journal of General Practice Pub Date : 2025-08-01 DOI: 10.31128/AJGP-08-25-9876e
{"title":"Erratum.","authors":"","doi":"10.31128/AJGP-08-25-9876e","DOIUrl":"https://doi.org/10.31128/AJGP-08-25-9876e","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 8","pages":"511"},"PeriodicalIF":1.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776890","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
Handbook of Communication in Anaesthesia, Pain Management, and Intensive Care: A practical guide to exploring the art. 沟通手册在麻醉，疼痛管理，和重症监护：探索艺术的实用指南。
IF 1.7 4区 医学
Australian Journal of General Practice Pub Date : 2025-08-01 DOI: 10.31128/AJGP-03-25-7621
Penelope Dargaville
{"title":"Handbook of Communication in Anaesthesia, Pain Management, and Intensive Care: A practical guide to exploring the art.","authors":"Penelope Dargaville","doi":"10.31128/AJGP-03-25-7621","DOIUrl":"https://doi.org/10.31128/AJGP-03-25-7621","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 8","pages":"574-575"},"PeriodicalIF":1.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776893","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 rapidly growing skin nodule. 快速生长的皮肤结节
IF 1.7 4区 医学
Australian Journal of General Practice Pub Date : 2025-08-01 DOI: 10.31128/AJGP-04-24-7219
Sonje Hoogstad, David Wilkinson
{"title":"A rapidly growing skin nodule.","authors":"Sonje Hoogstad, David Wilkinson","doi":"10.31128/AJGP-04-24-7219","DOIUrl":"10.31128/AJGP-04-24-7219","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 8","pages":"564-567"},"PeriodicalIF":1.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776887","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
Special Editorial: The RACGP National workforce strategy is launched, with early impact. 特别社论：RACGP国家劳动力战略启动，产生早期影响。
IF 1.7 4区 医学
Australian Journal of General Practice Pub Date : 2025-08-01 DOI: 10.31128/AJGP-07-25-4567e
David Wilkinson
{"title":"Special Editorial: The RACGP National workforce strategy is launched, with early impact.","authors":"David Wilkinson","doi":"10.31128/AJGP-07-25-4567e","DOIUrl":"https://doi.org/10.31128/AJGP-07-25-4567e","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 8","pages":"507"},"PeriodicalIF":1.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776904","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
Palliative care. 姑息治疗。
IF 1.7 4区 医学
Australian Journal of General Practice Pub Date : 2025-08-01 DOI: 10.31128/AJGP-08-25-1234e
Brendon Evans
{"title":"Palliative care.","authors":"Brendon Evans","doi":"10.31128/AJGP-08-25-1234e","DOIUrl":"https://doi.org/10.31128/AJGP-08-25-1234e","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 8","pages":"503"},"PeriodicalIF":1.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776895","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
Pre- and post-treatment care for actinic keratoses: An Australian and New Zealand perspective. 光化性角化病的治疗前后护理：澳大利亚和新西兰的观点。
IF 1.7 4区 医学
Australian Journal of General Practice Pub Date : 2025-08-01 DOI: 10.31128/AJGP-09-24-7415
John O'Bryen, Solange Green, A J Seine, Jeremy Hudson, Ryan De Cruz, Louise Reiche, Aaron Boyce, Philip L Tong, Jim Siderov, Pascale Guitera
{"title":"Pre- and post-treatment care for actinic keratoses: An Australian and New Zealand perspective.","authors":"John O'Bryen, Solange Green, A J Seine, Jeremy Hudson, Ryan De Cruz, Louise Reiche, Aaron Boyce, Philip L Tong, Jim Siderov, Pascale Guitera","doi":"10.31128/AJGP-09-24-7415","DOIUrl":"https://doi.org/10.31128/AJGP-09-24-7415","url":null,"abstract":"<p><strong>Background: </strong>Actinic keratoses (AKs), also known as solar keratoses, are precancerous skin lesions that typically occur following long-term exposure to ultraviolet radiation. AKs can evolve into cutaneous squamous cell carcinoma (SCC) if left untreated. Treatments for AKs typically cause temporary, irritable erythematous skin barrier disruption.</p><p><strong>Objective: </strong>The objective of this article is to provide recommendations for the pre-treatment and post-treatment care for AKs in order to improve patient outcomes, particularly in the Australian and New Zealand setting.</p><p><strong>Discussion: </strong>Many of the treatments for AKs have associated side effects that might affect skin barrier function. Post-treatment care is required to aid skin repair and to protect the skin. Patients should be instructed on how to care for the skin during the healing process using a gentle skin cleanser and a moisturiser. Routine sun protection measures all year round reduce recurrence and progression of AKs.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 8","pages":"541-546"},"PeriodicalIF":1.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776900","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
We can know more than we can tell: How do general/family practice supervisors work with their tacit knowing? 我们可以知道的比我们能说的更多：全科/家庭执业主管如何与他们的默契合作？
IF 1.7 4区 医学
Australian Journal of General Practice Pub Date : 2025-08-01 DOI: 10.31128/AJGP-05-24-7264
Hubert van Doorn, Lambert Schuwirth, David Giles, Julie Ash
{"title":"We can know more than we can tell: How do general/family practice supervisors work with their tacit knowing?","authors":"Hubert van Doorn, Lambert Schuwirth, David Giles, Julie Ash","doi":"10.31128/AJGP-05-24-7264","DOIUrl":"https://doi.org/10.31128/AJGP-05-24-7264","url":null,"abstract":"<p><strong>Background and objectives: </strong>Experienced general practice supervisors at times work in ways that are more intuitive in nature. These can be characterised as being tacit. This research asked two questions: what is the nature of this tacit knowing; and how can we convey this in a suitable language to others?</p><p><strong>Method: </strong>The in-depth interpretive approach of hermeneutic phenomenology was used to analyse the stories of tacit knowing by Australian general practice supervisors.</p><p><strong>Results: </strong>Nine supervisors participated (three metropolitan, five rural and one semirural practice) and the nature of their tacit knowing was expressed in their dispositions of 'knowing' rather than formulated propositions of 'knowledge'. Three dispositions were identified as themes by creating novel word couplets: 're-presenting', 'with-holding' and 'path‑marking'.</p><p><strong>Discussion: </strong>This research offers a language and novel insights into the expertise that general practice supervisors employ, which is not easily formulated into explicit teaching protocols, strategies and rules.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 8","pages":"568-572"},"PeriodicalIF":1.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776906","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
August 2025 correspondence. 2025年8月通信。
IF 1.7 4区 医学
Australian Journal of General Practice Pub Date : 2025-08-01
{"title":"August 2025 correspondence.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 8","pages":"509-511"},"PeriodicalIF":1.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776889","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
Reflections on a life in medicine: What I wish I had known. 医学生涯的反思：我希望我已经知道了。
IF 1.7 4区 医学
Australian Journal of General Practice Pub Date : 2025-08-01 DOI: 10.31128/AJGP-04-25-7657
Barry Fatovich
{"title":"Reflections on a life in medicine: What I wish I had known.","authors":"Barry Fatovich","doi":"10.31128/AJGP-04-25-7657","DOIUrl":"https://doi.org/10.31128/AJGP-04-25-7657","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 8","pages":"574-576"},"PeriodicalIF":1.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776902","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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