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Recommendations for implementing rheumatic heart disease echocardiographic detection in remote Australia: A narrative review and lesson-drawing from diabetic retinopathy screening. 在澳大利亚偏远地区实施风湿性心脏病超声心动图检测的建议：糖尿病视网膜病变筛查的叙述性回顾和教训。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2025-01-01 DOI: 10.31128/AJGP-05-24-7294
Benjamin Jones, Angus W Turner, James Marangou, Jennifer Yan, Paul Burgess, Alex Kaethner, Natasha Howard, Mike English, Shobhana Nagraj, Joshua R Francis
{"title":"Recommendations for implementing rheumatic heart disease echocardiographic detection in remote Australia: A narrative review and lesson-drawing from diabetic retinopathy screening.","authors":"Benjamin Jones, Angus W Turner, James Marangou, Jennifer Yan, Paul Burgess, Alex Kaethner, Natasha Howard, Mike English, Shobhana Nagraj, Joshua R Francis","doi":"10.31128/AJGP-05-24-7294","DOIUrl":"10.31128/AJGP-05-24-7294","url":null,"abstract":"<p><strong>Background and objectives: </strong>Australia has some communities with the highest rates of rheumatic heart disease (RHD) in the world. Echocardiographic detection of RHD through active case finding has been proposed for early detection. Lessons can be learnt from the implementation of a similar program - diabetic retinopathy screening. The aim of this paper is to identify transferable lessons from the implementation of diabetic retinopathy screening that could be applied to RHD echocardiographic detection.</p><p><strong>Method: </strong>This paper presents a narrative review and expert recommendations.</p><p><strong>Results: </strong>Transferable lessons from the implementation of diabetic retinopathy screening include training local staff regularly with formal certification; supplementary health promotion; program champions; general practitioner involvement; informing all staff at clinics; creating separate Medicare Benefits Schedule items for acquisition and interpretation; using echocardiography for detection and monitoring of RHD; establishing referral pathways and communication channels; local community involvement in implementation planning; and developing an adaptable program.</p><p><strong>Discussion: </strong>Implementing programs successfully and sustainably in remote communities is known to be challenging. These transferable lessons from the implementation of diabetic retinopathy screening might assist in the planning of an RHD detection program.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 1-2","pages":"75-79"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257376","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
Disaster management. 灾害管理。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2025-01-01 DOI: 10.31128/AJGP-07-24-7357
Penelope Burns, Michael Kidd, Michelle Hamrosi
{"title":"Disaster management.","authors":"Penelope Burns, Michael Kidd, Michelle Hamrosi","doi":"10.31128/AJGP-07-24-7357","DOIUrl":"https://doi.org/10.31128/AJGP-07-24-7357","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 1-2","pages":"7"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257336","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
Introducing new AJGP initiatives. 引入新的AJGP计划。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2025-01-01 DOI: 10.31128/AJGP-01-25-1234e
{"title":"Introducing new <i>AJGP</i> initiatives.","authors":"","doi":"10.31128/AJGP-01-25-1234e","DOIUrl":"https://doi.org/10.31128/AJGP-01-25-1234e","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 1-2","pages":"10"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257373","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
January-February 2025 correspondence. 2025年1 - 2月通信。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2025-01-01
{"title":"January-February 2025 correspondence.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 1-2","pages":"11-15"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257374","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
Once bitten, twice shy: Antimicrobial stewardship in the setting of arthropod-associated superficial lymphangitis. 一朝被蛇咬，十年怕井绳：节肢动物相关浅表淋巴管炎的抗菌管理。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-12-01 DOI: 10.31128/AJGP-04-24-7220
Melinda Jiang, Christina Guo, Stephen Bacchi
{"title":"Once bitten, twice shy: Antimicrobial stewardship in the setting of arthropod-associated superficial lymphangitis.","authors":"Melinda Jiang, Christina Guo, Stephen Bacchi","doi":"10.31128/AJGP-04-24-7220","DOIUrl":"10.31128/AJGP-04-24-7220","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"53 12 Suppl","pages":"S68-S70"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856651","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
Guest editorial: Times of change and opportunity for Australian general practice training. 嘉宾评论：澳大利亚全科医生培训的变革与机遇。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-12-01 DOI: 10.31128/AJGP-10-24-7440
James Brown
{"title":"Guest editorial: Times of change and opportunity for Australian general practice training.","authors":"James Brown","doi":"10.31128/AJGP-10-24-7440","DOIUrl":"https://doi.org/10.31128/AJGP-10-24-7440","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"53 12","pages":"887"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774748","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 primary care approach to the discharging ear. 出院耳的初级保健方法。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-12-01 DOI: 10.31128/AJGP-11-23-7016
Raymond Li, Kristy Fraser-Kirk
{"title":"A primary care approach to the discharging ear.","authors":"Raymond Li, Kristy Fraser-Kirk","doi":"10.31128/AJGP-11-23-7016","DOIUrl":"10.31128/AJGP-11-23-7016","url":null,"abstract":"<p><strong>Background: </strong>Otorrhoea is a common presentation in both primary care and emergency settings, with a broad range of differential diagnoses that can make accurate assessment and management challenging for the primary care practitioner.</p><p><strong>Objective: </strong>This article describes a systematic approach to the assessment of otorrhoea, outlines common causes and their first principles of management in the primary care setting, and provides recommendations for when specialist referral is indicated.</p><p><strong>Discussion: </strong>A clear clinical assessment and targeted investigations are essential in the identification and initial management of otorrhoea. Many causes of a discharging ear can be managed in the primary care setting; however, it is also important to recognise circumstances in which escalation is required to a specialist otolaryngology service.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"53 12 Suppl","pages":"S49-S51"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856141","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
Risk treatment thresholds for initiating cardiovascular disease pharmacotherapy: Synthesis of international evidence to support guideline recommendations. 启动心血管疾病药物治疗的风险治疗阈值：支持指南建议的国际证据综合
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-12-01 DOI: 10.31128/AJGP-11-23-7012
Mai TH Nguyen, Sinan Brown, Emily Banks, Mark Woodward, Yuehan Zhang, Natalie Raffoul, Garry Jennings, Anushka Patel, Ellie Paige
{"title":"Risk treatment thresholds for initiating cardiovascular disease pharmacotherapy: Synthesis of international evidence to support guideline recommendations.","authors":"Mai TH Nguyen, Sinan Brown, Emily Banks, Mark Woodward, Yuehan Zhang, Natalie Raffoul, Garry Jennings, Anushka Patel, Ellie Paige","doi":"10.31128/AJGP-11-23-7012","DOIUrl":"10.31128/AJGP-11-23-7012","url":null,"abstract":"<p><strong>Background: </strong>A new Australian guideline for cardiovascular disease (CVD) risk assessment and management was published in 2023, including new risk treatment thresholds.</p><p><strong>Objective: </strong>This article summarises the published peer-reviewed global evidence that informed guideline recommendations on risk treatment thresholds for initiating blood pressure- and lipid-lowering therapy for CVD primary prevention.</p><p><strong>Discussion: </strong>Evidence from 13 meta-analyses, randomised controlled trials and modelling studies involving more than 515,700 patients showed that preventive pharmacotherapy reduced the number of CVD events at all risk levels. Findings informed the new risk treatment thresholds outlined in the 2023 Australian CVD risk assessment and management guideline, which recommends blood pressure- and lipid-lowering pharmacotherapy for people at high five-year risk (≥10% based on the new risk calculator) and consideration of therapy for those at intermediate risk (5% to <10%) and generally does not recommend preventive pharmacotherapy for those at low risk (<5%).</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"53 12 Suppl","pages":"S20-S24"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856655","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
Tremor: A systematic approach. 震颤：系统的方法。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-12-01 DOI: 10.31128/AJGP-02-24-7151
Jun Hua Bowen Lim, Victoria Newgreen, Paul Kopanidis
{"title":"Tremor: A systematic approach.","authors":"Jun Hua Bowen Lim, Victoria Newgreen, Paul Kopanidis","doi":"10.31128/AJGP-02-24-7151","DOIUrl":"10.31128/AJGP-02-24-7151","url":null,"abstract":"<p><strong>Background: </strong>Tremor is a common but complex involuntary movement disorder often first assessed by general practitioners (GPs). Due to its diverse causes and manifestations, an accurate assessment of a patient's tremor helps guide initial investigations and treatments.</p><p><strong>Objective: </strong>The purpose of this paper is to equip GPs with a framework for the identification, diagnosis and management of different types of tremors.</p><p><strong>Discussion: </strong>This paper offers a comprehensive, current overview of tremor assessment in general practice. It particularly focuses on Parkinson's disease, essential tremor syndrome and dystonic tremor, while highlighting diagnostic masquerades and red flags for urgent neurological evaluation.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"53 12 Suppl","pages":"S61-S67"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856665","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
Writing grant applications: A practical guide for the novice researcher. 写作拨款申请：新手研究人员的实用指南。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-12-01 DOI: 10.31128/AJGP-08-23-6947
Shaun Prentice, Angelo D'Amore, Parker Magin
{"title":"Writing grant applications: A practical guide for the novice researcher.","authors":"Shaun Prentice, Angelo D'Amore, Parker Magin","doi":"10.31128/AJGP-08-23-6947","DOIUrl":"10.31128/AJGP-08-23-6947","url":null,"abstract":"<p><strong>Background: </strong>Grants are a vital element in clinical research activities and research careers, unlocking opportunities to delve into an area and make new discoveries. However, securing a grant can be a daunting task.</p><p><strong>Objective: </strong>In this article, the authors provide guidance for novice researchers regarding the grant application process. The article is aimed especially at clinicians with an interest in research, acknowledging the current need for more clinician researchers.</p><p><strong>Discussion: </strong>The authors encourage those writing grant applications to view their task as that of a narrator. This will help identify several key questions: What is the topic? Why is it important? How will you examine it? Who will work with you? When and where will you do the research? Then what will you do? How much will it cost? The authors encourage applicants to create a diverse, complementary team to support them and to be mindful of the resource constraints.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"53 12","pages":"910-914"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774822","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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