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Skin cancer: What happens in the laboratory? 皮肤癌：实验室里发生了什么？
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-08-01 DOI: 10.31128/AJGP-03-24-7191
Simon P Clark, Olivia MM Clark, Denis H Moir
{"title":"Skin cancer: What happens in the laboratory?","authors":"Simon P Clark, Olivia MM Clark, Denis H Moir","doi":"10.31128/AJGP-03-24-7191","DOIUrl":"10.31128/AJGP-03-24-7191","url":null,"abstract":"<p><strong>Background: </strong>Skin cancer specimen handling in Australian histopathology laboratories, while largely standardised, exhibits significant variations that affect clinical decision-making and patient outcomes.</p><p><strong>Objective: </strong>This article provides clinicians with an understanding of histopathological processes to enhance diagnostic precision, inform surgical margin evaluations and refine management approaches.</p><p><strong>Discussion: </strong>Understanding specimen handling and protocols is vital for accurate interpretation of pathology reports and management of skin cancers. Variations in sampling, examination and sectioning can affect pathological diagnosis and margin assessment. Clinician insights into laboratory processes are crucial for best practice. Retention of specimens and reports allows for further evaluation if clinical circumstances evolve or additional investigations are required.</p>","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":"141890937","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
Virtual consultations for skin lesion assessment reduce carbon footprint compared to in-person reviews. 与面对面审查相比，虚拟皮肤病变评估咨询可减少碳足迹。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-08-01 DOI: 10.31128/AJGP-08-23-6937
Leah Jones, Karen Koch, Amanda Oakley
{"title":"Virtual consultations for skin lesion assessment reduce carbon footprint compared to in-person reviews.","authors":"Leah Jones, Karen Koch, Amanda Oakley","doi":"10.31128/AJGP-08-23-6937","DOIUrl":"https://doi.org/10.31128/AJGP-08-23-6937","url":null,"abstract":"<p><strong>Background and objectives: </strong>Climate change is one of the biggest threats to the healthcare sector. In addition, healthcare contributes significantly to greenhouse gas emissions. Virtual consultations are a growing tool to assess patients. The carbon emissions from virtual consultations have the potential to be much smaller than in-person consultations, predominantly through reduced transportation. This study assesses the carbon footprint of general practitioner referrals for skin lesions evaluated by a store-and-forward teledermatology service compared to an estimated equivalent in-person review.</p><p><strong>Method: </strong>The carbon footprint of virtual consultations for skin lesions was compared to estimated equivalent in-person reviews based on the average transportation modalities in New Zealand.</p><p><strong>Results: </strong>Virtual consultations for 484 patients resulted in an average saving of 48 km and 11.17 kg carbon dioxide equivalent per consultation compared to equivalent in-person review.</p><p><strong>Discussion: </strong>This study encourages the use of store-and-forward skin lesion assessment as a way of reducing carbon emissions in the healthcare sector.</p>","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":"141890939","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
Lung cancer screening: A promising new frontier. 肺癌筛查：一个充满希望的新领域。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-08-01 DOI: 10.31128/AJGP-05-23-6832
Sapir Dvuchbabny, Tim Tse, Patricia Hullah, Simon Willcock, Bosco Wu
{"title":"Lung cancer screening: A promising new frontier.","authors":"Sapir Dvuchbabny, Tim Tse, Patricia Hullah, Simon Willcock, Bosco Wu","doi":"10.31128/AJGP-05-23-6832","DOIUrl":"10.31128/AJGP-05-23-6832","url":null,"abstract":"","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":"141890931","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
Skin cancer management: Making the most of your pathologist. 皮肤癌管理：充分利用病理学家。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-08-01 DOI: 10.31128/AJGP-03-24-7190
Simon P Clark, Olivia MM Clark, Cliff O Rosendahl
{"title":"Skin cancer management: Making the most of your pathologist.","authors":"Simon P Clark, Olivia MM Clark, Cliff O Rosendahl","doi":"10.31128/AJGP-03-24-7190","DOIUrl":"10.31128/AJGP-03-24-7190","url":null,"abstract":"<p><strong>Background: </strong>Australia has the highest incidence of skin cancer globally. Early detection and treatment of skin cancer is critical for positive patient outcomes. General practitioners (GPs) play a central role in skin cancer management in Australia.</p><p><strong>Objective: </strong>Collaboration between GPs and pathologists can improve the accuracy of skin cancer diagnosis. However, for improvement to occur, clear communication and high-quality specimens are essential.</p><p><strong>Discussion: </strong>Inadequate clinical information and suboptimal biopsy specimens can hinder diagnosis. Improved communication, targeted training and selecting appropriate biopsy techniques are essential. A collaborative approach, guided by recommended techniques and clear guidelines, can minimise errors and improve patient outcomes in Australia's GP-led skin cancer management system.</p>","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":"141890935","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
Skin procedures in general practice. 全科医生的皮肤程序。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-08-01 DOI: 10.31128/AJGP-02-24-7175
Tony Dicker
{"title":"Skin procedures in general practice.","authors":"Tony Dicker","doi":"10.31128/AJGP-02-24-7175","DOIUrl":"https://doi.org/10.31128/AJGP-02-24-7175","url":null,"abstract":"<p><strong>Background: </strong>Most skin cancers diagnosed in Australia, including melanomas, are identified and managed in a primary care setting. Most skin cancers have the diagnosis confirmed by histopathology, and surgical excision is the most common form of treatment. Therefore, it is important that all primary care doctors in Australia are competent and confident in the diagnostic sampling and surgical management of skin cancers.</p><p><strong>Objective: </strong>This article considers the process of performing biopsies and excisions from the skin to diagnose or treat skin cancers.</p><p><strong>Discussion: </strong>Primary care is the appropriate setting for the management of most skin cancers in Australia. Small simple lesions can be sampled for diagnosis and excised as definitive treatment of the tumour. This can be simpler, cheaper and more efficient for the patient compared to the hospital setting, allows the resources of speciality care to be used for more difficult scenarios and be quite a satisfying part of providing primary care.</p>","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":"141890938","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
Not just tachycardia: A pilot study examining wound‑healing complications associated with the dose and volume of lignocaine in skin cancer excisions. 不仅仅是心动过速一项试点研究，探讨皮肤癌切除术中木质素卡因的剂量和用量与伤口愈合并发症的关系。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-08-01 DOI: 10.31128/AJGP-04-23-6816
Joshua Eaton, Jessica Feeney, Tori Dopheide, Jessica Beattie, Rizwan Jaipurwala, Lara Fuller, Leesa Walker
{"title":"Not just tachycardia: A pilot study examining wound‑healing complications associated with the dose and volume of lignocaine in skin cancer excisions.","authors":"Joshua Eaton, Jessica Feeney, Tori Dopheide, Jessica Beattie, Rizwan Jaipurwala, Lara Fuller, Leesa Walker","doi":"10.31128/AJGP-04-23-6816","DOIUrl":"10.31128/AJGP-04-23-6816","url":null,"abstract":"<p><strong>Background and objectives: </strong>General practitioners excise many suspected skin cancers using local anaesthetics such as lignocaine, but the relationships between the dose and volume of the local anaesthetic and wound complications are unclear. This pilot study considers an association between the dose and volume and complications.</p><p><strong>Method: </strong>An audit was conducted of patient records from two time periods: one before and one after an education intervention. Data extracted included lignocaine (volume and dose), wound complications (dehiscence and infection) and the demographics of patients and clinicians.</p><p><strong>Results: </strong>Both the dose and volume of lignocaine administered were significantly associated with complication rates (P=0.0084 and P=0.0209, respectively). In the post-intervention period, clinician behaviour changed, with a reduction in the volume and dose of lignocaine administered (P<0.001 and P<0.001, respectively) without episodes of inadequate analgesia.</p><p><strong>Discussion: </strong>This pilot study reported a relationship between lidocaine dose and volume and rates of complications. Shortcomings of this study limit attribution of findings to clinical practice. However, the results justify further rigorous research.</p>","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":"141890932","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
Shave procedures in the management of skin lesions where melanoma is a differential diagnosis. 在治疗以黑色素瘤为鉴别诊断依据的皮肤病变时，采用刮毛术。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-08-01 DOI: 10.31128/AJGP-09-23-6979
Gabriela Gonzalez Matheus, Jim Muir
{"title":"Shave procedures in the management of skin lesions where melanoma is a differential diagnosis.","authors":"Gabriela Gonzalez Matheus, Jim Muir","doi":"10.31128/AJGP-09-23-6979","DOIUrl":"10.31128/AJGP-09-23-6979","url":null,"abstract":"<p><strong>Background: </strong>Australia has the world's highest melanoma incidence. Diagnostic aids improve melanoma diagnosis, but most lesions excised on suspicion of being melanoma are benign. Reliance on formal ellipse is common.</p><p><strong>Objective: </strong>We explore the utility of shave procedures in melanoma management.</p><p><strong>Discussion: </strong>The topic of shave procedures in the management of melanoma is controversial and attracts strongly held views both for and against. The available data shows that shaves can be employed safely and produce an acceptable cosmetic outcome with low financial costs while also being a time-efficient procedure both for the patient and the clinician alike.</p>","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":"141890933","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
An approach to globus pharyngeus. 治疗咽球的方法
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-08-01 DOI: 10.31128/AJGP-04-23-6819
Fang Joe Chen, Jae Hong Park
{"title":"An approach to globus pharyngeus.","authors":"Fang Joe Chen, Jae Hong Park","doi":"10.31128/AJGP-04-23-6819","DOIUrl":"https://doi.org/10.31128/AJGP-04-23-6819","url":null,"abstract":"<p><strong>Background: </strong>Globus pharyngeus, or globus, is characterised by the sensation of a lump or tightness in the throat. Symptoms can be persistent, difficult to treat and often reoccur. Globus is a common issue in the community, with lifetime prevalence occurring in up to 45% of the population.</p><p><strong>Objective: </strong>This article aims to provide a narrative review of potential causes of globus, as well as a suggested guideline for work-up and management in the primary care setting.</p><p><strong>Discussion: </strong>Causes for globus remain uncertain; however, current opinion focuses on a mixture of muscle tension and mucosal irritation. It is estimated that globus makes up 4% of all primary care referrals to otolaryngologists. There are a handful of proposed causes, with treatments often able to be initiated in the primary care setting. Although most causes are benign, it is important for clinicians to maintain suspicion for malignancy, because this is often the patient's main concern.</p>","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":"141890925","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 2024 correspondence. 2024 年 8 月通信。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-08-01
{"title":"August 2024 correspondence.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","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":"141890926","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
Book review: From hurting to healing: Delivering love to medicine and healthcare. 书评从伤害到治愈：将爱传递给医疗和保健。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-08-01
Marita Jones
{"title":"Book review: From hurting to healing: Delivering love to medicine and healthcare.","authors":"Marita Jones","doi":"","DOIUrl":"","url":null,"abstract":"","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":"141890927","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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