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Australian Journal of General Practice最新文献

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Editorial. 社论
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-08-01 DOI: 10.31128/AJGP-08-24-1234e
David Wilkinson
{"title":"Editorial.","authors":"David Wilkinson","doi":"10.31128/AJGP-08-24-1234e","DOIUrl":"10.31128/AJGP-08-24-1234e","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":"141890929","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
Genetics in relation to cardiac diseases: Implications for general practitioners. 与心脏病有关的遗传学：对全科医生的影响。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-07-01 DOI: 10.31128/AJGP-10-23-6986
Kevin Ng, Atifur Rahman
{"title":"Genetics in relation to cardiac diseases: Implications for general practitioners.","authors":"Kevin Ng, Atifur Rahman","doi":"10.31128/AJGP-10-23-6986","DOIUrl":"10.31128/AJGP-10-23-6986","url":null,"abstract":"<p><strong>Background: </strong>Cardiovascular diseases (CVDs) pose significant global health challenges, with genetics increasingly recognised as a key factor alongside traditional risk factors. This presents an opportunity for general practitioners (GPs) to refine their approaches.</p><p><strong>Objective: </strong>This article explores the impact of genetics on CVDs and its implications for GPs. It discusses monogenic disorders like inherited cardiomyopathies and polygenic risks, as well as pharmacogenetics, aiming to enhance risk assessment and personalised care.</p><p><strong>Discussion: </strong>Monogenic disorders, driven by single gene mutations, exhibit predictable inheritance patterns, including inherited cardiomyopathies and channelopathies such as Long QT syndrome. Polygenic risks involve multiple genetic variants influencing CVD susceptibility, addressed through polygenic risk scores for precise risk assessment. Pharmacogenetics tailor drug interventions based on genetic profiles, though challenges like accessibility and ethical considerations persist. Integrating genetics into cardiovascular care holds promise for alleviating the global CVD burden and improving patient outcomes.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494276","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
Improving awareness of cardiovascular risk factors in young Australian adults: We can do better. 提高澳大利亚年轻人对心血管风险因素的认识：我们可以做得更好
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-07-01 DOI: 10.31128/AJGP-02-23-6710
Joshua Meyerov, Catherine Guo, Leon Tan
{"title":"Improving awareness of cardiovascular risk factors in young Australian adults: We can do better.","authors":"Joshua Meyerov, Catherine Guo, Leon Tan","doi":"10.31128/AJGP-02-23-6710","DOIUrl":"https://doi.org/10.31128/AJGP-02-23-6710","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494278","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 innovative business model using established Medicare items for delivery of cardiac rehabilitation: A value proposition for primary care. 利用既定的医疗保险项目提供心脏康复服务的创新商业模式：初级保健的价值主张。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-07-01 DOI: 10.31128/AJGP-08-23-6923
Norma B Bulamu, Alline Beleigoli, Danny Haydon, Ken Kamau Wanguhu, Lemlem G Gebremichael, Sarah Powell, Billingsley Kaambwa, Robyn A Clark
{"title":"An innovative business model using established Medicare items for delivery of cardiac rehabilitation: A value proposition for primary care.","authors":"Norma B Bulamu, Alline Beleigoli, Danny Haydon, Ken Kamau Wanguhu, Lemlem G Gebremichael, Sarah Powell, Billingsley Kaambwa, Robyn A Clark","doi":"10.31128/AJGP-08-23-6923","DOIUrl":"https://doi.org/10.31128/AJGP-08-23-6923","url":null,"abstract":"<p><strong>Background: </strong>Approximately 70% of Australians do not attend cardiac rehabilitation (CR). A potential solution is integrating CR into primary care OBJECTIVE: To propose a business model for primary care providers to implement CR using current Medicare items.</p><p><strong>Discussion: </strong>Using the chronic disease management plan, general practitioners (GPs) complete four clinical assessments at 1-2 weeks, 8-12 weeks, and 6 and 12 months after discharge. The net benefit of applying this model, compared with claiming the most used standard consultation Item 23, in Phase II CR is up to $505 per patient and $543 in Phase III CR. The number of rural GPs providing CR in partnership with the Country Access To Cardiac Health (CATCH) through the GP hybrid model has increased from 28 in 2021 to 32 in 2022. This increase might be attributed to this value proposition. The biggest limitation is access to allied health services in the rural areas.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494249","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
Chest pain. 胸痛
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-07-01 DOI: 10.31128/AJGP-04-23-6810
Atifur Rahman
{"title":"Chest pain.","authors":"Atifur Rahman","doi":"10.31128/AJGP-04-23-6810","DOIUrl":"https://doi.org/10.31128/AJGP-04-23-6810","url":null,"abstract":"<p><strong>Background: </strong>Chest pain is a common symptom in the community, with underlying causes ranging from benign musculoskeletal pain to life-threatening cardiac events. It is a challenging presentation for healthcare providers, because the aetiology is not always immediately apparent. Chest pain can also cause significant anxiety for patients, leading to increased healthcare utilisation and costs.</p><p><strong>Objective: </strong>The objective of this discussion is to emphasise the importance of accurately describing the nature of chest discomfort and using appropriate terminology to facilitate an appropriate diagnostic work-up. The discussion also highlights the differences between typical and atypical chest pain and provides information about the aetiology of chest pain and management in the community.</p><p><strong>Discussion: </strong>Accurately describing the nature of chest discomfort by using appropriate terminology is crucial in identifying the underlying cause of the symptom. Healthcare providers should be aware of the different terms patients might use to describe their chest discomfort and use precise and informative terms to describe the potential underlying cause of the chest pain. Atypical chest pain is often used to describe non-cardiac chest pain, but it lacks specificity. Using the terms 'cardiac,' 'possibly cardiac' or 'non-cardiac' is the preferred terminology.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494274","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 unusual case of congenital torticollis. 一例不寻常的先天性扭转颈椎病。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-07-01 DOI: 10.31128/AJGP-08-23-6935
Fahaz Yusuf Nazer, Arman Babajanyan, Habib Bhurawala
{"title":"An unusual case of congenital torticollis.","authors":"Fahaz Yusuf Nazer, Arman Babajanyan, Habib Bhurawala","doi":"10.31128/AJGP-08-23-6935","DOIUrl":"10.31128/AJGP-08-23-6935","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494250","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
Aortic stenosis: Update in monitoring and management. 主动脉瓣狭窄：监测和管理的最新进展。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-07-01 DOI: 10.31128/AJGP-05-23-6836
Atifur Rahman, Matthew K Rowe
{"title":"Aortic stenosis: Update in monitoring and management.","authors":"Atifur Rahman, Matthew K Rowe","doi":"10.31128/AJGP-05-23-6836","DOIUrl":"https://doi.org/10.31128/AJGP-05-23-6836","url":null,"abstract":"<p><strong>Background: </strong>Aortic stenosis (AS) remains one of the most commonly encountered valvular pathologies. Medical management does not alter the progression of the disease, making assessment of severity and timing of referral for valve replacement the most important aspects of caring for patients with AS.</p><p><strong>Objective: </strong>To review the contemporary management of AS, including signs and symptoms, echocardiography and decision making in management.</p><p><strong>Discussion: </strong>Severe symptomatic AS is frequently accompanied by dyspnoea, chest pain or syncope and a physical examination might reveal the presence of an ejection systolic murmur. Echocardiography is the first and most useful investigation to stratify risk and determine requirement for valve replacement by assessing valve gradients and left ventricular function. Surgical and transcatheter options now exist for treatment of AS and decision making is usually multidisciplinary and based on individual patient parameters.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494270","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
Cardiac implantable electronic devices: An update. 心脏植入式电子设备：最新进展。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-07-01 DOI: 10.31128/AJGP-05-23-6847
Matthew K Rowe, Luke Shanahan
{"title":"Cardiac implantable electronic devices: An update.","authors":"Matthew K Rowe, Luke Shanahan","doi":"10.31128/AJGP-05-23-6847","DOIUrl":"https://doi.org/10.31128/AJGP-05-23-6847","url":null,"abstract":"<p><strong>Background: </strong>Cardiac implantable electronic devices (CIEDs) are a core component in the management of heart rhythm disorders. The complexity of devices, the information gathered and therapy delivered by CIEDs continues to advance at pace.</p><p><strong>Objective: </strong>The aim of this paper is to provide an update on advances in CIED technology and how this applies to managing patients with CIEDs in general practice.</p><p><strong>Discussion: </strong>In recent years, there have been notable advances in CIED technology. These include widespread magnetic resonance imaging compatibility and automated algorithms to assist in the clinical management of patients. There is the ability for clinicians and pacemaker clinics to monitor devices remotely, avoiding in-clinic visits. Options are now available for leadless pacemakers and subcutaneous defibrillators as an alternative to indwelling leads and associated infection and vascular issues. Techniques have been developed to allow leads to capture the native conduction system, providing physiological cardiac activation (conduction system pacing) for treatment and prevention of heart failure.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494271","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 managing gallbladder polyps for the general practitioner. 全科医生管理胆囊息肉的方法。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-07-01 DOI: 10.31128/AJGP-03-23-6775
Rama Chidambaram, Ruwan Wijesuriya, Sharin Pradhan
{"title":"An approach to managing gallbladder polyps for the general practitioner.","authors":"Rama Chidambaram, Ruwan Wijesuriya, Sharin Pradhan","doi":"10.31128/AJGP-03-23-6775","DOIUrl":"https://doi.org/10.31128/AJGP-03-23-6775","url":null,"abstract":"<p><strong>Background: </strong>Gallbladder polyps are increasingly being identified due to the widespread use of abdominal ultrasound imaging. They are concerning lesions due to their potential malignant risk. It is hoped that managing them correctly will play a role in improving poor survival rates of gallbladder cancer. Awareness of these lesions is lacking. Management continues to be guided by expert opinion and observational studies and a number of consensus statements exist.</p><p><strong>Objective: </strong>This paper reviews and summarises the current literature and provides an approach for general practitioners based on the available guidance.</p><p><strong>Discussion: </strong>Although minor variation exists between consensus statements, the risk of malignancy for gallbladder polyps is still largely dictated by size, with those ≤5 mm generally considered to pose little risk and not requiring follow-up, whereas those ≥10 mm considered at greater risk and requiring referral for cholecystectomy.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494248","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
Contemporary management of uterine fibroids. 子宫肌瘤的现代治疗方法。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-07-01 DOI: 10.31128/AJGP-08-23-6919
Michal Kirshenbaum, Genia Rozen, Alex Polyakov
{"title":"Contemporary management of uterine fibroids.","authors":"Michal Kirshenbaum, Genia Rozen, Alex Polyakov","doi":"10.31128/AJGP-08-23-6919","DOIUrl":"10.31128/AJGP-08-23-6919","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494275","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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