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

Sleep health primary care clinical resource. 睡眠健康初级保健临床资源。

IF 2.2 4区医学

Australian Journal of General Practice Pub Date : 2024-06-01 DOI: 10.31128/AJGP-03-23-6779

Stijn Soenen, Alexander Sweetman, Marcia Balzer, Sutapa Mukherjee, Alan Young, Robert J Adams, Nicholas Zwar

{"title":"Sleep health primary care clinical resource.","authors":"Stijn Soenen, Alexander Sweetman, Marcia Balzer, Sutapa Mukherjee, Alan Young, Robert J Adams, Nicholas Zwar","doi":"10.31128/AJGP-03-23-6779","DOIUrl":"10.31128/AJGP-03-23-6779","url":null,"abstract":"Background: Obstructive sleep apnoea (OSA) and insomnia are the two most common sleep disorders and are frequent reasons for presentation in Australian general practice.Objective: This article describes the development, content and suggested uses of the online sleep health primary care clinical resource, which provides general practitioners and other primary healthcare professionals with evidence-based information on the aetiology, assessment, management, referral and ongoing care for OSA and chronic insomnia.Discussion: The Royal Australian College of General Practitioners-accepted clinical resource for the management of OSA and chronic insomnia in primary care was developed by the Australian National Centre for Sleep Health Services Research. The resource is designed to be used during consultations (eg following the steps in assessment and management and the use of online questionnaires for the assessment of OSA [Epworth Sleepiness Scale/OSA50/STOP-Bang] and insomnia [Sleep Condition Indicator/and Insomnia Severity Index]) and as an education/training tool (eg evidence on the role of continuous positive airway pressure/mandibular advancement splints for management of OSA and brief behavioural therapy for insomnia/cognitive behavioural therapy for insomnia for the management of insomnia).","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141263158","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

Guide to shave procedures in general practice. 全科剃须程序指南。

IF 2.2 4区医学

Australian Journal of General Practice Pub Date : 2024-06-01 DOI: 10.31128/AJGP-06-23-6872

Gabriela Gonzalez Matheus, Christopher Paul Robins, Jim Muir

引用次数: 0

Sleep. 睡眠

IF 2.2 4区医学

Australian Journal of General Practice Pub Date : 2024-06-01 DOI: 10.31128/AJGP-03-24-7192

Garun S Hamilton

引用次数: 0

Heavy drinkers' expectations and experiences when discussing alcohol use during a general practice visit in Australia: A qualitative study. 澳大利亚重度饮酒者在全科就诊时讨论饮酒问题的期望和经历：定性研究。

IF 2.2 4区医学

Australian Journal of General Practice Pub Date : 2024-06-01 DOI: 10.31128/AJGP-08-23-6952

Nilakshi Gunatillaka, Chun Wah Michael Tam, Kylie Ngo, Elizabeth Sturgiss

{"title":"Heavy drinkers' expectations and experiences when discussing alcohol use during a general practice visit in Australia: A qualitative study.","authors":"Nilakshi Gunatillaka, Chun Wah Michael Tam, Kylie Ngo, Elizabeth Sturgiss","doi":"10.31128/AJGP-08-23-6952","DOIUrl":"10.31128/AJGP-08-23-6952","url":null,"abstract":"Background and objectives: Our understanding of community members' expectations and experiences of discussing alcohol use in general practice settings is limited, particularly for people with heavy alcohol use.Method: Qualitative interviews were conducted with people with heavy alcohol use to explore their experiences of discussing alcohol use with their general practitioner (GP). Interviews were audio-recorded and transcribed, and data were analysed using an inductive thematic approach.Results: Three themes were identified: (1) patient perceptions of alcohol discussions in primary care; (2) the importance of the doctor-patient relationship; and (3) consequences of unmet health needs and expectations. Patients expect their GPs to initiate conversations about alcohol use. Positive interactions are characterised by GPs' caring, non-judgemental and collaborative approach, whereas negative interactions focus on a perceived lack of knowledge or ability to manage excessive alcohol use.Discussion: Alcohol harm reduction efforts should include strategies for bolstering the therapeutic relationship between GPs and their patients.","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141263150","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

When less is more: Updates in active surveillance and watchful waiting in the management of prostate cancer. 少即是多：前列腺癌治疗中主动监测和观察等待的最新进展。

IF 2.2 4区医学

Australian Journal of General Practice Pub Date : 2024-05-01 DOI: 10.31128/AJGP-06-23-6866

David Homewood, Harrison Lucas, Caitlin Kennedy, James Majer, Niranjan Sathianathen, Niall M Corcoran

{"title":"When less is more: Updates in active surveillance and watchful waiting in the management of prostate cancer.","authors":"David Homewood, Harrison Lucas, Caitlin Kennedy, James Majer, Niranjan Sathianathen, Niall M Corcoran","doi":"10.31128/AJGP-06-23-6866","DOIUrl":"https://doi.org/10.31128/AJGP-06-23-6866","url":null,"abstract":"Background: Prostate cancer is the second most common cancer among men globally. A range of management options are available for prostate cancer, including surgery, radiation therapy, hormone therapy, chemotherapy, or surveillance. Conservative strategies include active surveillance and watchful waiting, which differ in their intent.Objective: We provide a targeted instructive management algorithm for improving understanding of conservative strategies in prostate cancer.Discussion: Active surveillance involves close monitoring with curative intent when there is evidence of disease progression. In contrast, watchful waiting is palliative in intent and focuses on delaying treatment until symptoms or complications develop. Conservative approaches have demonstrated similar long-term oncological outcomes to radical treatment, while reducing harm from overtreatment, and maintaining quality of life by avoiding potential side effects such as urinary incontinence and erectile dysfunction. The decision to employ a conservative approach is determined by both patient and disease factors. Conservative management strategies play a vital role in the management of prostate cancer.","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140856615","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

Safety of vaginal oestrogens for genitourinary symptoms in women with breast cancer. 治疗乳腺癌妇女泌尿生殖系统症状的阴道雌激素的安全性。

IF 2.2 4区医学

Australian Journal of General Practice Pub Date : 2024-05-01 DOI: 10.31128/AJGP-02-23-6709

Belinda E Kiely, Rhea Liang, Christina Jang, Karen Magraith

引用次数: 0

May 2024 correspondence. 2024 年 5 月通信。

IF 2.2 4区医学

Australian Journal of General Practice Pub Date : 2024-05-01

引用次数: 0

Assisting young people aged 12-25 years to cease e-cigarette use in general practice. 在全科医生的帮助下，帮助 12-25 岁的年轻人停止使用电子烟。

IF 2.2 4区医学

Australian Journal of General Practice Pub Date : 2024-05-01 DOI: 10.31128/AJGP-11-23-7021

Hester Hk Wilson, Nicholas Zwar

{"title":"Assisting young people aged 12-25 years to cease e-cigarette use in general practice.","authors":"Hester Hk Wilson, Nicholas Zwar","doi":"10.31128/AJGP-11-23-7021","DOIUrl":"https://doi.org/10.31128/AJGP-11-23-7021","url":null,"abstract":"Background: Increasing numbers of young people (adolescents aged 12-17 years and young adults aged 18-25 years) are using e-cigarettes. Although the extent of the health effects is currently unknown, young people are at risk of developing nicotine dependence and, as a result, find it difficult to cease use of e-cigarettes. They might seek help from their general practitioner (GP) to do so.Objective: This article summarises the available evidence for e-cigarette cessation in young people and suggests a rational approach to assist GPs seeing young people seeking help for e-cigarette cessation.Discussion: There is limited evidence to support best treatment options for e-cigarette cessation in young people. An approach based on the experience from tobacco cessation in adults and adapted for young people might assist. Management that supports family and school engagement, with behavioural interventions, nicotine replacement therapy, other pharmacological interventions and ongoing review as appropriate for the young person's age and developmental milestones, might help successful e-cigarette cessation.","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140871852","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

Southern Queensland general practitioners' knowledge and attitudes towards Q fever and behaviours in the management of the disease. 昆士兰州南部全科医生对 Q 热的认识和态度，以及治疗该疾病的行为。

IF 2.2 4区医学

Australian Journal of General Practice Pub Date : 2024-05-01 DOI: 10.31128/AJGP-10-22-6598

Penny Hutchinson, Remo Ostini

{"title":"Southern Queensland general practitioners' knowledge and attitudes towards Q fever and behaviours in the management of the disease.","authors":"Penny Hutchinson, Remo Ostini","doi":"10.31128/AJGP-10-22-6598","DOIUrl":"https://doi.org/10.31128/AJGP-10-22-6598","url":null,"abstract":"Background and objectives: Q fever (QF) is a zoonotic disease caused by Coxiella burnetii, often associated with abattoir workers and farmers. Recent analysis suggests that QF might occur more frequently in urban areas. This study ascertains the knowledge of, and attitudes towards, QF and behaviours in the management of QF among general practitioners (GPs) across rural and urban areas.Method: This cross-sectional survey study targeted GPs working in regional Queensland. GPs were asked to complete a 59-item questionnaire. Logistic regression was used to compare respondent demographics with attitude ratings and knowledge scores.Results: Diagnosing a patient with QF was significantly related to practitioner age, years in practice and practising in a rural area.Discussion: This study shows gaps in GP QF knowledge, particularly around QF management. With increased urbanisation of rural areas potentially leading to increases in acute QF cases, GPs need to improve their knowledge of this disease.","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140873468","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

Evolution of hormonal therapy for prostate cancer. 前列腺癌激素疗法的演变。

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2024-05-01 DOI: 10.31128/AJGP-11-23-7028

David Homewood, Ming Hei Fu, Niranjan Sathianathen, Shane La Bianca, Benjamin Tran, Niall M Corcoran

引用次数: 0