Australian Journal of General Practice最新文献_第7页

The puzzle of medicine: Insights from a case of intravascular lymphoma. 医学的谜题：从一例血管内淋巴瘤的见解。

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2025-04-01 DOI: 10.31128/AJGP-09-24-7412

Jie Gu, Yanyan Huang

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April 2025 correspondence. 2025年4月通信。

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2025-04-01

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Fatigue and chronic anaemia: Could it be VEXAS syndrome? 疲劳和慢性贫血：可能是VEXAS综合征吗？

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2025-04-01 DOI: 10.31128/AJGP-02-24-7158

Natalie S Lee, Tim Y Lu

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Obesity and weight management. 肥胖和体重管理。

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. 流行与事实：流行饮食及其医疗管理。

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. 胰高血糖素样肽-1受体激动剂用于减肥：考虑选择性药物治疗的情况。

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

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Out of sight, out of mind: Investing in prison primary healthcare to target vulnerable groups. 眼不见，心不烦：投资监狱初级保健，以弱势群体为目标。

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

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A refresher on the primary care and public health management of acute post-streptococcal glomerulonephritis. 急性链球菌感染后肾小球肾炎的初级保健和公共卫生管理综述。

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}

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Adult obesity management in Australia: How can we bridge the gap between guidelines and current general practice? 澳大利亚成人肥胖管理：我们如何弥合指南和目前一般做法之间的差距？

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

'They made a hard day feel a little easier': Patients' experiences of an integrated crisis response following recent sexual assault. “他们让艰难的一天变得轻松了一点”：近期性侵犯后患者的综合危机应对经历。

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