Australian Journal of General Practice最新文献_第9页

Tetralogy of Fallot in adults. 成人法洛氏四联症。

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2024-07-01 DOI: 10.31128/AJGP-06-23-6875

Vishva A Wijesekera

{"title":"Tetralogy of Fallot in adults.","authors":"Vishva A Wijesekera","doi":"10.31128/AJGP-06-23-6875","DOIUrl":"10.31128/AJGP-06-23-6875","url":null,"abstract":"Background: Following surgical repair in infancy, a high proportion of children born with tetralogy of Fallot are surviving into adulthood, and it is important that these patients are monitored by an adult congenital heart disease specialist for problems and complications that can occur in the adult patient.Objective: To provide an overview on the management of adult patients with repaired tetralogy of Fallot and emphasise the need for specialist follow-up.Discussion: Following surgical repair of tetralogy of Fallot, it is important to have lifelong surveillance in adulthood for complications such as pulmonary valve dysfunction. Modern imaging modalities have helped with monitoring and the early detection of problems. Cardiac surgery has been refined over the years, leading to improved longevity. Over the past 23 years, percutaneous interventions have been developed to deal with valve complications and the results have been promising. Healthy behaviour, such as regular exercise, and behaviours to minimise the risk of endocarditis should be encouraged. Regular follow-up with an adult congenital heart disease specialist is important. Patients wishing to undertake a pregnancy should be supervised through a high-risk pregnancy clinic.","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":"141494282","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: Decades of progress - Evidence-based medicine's role in reducing cardiovascular mortality. 特邀社论：几十年的进步--循证医学在降低心血管死亡率方面的作用。

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2024-07-01 DOI: 10.31128/AJGP-04-24-7228

Atifur Rahman

引用次数: 0

Previously healthy unvaccinated adults have significant functional limitations in the medium and long term after mild COVID-19. 以前未接种疫苗的健康成年人在轻度 COVID-19 后，在中长期内会出现明显的功能障碍。

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2024-07-01 DOI: 10.31128/AJGP-07-23-6900

Wendy F Bower, Aruska N D'Souza, Elizabeth Barson, Celia Marston, Catherine L Granger, Lisa Beach, Katherine Bond, Fary Khan

{"title":"Previously healthy unvaccinated adults have significant functional limitations in the medium and long term after mild COVID-19.","authors":"Wendy F Bower, Aruska N D'Souza, Elizabeth Barson, Celia Marston, Catherine L Granger, Lisa Beach, Katherine Bond, Fary Khan","doi":"10.31128/AJGP-07-23-6900","DOIUrl":"10.31128/AJGP-07-23-6900","url":null,"abstract":"Background and objectives: Ongoing symptoms of COVID-19 can persist for weeks or months after the initial COVID-19 infection. The aim of this study was to identify persistent symptoms (fatigue, cognition, quality of life, anxiety, depression and physical measures) in unvaccinated community-managed patients following COVID-19 infection.Method: This was a prospective nested observational study of health and wellbeing measures determined seven and 13 months after COVID-19 infection, alongside physical abilities after 18 months.Results: Data analyses were completed on 62 participants (60% female, median age 35 years). Severe fatigue was noted in 47% of participants at seven months and this had not improved significantly by 13 months (45%). Quality of life and mental health scores were significantly worse in individuals with severe fatigue. One-quarter of participants demonstrated mild cognitive impairment at seven months. After 18 months, walking and lung function were normal, but grip strength was reduced in 26% of participants.Discussion: A significant proportion of unvaccinated COVID-19 patients had not returned to pre-illness levels of health and function after one year; screening functional ability and mental wellbeing is warranted in unvaccinated people with COVID-19.","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":"141494281","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

Injections in the back of the eye: The why, the what and when to worry. 眼球后部注射：为什么、做什么以及何时需要担心。

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2024-07-01 DOI: 10.31128/AJGP-08-23-6944

Geoffrey K Broadhead, Thomas Hong, Andrew A Chang

引用次数: 0

Cardiac. 心脏

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2024-07-01 DOI: 10.31128/AJGP-04-24-7228

Atifur Rahman

引用次数: 0

Susceptibility of Neisseria gonorrhoeae against a dual treatment antibiotics regimen in primary health centres in Surabaya, Indonesia. 印度尼西亚泗水初级保健中心淋病奈瑟菌对双重治疗抗生素方案的敏感性。

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2024-07-01 DOI: 10.31128/AJGP-05-23-6845

Afif Nurul Hidayati, Sawitri, Amalia Rositawati, Putri Hendria Wardhani, Lunardi Bintanjoyo

{"title":"Susceptibility of Neisseria gonorrhoeae against a dual treatment antibiotics regimen in primary health centres in Surabaya, Indonesia.","authors":"Afif Nurul Hidayati, Sawitri, Amalia Rositawati, Putri Hendria Wardhani, Lunardi Bintanjoyo","doi":"10.31128/AJGP-05-23-6845","DOIUrl":"https://doi.org/10.31128/AJGP-05-23-6845","url":null,"abstract":"Background and objectives: There were 82.4 million new gonorrhoea cases worldwide in 2020. Dual treatment with ceftriaxone or cefixime and azithromycin or doxycycline is currently recommended for gonorrhoea in Indonesia. However, reduced susceptibility and resistance to cephalosporins and azithromycin are increasing. We evaluated the susceptibility pattern of Neisseria gonorrhoeae to cefixime, ceftriaxone, azithromycin and doxycycline.Method: N. gonorrhoeae isolates were obtained from 19 male participants with clinically and laboratory-confirmed gonorrhoea. Antibiotic susceptibility testing was conducted by disc diffusion and interpreted according to Clinical and Laboratory Standards Institute and Centers for Disease Control and Prevention criteria.Results: Reduced susceptibility or resistance was observed against doxycycline in 19 isolates (100%), cefixime in six (31.6%), ceftriaxone in three (15.8%) and azithromycin in zero (0%) isolates.Discussion: A dual treatment regimen with ceftriaxone and azithromycin can still be recommended as first-line therapy for gonorrhoea in Indonesia. Antibiotic susceptibility surveillance of N. gonorrhoeae should be routinely conducted.","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":"141499642","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 murmurs in children. 儿童心脏杂音

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2024-07-01 DOI: 10.31128/AJGP-06-23-6853

Arif Huq, Atifur Rahman

{"title":"Cardiac murmurs in children.","authors":"Arif Huq, Atifur Rahman","doi":"10.31128/AJGP-06-23-6853","DOIUrl":"10.31128/AJGP-06-23-6853","url":null,"abstract":"Background: Approximately 50% of children experience a cardiac murmur at some point in their lives; <1% of these murmurs are attributed to congenital heart disease (CHD). Cardiac murmur might be the first clinical sign of a significant CHD in children. Despite careful routine medical examinations at birth, approximately 50% of CHD cases could remain unrecognised.Objective: Cardiovascular symptoms and signs could be specific or non-specific in neonates and children with heart murmurs. Knowledge about red flags in history and physical examinations, and syndromic associations of common CHDs are important. Auscultatory skills to identify systolic, diastolic and continuous murmurs and heart sounds are essential. Differential diagnosis should be formulated based on the location of maximum intensity of murmurs. Younger infants and children with pathological murmurs and red-flag signs should be promptly referred to local paediatric cardiology services for further investigations.Discussion: Significant skill and knowledge are required for the identification of critical murmurs and associated cardiovascular problems. This review provides a simplified comprehensive update on cardiac murmurs and associated conditions in neonates and children.","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":"141494272","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

July 2024 correspondence. 2024 年 7 月通信。

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2024-07-01

引用次数: 0

Optimising sleep in adolescents: The challenges. 优化青少年睡眠：挑战。

IF 2.2 4区医学

Australian Journal of General Practice Pub Date : 2024-06-01 DOI: 10.31128/AJGP-05-23-6841

Jasneek Chawla, Nicole Lovato, Matthew Wong, James Best, Rifat Chaudry, Ajay Kevat, Moya Vandeleur

引用次数: 0

Diagnosis of obstructive sleep apnoea in primary care. 基层医疗机构对阻塞性睡眠呼吸暂停的诊断。

IF 2.2 4区医学

Australian Journal of General Practice Pub Date : 2024-06-01 DOI: 10.31128/AJGP-03-23-6740

Ching Li Chai-Coetzer, Kerry Hancock

引用次数: 0