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Australian Journal of General Practice最新文献

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Beyond the clinic door: You know it when. 诊所门外：你知道什么时候。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2025-03-01
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引用次数: 0
A cumulative strain model for chronic pain and multimorbidity. 慢性疼痛和多重疾病的累积应变模型。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2025-03-01 DOI: 10.31128/AJGP-02-24-7145
Chris Hayes, Laura Bruggink, Hema Rajappa, Katherine Brain, Matthew Pols
{"title":"A cumulative strain model for chronic pain and multimorbidity.","authors":"Chris Hayes, Laura Bruggink, Hema Rajappa, Katherine Brain, Matthew Pols","doi":"10.31128/AJGP-02-24-7145","DOIUrl":"10.31128/AJGP-02-24-7145","url":null,"abstract":"<p><strong>Background: </strong>Chronic pain often occurs amidst multimorbidity. The proposed cumulative strain model postulates diverse but interlinked biological mechanisms of strain playing a role in the causation of multiple chronic conditions, including chronic pain. Modulators of strain include mindbody, connection, activity, nutrition and biomedical aspects. These modulators can be targeted therapeutically to bring a shift towards wellness.</p><p><strong>Objective: </strong>The aim of this paper is to highlight common mechanisms underpinning chronic conditions and prompt consideration of how these mechanisms might be targeted therapeutically in primary care.</p><p><strong>Discussion: </strong>The recognition of common underlying mechanisms and treatments for chronic conditions, including chronic pain, opens the way for consideration of generic chronic condition programs in primary care, and hence a reduced requirement for condition-specific specialist referrals.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 3","pages":"129-133"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568822","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
Psychological medicine. 心理医学。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2025-03-01 DOI: 10.31128/AJGP-3-25-1234e
Rim Ghali
{"title":"Psychological medicine.","authors":"Rim Ghali","doi":"10.31128/AJGP-3-25-1234e","DOIUrl":"https://doi.org/10.31128/AJGP-3-25-1234e","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 3","pages":"85"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568368","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
Steroid-induced psychosis. 类固醇精神病。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2025-03-01 DOI: 10.31128/AJGP-10-23-7000
Iresha Perera, Fesochi Atulayo, Malcolm Forbes
{"title":"Steroid-induced psychosis.","authors":"Iresha Perera, Fesochi Atulayo, Malcolm Forbes","doi":"10.31128/AJGP-10-23-7000","DOIUrl":"https://doi.org/10.31128/AJGP-10-23-7000","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 3","pages":"110-111"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568832","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
Providing effective treatment for borderline personality disorder. 为边缘型人格障碍提供有效的治疗。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2025-03-01 DOI: 10.31128/AJGP-11-23-7031
Gillian Singleton, Josephine Beatson, Sathya Rao
{"title":"Providing effective treatment for borderline personality disorder.","authors":"Gillian Singleton, Josephine Beatson, Sathya Rao","doi":"10.31128/AJGP-11-23-7031","DOIUrl":"10.31128/AJGP-11-23-7031","url":null,"abstract":"<p><strong>Background: </strong>Borderline personality disorder (BPD) is a serious but treatable mental health condition with a good prognosis for those who access appropriate treatment. Early identification, provision of brief interventions and continuity of care aids remission, and is possible without general practitioners (GPs) getting burned out.</p><p><strong>Objective: </strong>This paper provides a brief overview of practical tips and useful resources for GPs to feel more equipped to provide effective care and support remission for individuals diagnosed with BPD.</p><p><strong>Discussion: </strong>People with BPD frequently present with complex problems and GPs can perceive patients as challenging to work with. It can be empowering for clinicians to consider a diagnosis of BPD when expectations of a challenging encounter occur. Early recognition and validation of underlying distress, psychoeducation and structured support can make a significant difference. Suicidal behaviour occurs in 80% of individuals with BPD, and they have a 20 year reduction in life expectancy, largely attributable to chronic diseases. This emphasises the importance of continuity in primary care.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 3","pages":"112-116"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568831","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: Role of general practice in disaster health management. 嘉宾评论：全科医生在灾害卫生管理中的作用。
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, Michelle Hamrosi, Michael Kidd
{"title":"Guest Editorial: Role of general practice in disaster health management.","authors":"Penelope Burns, Michelle Hamrosi, Michael Kidd","doi":"10.31128/AJGP-07-24-7357","DOIUrl":"10.31128/AJGP-07-24-7357","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 1-2","pages":"7-8"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257370","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 case of burning feet. 烧脚的例子。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2025-01-01 DOI: 10.31128/AJGP-08-24-7384
Finn O'Sullivan, Jason Yu, Bosco Wu, Tim Tse, Jessica Qiu
{"title":"A case of burning feet.","authors":"Finn O'Sullivan, Jason Yu, Bosco Wu, Tim Tse, Jessica Qiu","doi":"10.31128/AJGP-08-24-7384","DOIUrl":"10.31128/AJGP-08-24-7384","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 1-2","pages":"70-72"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257350","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
Clinical insights: Impact of disasters on health. 临床洞察：灾害对健康的影响。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2025-01-01 DOI: 10.31128/AJGP-06-24-7313
Penelope Burns, Catherine Pendrey, John Murtagh
{"title":"Clinical insights: Impact of disasters on health.","authors":"Penelope Burns, Catherine Pendrey, John Murtagh","doi":"10.31128/AJGP-06-24-7313","DOIUrl":"10.31128/AJGP-06-24-7313","url":null,"abstract":"<p><strong>Background: </strong>As disasters increasingly affect Australian communities, the professional impacts on general practitioners (GPs) increase. In the days, weeks, months and years post disaster, a predictable pattern of presentations occur. Alongside increased healthcare needs, medical service availability might be impaired. Emergency departments are often overwhelmed; however, the majority of disaster-related presentations can be managed in general practice.</p><p><strong>Objective: </strong>The aim of this article is to review the evidence on disaster health effects from an all-hazards perspective and highlight GPs' essential role in disaster healthcare.</p><p><strong>Discussion: </strong>During and following disasters, health effects occur in most body systems. The largest healthcare burden involves taking care of chronic conditions, particularly cardiovascular, endocrine and respiratory illness. Managing deteriorations, access to medications and reviews, are crucial during disasters, and in the weeks and months following. GPs provide this essential healthcare provision and coordination during disasters. They have the ability to improve health outcomes for their patients and disaster recovery in their communities.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 1-2","pages":"42-50"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257356","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
General practitioner disaster support for pregnant women, new mothers, infants and young children: Findings from the Babies and Young Children in the Black Summer (BiBS) study. 全科医生对孕妇、新妈妈、婴儿和幼儿的灾难支持：来自黑色夏季婴儿和幼儿（BiBS）研究的发现。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2025-01-01 DOI: 10.31128/AJGP-06-24-7311
Michelle Hamrosi, Karleen Gribble
{"title":"General practitioner disaster support for pregnant women, new mothers, infants and young children: Findings from the Babies and Young Children in the Black Summer (BiBS) study.","authors":"Michelle Hamrosi, Karleen Gribble","doi":"10.31128/AJGP-06-24-7311","DOIUrl":"10.31128/AJGP-06-24-7311","url":null,"abstract":"<p><strong>Background and objectives: </strong>Pregnant women, new mothers, infants and young children are vulnerable during the disasters that commonly impact Australia. The aim of this paper is to explore the challenges faced by these groups during and after the 2019-20 Black Summer bushfires and identify how general practitioners (GPs) can provide support.</p><p><strong>Method: </strong>Caregivers of children aged 0-4 years who experienced the 2019-20 Black Summer bushfires, and emergency responders who had supported families during this and other emergencies, were surveyed and interviewed.</p><p><strong>Results: </strong>A total of 256 parents and 63 emergency responders were surveyed or interviewed. Disaster challenges faced by pregnant women and families with infants and young children were identified related to preparedness, response and recovery, as well as specific health and medical issues.</p><p><strong>Discussion: </strong>GPs can support the health and wellbeing of pregnant women and families with young children before, during and after disasters in many ways. Greater integration of GPs into emergency planning is needed.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 1-2","pages":"34-40"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257339","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
Heat health in general practice: An evidence-based approach to the prevention of heat-related illness 一般实践中的热健康：预防热相关疾病的循证方法。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2025-01-01 DOI: 10.31128/AJGP-06-24-7329
Michelle Hamrosi, Kate Wylie, Lai Heng Foong, Kim Loo
{"title":"Heat health in general practice: An evidence-based approach to the prevention of heat-related illness","authors":"Michelle Hamrosi, Kate Wylie, Lai Heng Foong, Kim Loo","doi":"10.31128/AJGP-06-24-7329","DOIUrl":"10.31128/AJGP-06-24-7329","url":null,"abstract":"<p><strong>Background: </strong>The year 2023 was the hottest on record, with heatwaves becoming more frequent and severe due to climate change. Extreme heat is the deadliest climate related event, causing significant morbidity and mortality globally. Vulnerable groups include older people, young children and pregnant women.</p><p><strong>Objective: </strong>This paper aims to equip general practitioners (GPs) with evidence-based strategies to prevent and mitigate heat related illnesses. It identifies at-risk populations through life stage analysis and advocates for effective adaptation and mitigation strategies.</p><p><strong>Discussion: </strong>This paper highlights essential practice points for GPs and discusses the expanding evidence on heat-related health impacts, including direct effects like heat stress and indirect effects such as exacerbation of chronic diseases. The importance of cooling strategies and heat action plans are emphasised while advocating for systemic changes to address the root causes of heat-related health risks.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 1-2","pages":"25-33"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257372","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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