{"title":"Myocardial infarction.","authors":"C. McRae, N. Carson","doi":"10.5772/intechopen.69907","DOIUrl":"https://doi.org/10.5772/intechopen.69907","url":null,"abstract":"Recent advances in the intensive care of patients suffering from acute myocardial infarction have shown that the immediate mortality may be lowered by the prompt recognition and treatment of cardiac arrhythmias (Hellerstein and Turell, 1958; Lancet, 1960; Brown et al., 1963; Day, 1963; Lindsay and Speikerman, 1964; Kurland and Pressman, 1965). While ventricular fibrillation is the usual cause of sudden death, a frequent precursor appears to be a slow rate due to slow nodal rhythm or complete atrio-ventricular block (Brown et al., 1963), with a tendency to episodes of asystole or ventricular tachyarrhythmia. Despite the effectiveness of some drugs such as atropine, steroids, and isoprenaline, the over-all mortality in patients with a slow rate following myocardial infarction is high (Solarz, Berkson, and Pick, 1958; Gale and Enfroy, 1959; Dali and Buchanan, 1962; Hall, 1962; Vogel, 1961; Brit. med. J., 1965; Smith and Anthonisen, 1965). This may be explained in part by the failure to keep a constant increase in heart rate and the increase in myocardial oxygen consumption caused by many of these drugs, particularly isoprenaline (Winterscheid et al., 1963). A better chance of survival seems likely if the slow rate is treated by artificial pacing, since the heart rate can then be accurately controlled without drugs which may irritate the myocardium. Unlike most patients with chronic atrio-ventricular block where the underlying cause is frequently unrelated to coronary disease, acute atrio-ventricular block following myocardial infarction is usually temporary, as is sinus bradycardia or slow nodal rhythm. It seems that the combination of a low cardiac output secondary to the slow rate together with a damaged irritable myocardium often results in ventricular fibrillation. If the cardiac output can be raised by increasing the heart rate, the risk of ventricular","PeriodicalId":8653,"journal":{"name":"Australian family physician","volume":"20 11 1","pages":"1649-56"},"PeriodicalIF":0.0,"publicationDate":"2019-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43291879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Spinal cord tethering.","authors":"N. Selden","doi":"10.1093/MED/9780190617073.003.0004","DOIUrl":"https://doi.org/10.1093/MED/9780190617073.003.0004","url":null,"abstract":"Tethering of the spinal cord is an insidious cause of worsening incontinence that requires urgent medical assessment and possibly surgical intervention to prevent any further deterioration. Clinicians monitoring young people and adults with spina bifida need to maintain a high degree of suspicion to ensure the early detection of tethered cord syndrome to help promote and maintainindependent living.","PeriodicalId":8653,"journal":{"name":"Australian family physician","volume":"31 1 1","pages":"80-3"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46992741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Getting started.","authors":"Getting Started, Mailing Address","doi":"10.2307/j.ctvc778zp.4","DOIUrl":"https://doi.org/10.2307/j.ctvc778zp.4","url":null,"abstract":"Words (and meaningful silences) matter enormously in our lives. They enable us to cooperate, collaborate, and ally with one another – as well as to exclude, exploit, and subordinate one another. They script our performances as certain kinds of people in certain social locations. They are politically powerful, both as dominating weapons that help oppress and as effective tools that can resist oppression. But words in and of themselves are impotent. It is the socially structured practices and historically situated circumstances constituting our social lives that pour content into words, endow them with meaning and power. This book explores how such meaning-making works. It does so by examining a number of concrete examples of linguistic practices, many of them very current. I am writing it not for specialists, although I hope some may find it useful, but for anyone willing to join me in examining critically their own ideas about language and its complicated connections to social conflict and change. As that invitation suggests, I am also writing it to help clarify my own understanding of these often complex and contentious issues. I do not expect that readers will always agree with my perspectives, either before or after reading the book. But I do hope they will, as I have tried to do, rethink familiar assumptions. Do ‘politically correct’ efforts to change or regulate language sometimes go too far? Why do people keep changing the labels they use to identify themselves? Isn’t speaking ‘grammatically’ important anymore? What does it mean to say that certain words or ways of speaking are ‘sexist’ or ‘racist’? What might be meant by ‘hate speech’ or ‘dangerous speech’? Are there words or ways of speaking that should be abandoned, maybe even","PeriodicalId":8653,"journal":{"name":"Australian family physician","volume":"20 12 1","pages":"1751-3"},"PeriodicalIF":0.0,"publicationDate":"2018-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44110911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Adolescent Mental Health","authors":"Terje Ogden, K. A. Hagen","doi":"10.4324/9781315295374","DOIUrl":"https://doi.org/10.4324/9781315295374","url":null,"abstract":"1. Adolescent Development 2. Evidence-Based Intervention and Prevention 3. Externalizing Problems: Risk, Prevention and Treatment 4. Internalizing Problems: Anxiety and Depression 5. Alcohol and Drug Use 6. Social Competence and Social Skills 7. Adolescent Mental Health and the School System 8. Special Challenges to Helping Adolescents with Mental Health Needs Appendix. Perspectives on Adolescent Development","PeriodicalId":8653,"journal":{"name":"Australian family physician","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70644972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Oral medicine","authors":"L. Cascarini, C. Schilling, B. Gurney, P. Brennan","doi":"10.1093/med/9780198767817.003.0009","DOIUrl":"https://doi.org/10.1093/med/9780198767817.003.0009","url":null,"abstract":"This chapter discusses oral medicine in oral and maxillofacial surgery, including Common dental diseases, Oral mucosal infections, Oral ulceration, Blistering diseases, White, red, and pigmented lesions, Oral cancer, Oral manifestations of systemic diseases, andMiscellaneous oral conditions","PeriodicalId":8653,"journal":{"name":"Australian family physician","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61652287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Natasha Yates, Victor Liew, Jen-Mari Mouton, Jenne Turner, Amanda White, Jack Smith
{"title":"Management of bariatric patients beyond the scalpel.","authors":"Natasha Yates, Victor Liew, Jen-Mari Mouton, Jenne Turner, Amanda White, Jack Smith","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Obesity management in general practice sometimes involves referral of patients for bariatric surgery. Integral to the success of long-term weight loss maintenance is supporting the patient's psychological, nutritional and exercise needs.</p><p><strong>Objective: </strong>This article is written to equip general practitioners (GPs) to manage the comprehensive needs, before and after bariatric surgery, of patients who are obese.</p><p><strong>Discussion: </strong>The number of patients undergoing bariatric surgery in Australia has increased significantly in the past few years. Pre-operative and postoperative management of this intervention presents a challenge for GPs. In this article we provide guidance around psychological, nutritional and exercise interventions, to equip GPs in managing patients who are obese. Access to allied health providers is not always available for patients, so this article is co-written with allied health colleagues who share their expertise as a resource for GPs.</p>","PeriodicalId":8653,"journal":{"name":"Australian family physician","volume":"46 12","pages":"918-921"},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35849059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Depression in children.","authors":"Julian Charles, Mandana Fazeli","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Major depressive disorder (MDD) in children (5-12 years of age) is a confronting and serious psychiatric illness. MDD has significant ramifications for the psychosocial development of the child, yet it remains under-recognised and undertreated. General practice is where these children and their parents will first present.</p><p><strong>Objective: </strong>The aim of this article is to provide general practitioners (GPs) with a framework for considering MDD in a child and recommendations for treatment.</p><p><strong>Discussion: </strong>Children with MDD have the same core features as adolescents and adults, taking into account the child's capacities for cognition and language, and developmental stage. Earlier onset of illness is associated with poorer outcomes and greater psychiatric morbidity persisting into adulthood. MDD is more common than anticipated, and should be considered for any child presenting with depressive symptoms and/or impaired psychosocial functioning. Despite limited evidence, numerous interventions exist that will, ideally, significantly affect the child's developmental trajectory. GPs are in an important position to initiate these interventions.</p>","PeriodicalId":8653,"journal":{"name":"Australian family physician","volume":"46 12","pages":"901-907"},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35849056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Growth disorders in adolescents.","authors":"Tashunka Taylor-Miller, Peter J Simm","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Growth is one of the fundamental processes of adolescent development. Careful history and examination, and relevant tar-geted investigations, can streamline the referral process, highlighting the important role of primary healthcare clinicians.</p><p><strong>Objective: </strong>This article will provide a guide for clinicians to categorise growth patterns in adolescents, and recognise patients who may have a growth disorder. It will assist clinicians in considering appropriate investigations, and provide guidance for when to refer the adolescent to appropriate paediatric specialists.</p><p><strong>Discussion: </strong>Causes of tall and short stature can often be distinguished on history, physical examination, and accurate pubertal staging. The height of the adolescent should always be considered in the context of their genetic potential. Physiological variants re-main the most common reason for short stature, but awareness of the features of pathological causes is critical. One of the most common presentations is maturational delay in males, and an approach to this issue is discussed.</p>","PeriodicalId":8653,"journal":{"name":"Australian family physician","volume":"46 12","pages":"913-917"},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35849058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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