Differential influences of social support on app use for diabetes self-management - a mixed methods approach.
CONCLUSION: The results emphasize the relevance of support by healthcare professionals and by the patient network for diabetes app use and disclose differences from the existing literature. In particular, the use of diabetes apps may increase in the absence of social support by family or friends (e.g., compensation for lack of support), and may decrease when such support is high (e.g., no perceived need to use technology). PMID: 32635919 [PubMed - in process] (Source: Australian Family Physician)
Source: Australian Family Physician - July 7, 2020 Category: Primary Care Authors: Brew-Sam N, Chib A, Rossmann C Tags: BMC Med Inform Decis Mak Source Type: research

Australia-Wide Cross-Sectional Survey of General Practitioners' Knowledge And Practice Of Lung Cancer Screening.
Abstract BACKGROUND: Low dose computed tomography (LDCT) screening can reduce lung cancer deaths in high risk individuals yet current Australian guidelines do not recommend screening. Little is known about current screening practices in Australia. METHODS: A survey was distributed to a nationally-representative sample of 4000 Australian general practitioners (GPs). The questionnaire included respondent demographics, self-reported screening practices, knowledge of screening recommendations, recent screening education, preference for recruitment methodologies for potential screening programs and potential facto...
Source: Australian Family Physician - April 1, 2020 Category: Primary Care Authors: Abeyweera PD, Brims FJH, Piccolo F, Lei C, Manners D Tags: Intern Med J Source Type: research

Secondary Fracture Prevention: Consensus Clinical Recommendations from a Multistakeholder Coalition.
d M, Jeray KJ, Kearns AE, King T, Koinis TF, Koontz JS, Kužma M, Lindsey C, Lorentzon M, Lyritis GP, Michaud LB, Miciano A, Morin SN, Mujahid N, Napoli N, Olenginski TP, Puzas JE, Rizou S, Rosen CJ, Saag K, Thompson E, Tosi LL, Tracer H, Khosla S, Kiel DP Abstract Osteoporosis-related fractures are undertreated, due in part to misinformation about recommended approaches to patient care and discrepancies among treatment guidelines. To help bridge this gap and improve patient outcomes, the American Society for Bone and Mineral Research assembled a multistakeholder coalition to develop clinical recommendations for t...
Source: Australian Family Physician - March 21, 2020 Category: Primary Care Authors: Conley RB, Adib G, Adler RA, Åkesson KE, Alexander IM, Amenta KC, Blank RD, Brox WT, Carmody EE, Chapman-Novakofski K, Clarke BL, Cody KM, Cooper C, Crandall CJ, Dirschl DR, Eagen TJ, Elderkin AL, Fujita M, Greenspan SL, Halbout P, Hochberg MC, Javaid M, Tags: J Orthop Trauma Source Type: research

Stressors and protective factors among regional and metropolitan Australian medical doctors: A mixed methods investigation.
CONCLUSIONS: Stress and burnout among doctors are alarmingly high and both system/organization-level (e.g., communication systems, workload, flexible work arrangements) and individual-level (e.g., fostering resilience/coping strategies) predictors are implicated by our results. These may be useful targets for future interventions. PMID: 32048300 [PubMed - as supplied by publisher] (Source: Australian Family Physician)
Source: Australian Family Physician - February 11, 2020 Category: Primary Care Authors: Clough BA, Ireland MJ, Leane S, March S Tags: J Clin Psychol Source Type: research

Exploring the therapeutic alliance in Belgian family medicine and its association with doctor-patient characteristics: a cross-sectional survey study.
CONCLUSIONS: Consultation quality is an important aspect of healthcare, but attention is needed to understand how the WAI-GP performs in relation to variables that are beyond control, such as gender of the physician, age of the patient and variables related to building continuity of care. This has implications for the measurement of quality of healthcare. PMID: 32029490 [PubMed - in process] (Source: Australian Family Physician)
Source: Australian Family Physician - February 5, 2020 Category: Primary Care Authors: Boeckxstaens P, Meskens A, Van der Poorten A, Verpoort AC, Sturgiss EA Tags: BMJ Open Source Type: research

Increasing long acting reversible contraceptives: The Australian Contraceptive ChOice pRoject (ACCORd) cluster randomized trial.
Abstract BACKGROUND: Long-active reversible contraceptives (LARCs) reduce unintended pregnancy and abortions but uptake is low. Interventions to increase uptake in family medicine settings are untested. OBJECTIVE: The Australian Contraceptive ChOice pRoject (ACCORd), adapted from the successful US Contraceptive CHOICE study, aimed to evaluate whether a complex intervention in family medicine practices resulted in increased LARC uptake by women. STUDY DESIGN: This cluster randomized controlled trial was set in family practices in metropolitan Melbourne, Australia. From April 2016 to January 2017 we recrui...
Source: Australian Family Physician - December 11, 2019 Category: Primary Care Authors: Mazza D, Watson CJ, Taft A, Lucke J, Mcgeechan K, Haas M, Mcnamee K, Peipert JF, Black KI Tags: Am J Obstet Gynecol Source Type: research

General practitioners' considerations when deciding whether to initiate end-of-life conversations: a qualitative study.
CONCLUSIONS: These findings enable the development of approaches to support GPs to initiate end-of-life discussions that are cognizant both of GPs' sense of responsibility for these discussions, and factors that may contribute to caution initiating them, such as anticipated patient response, cultural considerations, societal taboos, family dynamics and personal challenges to doctors. PMID: 31796956 [PubMed - as supplied by publisher] (Source: Australian Family Physician)
Source: Australian Family Physician - December 4, 2019 Category: Primary Care Authors: Thomas HR, Deckx L, Sieben NA, Foster MM, Mitchell GK Tags: Fam Pract Source Type: research

Providing palliative care closer to home: a retrospective analysis from a remote Australian hospital.
CONCLUSIONS: Increasing the capacity of a remote hospital to provide palliative care allowed more patients to die closer to home and decreased inappropriate aeromedical retrievals. An increased in-hospital mortality rate should not be misinterpreted as reflecting suboptimal care if palliative intent, patients' wishes and non-clinical risk factors have not been ascertained. This article is protected by copyright. All rights reserved. PMID: 31659827 [PubMed - as supplied by publisher] (Source: Australian Family Physician)
Source: Australian Family Physician - October 29, 2019 Category: Primary Care Authors: Watson BJ, Budd R, Waran E, Scott I, Quilty S Tags: Intern Med J Source Type: research

Secondary Fracture Prevention: Consensus Clinical Recommendations from a Multistakeholder Coalition.
This article is protected by copyright. All rights reserved. PMID: 31538675 [PubMed - as supplied by publisher] (Source: Australian Family Physician)
Source: Australian Family Physician - September 20, 2019 Category: Primary Care Authors: Conley RB, Adib G, Adler RA, Akesson KE, Alexander IM, Amenta KC, Blank RD, Brox WT, Carmody EE, Chapman-Novakofski K, Clarke BL, Cody KM, Cooper C, Crandall CJ, Dirschl DR, Eagen TJ, Elderkin AL, Fujita M, Greenspan SL, Halbout P, Hochberg MC, Javaid M, Tags: J Bone Miner Res Source Type: research

Preferences for end-of-life care and decision-making among older and seriously ill inpatients: a cross-sectional study.
Abstract BACKGROUND: Older and seriously ill Australians are often admitted to hospital in the last year of their life. The extent to which these individuals have considered important aspects of end-of-life care, including location in which care is provided, goals of care, and involvement of others in decision-making is unclear. AIMS: To determine, in a sample of older and seriously ill Australian inpatients, preferences regarding: 1) location in which they receive end-of-life care and reasons for their choice; 2) who is involved in end-of-life decisions; 3) disclosure of life expectancy; 4) goals of care; an...
Source: Australian Family Physician - September 17, 2019 Category: Primary Care Authors: Waller A, Sanson-Fisher R, Kichu Nair BR, Evans T Tags: J Pain Symptom Manage Source Type: research

Primary care renewal strategies in Manitoba: Family physicians' perceptions.
CONCLUSION: Although some of the observed barriers might fade over time, concentrating PCR efforts on the everyday realities of family physician practice might be the best way to build a primary care system that works for patients and providers. PMID: 31515327 [PubMed - in process] (Source: Australian Family Physician)
Source: Australian Family Physician - September 1, 2019 Category: Primary Care Authors: Struthers A, Metge C, Charette C, Harlos K, Bapuji SB, Beaudin P, Botting I, Katz A, Kreindler S Tags: Can Fam Physician Source Type: research

The Journal of Human Lactation: A Reflective Discussion.
Discussion. J Hum Lact. 2019 Aug 22;:890334419870798 Authors: Eden AR, Gill S, Gribble K, Rouw E, Wolf JH Abstract Research about lactation and breastfeeding has exploded since the Journal of Human Lactation (JHL) began publishing in 1985. To discuss the 3-decade-long role of the Journal in promoting, supporting, and disseminating lactation research, editors convened a multidisciplinary group of lactation researchers and providers which comprised three senior researchers and one clinical practitioner, all of whom have a long history of lactation advocacy. Their discussion took place on July 1, 2019. D...
Source: Australian Family Physician - August 22, 2019 Category: Primary Care Authors: Eden AR, Gill S, Gribble K, Rouw E, Wolf JH Tags: J Hum Lact Source Type: research

Integrated specialized atrial fibrillation clinics reduce all-cause mortality: post hoc analysis of a randomized clinical trial.
CONCLUSION: An integrated specialized AF-Clinic reduces all-cause mortality compared with usual care. These findings provide compelling evidence that an integrated approach should be widely implemented in AF management. PMID: 31390464 [PubMed - as supplied by publisher] (Source: Australian Family Physician)
Source: Australian Family Physician - August 7, 2019 Category: Primary Care Authors: Hendriks JML, Tieleman RG, Vrijhoef HJM, Wijtvliet P, Gallagher C, Prins MH, Sanders P, Crijns HJGM Tags: Europace Source Type: research

Sources of information used by patients prior to elective surgery: a scoping review.
CONCLUSION: There is considerable variability regarding the types of information patients use in their decision to undergo elective surgery. The most common source of health information (face-to-face interaction with medical personnel) raises the question that the information provided could be incomplete and/or biased, and dependent on what their health provider knew or chose to tell them. PMID: 31383690 [PubMed - in process] (Source: Australian Family Physician)
Source: Australian Family Physician - August 5, 2019 Category: Primary Care Authors: Atlas A, Milanese S, Grimmer K, Barras S, Stephens JH Tags: BMJ Open Source Type: research

Perspectives on the Training of Chinese Primary Health Care Physicians to Reduce Chronic Illnesses and Their Burden.
Abstract This paper is a commentary on the training of Chinese Primary Health Care Doctors to reduce chronic illness and its burden. First, we will consider the policy position of the Chinese government concerning the development of a competent and enlarged primary physician workforce to deliver the proposed primary health care system reforms. We then turn to a review of the drivers of the high burden of chronic illnesses especially in older people in China. We argue that the curriculum for the training of primary health care medical practitioners should match the demonstrated high prevalence chronic illnesses and...
Source: Australian Family Physician - July 18, 2019 Category: Primary Care Authors: Sun W, Li Y, Hu Y, Rao X, Xu X, Browning CJ, Thomas SA Tags: Front Public Health Source Type: research

Pharmacist Compliance With Therapeutic Guidelines on Diagnosis and Treatment Provision.
Conclusions and Relevance: Although the market for dispensing over-the-counter medication in Australia is regulated, relatively high rates of overtreatment and some cases of undertreatment were observed in this study. Given the unintended adverse effects, including overuse of antibiotics and corticosteroids, these observations suggest the advisability of regulatory intervention ensuring compliance with professional protocols. PMID: 31314116 [PubMed - in process] (Source: Australian Family Physician)
Source: Australian Family Physician - July 3, 2019 Category: Primary Care Authors: Smith H, Whyte S, Chan HF, Kyle G, Lau ETL, Nissen LM, Torgler B, Dulleck U Tags: JAMA Netw Open Source Type: research

Building general practice training capacity in rural and remote Australia with underserved primary care services: a qualitative investigation.
CONCLUSIONS: This study provides important new evidence to support development of high-quality GP training and supervision in remote contexts where there is a need for more GPs to provide primary care services for the population. PMID: 31138189 [PubMed - in process] (Source: Australian Family Physician)
Source: Australian Family Physician - May 28, 2019 Category: Primary Care Authors: Young L, Peel R, O'Sullivan B, Reeve C Tags: BMC Health Serv Res Source Type: research

Comparison of emergency department time performance between a Canadian and an Australian academic tertiary hospital.
CONCLUSION: Austin outperformed Sunnybrook for Ontario and Australian government time targets. Both hospitals failed the Australian targets. Factors predicting failure to achieve targets were different between hospitals, but were mainly clinical resources. Sunnybrook focussed on increasing human resources. Austin focussed on increasing human resources, observation unit and hospital beds. Intrinsic hospital characteristics and infrastructure influenced target success. PMID: 30811092 [PubMed - as supplied by publisher] (Source: Australian Family Physician)
Source: Australian Family Physician - February 27, 2019 Category: Primary Care Authors: Cheng I, Taylor D, Schull MJ, Zwarenstein M, Kiss A, Castren M, Brommels M, Yeoh M, Kerr F Tags: Emerg Med Australas Source Type: research

Factors affecting general practitioners' decisions to adopt new prescription drugs - cohort analyses using Australian longitudinal physician survey data.
CONCLUSIONS: Our paper is one of the first to study the relationship between GPs' risk preferences, personality and their decisions to adopt new prescription drugs. Because NOACs are commonly prescribed and considered more cost-effective than their older counterpart, understanding factors affecting physicians' decisions to adopt NOACs has direct policy implications. Our results also highlight that even with universal coverage for prescription drugs, access to new drugs is different among patients, partially because who their doctors are and where they practice. PMID: 30728010 [PubMed - in process] (Source: Australian Family Physician)
Source: Australian Family Physician - February 7, 2019 Category: Primary Care Authors: Zhang Y, Méndez SJ, Scott A Tags: BMC Health Serv Res Source Type: research

Social networks and quitting in a national cohort of Australian Aboriginal and Torres Strait Islander smokers.
CONCLUSIONS: Exposure to smoking in the social networks of Aboriginal and Torres Strait Islander smokers is an obstacle to quitting, but there is also considerable support for quitting from within these same social networks. Health staff could consider encouraging smokers to draw on the few non-smokers within their social networks as role models to increase their confidence in quitting. PMID: 30637859 [PubMed - as supplied by publisher] (Source: Australian Family Physician)
Source: Australian Family Physician - January 13, 2019 Category: Primary Care Authors: Thomas DP, Davey ME, van der Sterren AE, Lyons L, Hunt JM, Bennet PT Tags: Drug Alcohol Rev Source Type: research

Energy Availability in Athletics: Health, Performance and Physique.
Abstract The reported prevalence of low energy availability (LEA) in female and male track and field athletes is between 18-58% with the highest prevalence among athletes in endurance and jump-events. In male athletes, LEA may result in reduced testosterone levels and libido along with impaired training capacity. In female track and field athletes, functional hypothalamic amenorrhea (FHA) as consequence of LEA has been reported among 60% of elite middle- and long-distance athletes and 23% among elite sprinters. Health concerns with FHA includes impaired bone health, elevated risk for bone stress injury, and cardio...
Source: Australian Family Physician - January 11, 2019 Category: Primary Care Authors: Melin AK, Heikura IA, Tenforde A, Mountjoy M Tags: Int J Sport Nutr Exerc Metab Source Type: research

Agreement between patients' and radiation oncologists' cancer diagnosis and prognosis perceptions: A cross sectional study in Japan.
This study assessed agreement between radiation oncologist- and cancer patient-reported perceptions about cancer diagnosis, time since diagnosis, treatment purpose, and whether life expectancy had been discussed; and described preferences for prognosis discussions. Adult cancer patients receiving radiotherapy at a Japanese hospital were invited to complete a touchscreen tablet survey. Patient survey responses were linked and comparisons made with a survey completed by their radiation oncologist. Among 146 cancer patient-oncologist dyads, there was almost perfect agreement on cancer diagnosis (ĸ = 0.88, 95% CI: 0.82-0.94),...
Source: Australian Family Physician - December 13, 2018 Category: Primary Care Authors: Mackenzie LJ, Carey ML, Suzuki E, Sanson-Fisher RW, Asada H, Ogura M, D'Este C, Yoshimura M, Toi M Tags: PLoS One Source Type: research

General practitioner referrals to exercise physiologists during routine practice: A prospective study.
CONCLUSIONS: Although increasing, the rate of GP referral to exercise physiologists was low and associated with patient and GP characteristics. Education of GPs about the role of exercise physiologists in the prevention and management of chronic disease is needed. PMID: 30385252 [PubMed - as supplied by publisher] (Source: Australian Family Physician)
Source: Australian Family Physician - October 21, 2018 Category: Primary Care Authors: Craike M, Britt H, Parker A, Harrison C Tags: J Sci Med Sport Source Type: research

Exploring Australian psychiatrists' and psychiatric trainees' knowledge, attitudes and preparedness in responding to adults experiencing domestic violence.
CONCLUSIONS: Findings suggest more training in DV for psychiatrists is needed. PMID: 30047793 [PubMed - as supplied by publisher] (Source: Australian Family Physician)
Source: Australian Family Physician - July 26, 2018 Category: Primary Care Authors: Forsdike K, O'Connor M, Castle D, Hegarty K Tags: Australas Psychiatry Source Type: research

Chinese herbal medicine for functional dyspepsia: systematic review of systematic reviews.
Conclusion: CHM can be considered as an alternative for the treatment of FD symptoms when prokinetic agents and proton pump inhibitors are contraindicated. Future trial design should focus on measuring changes in individual dyspeptic symptoms and differentiate the effectiveness of different CHM for postprandial distress syndrome and epigastric pain syndrome. A network meta-analysis approach should be used to explore the most promising CHM formula for FD treatment in the future. PMID: 30034530 [PubMed] (Source: Australian Family Physician)
Source: Australian Family Physician - July 24, 2018 Category: Primary Care Authors: Chu MHK, Wu IXY, Ho RST, Wong CHL, Zhang AL, Zhang Y, Wu JCY, Chung VCH Tags: Therap Adv Gastroenterol Source Type: research

Health professional perceptions regarding screening tools for developmental surveillance for children in a multicultural part of Sydney, Australia.
CONCLUSIONS: The results highlight the practical challenges to, and limited knowledge and uptake of, the use of recommended screening tools as part of developmental surveillance. There is a need for further research regarding the most effective integrated models of care which will allow for a better collaboration between parents and service providers and improve information sharing between different professionals such as CFHNs GPs, Practices nurses and Paediatricians involved in screening and surveillance programs. PMID: 29609547 [PubMed - in process] (Source: Australian Family Physician)
Source: Australian Family Physician - April 2, 2018 Category: Primary Care Authors: Garg P, Ha MT, Eastwood J, Harvey S, Woolfenden S, Murphy E, Dissanayake C, Williams K, Jalaludin B, McKenzie A, Einfeld S, Silove N, Short K, Eapen V Tags: BMC Fam Pract Source Type: research

Acne in adolescents.
DISCUSSION: The first point of contact with patients is in general practice. GPs effectively manage most patients with acne. Treatment choice is guided by experience, with many clinical acne treatment guidelines available. The most common reason for treatment failure is insufficient duration of therapy. Successful treatments require months of topical agents and, in many cases, additional systemic therapies. Internationally, there is a resurgence in the basic research of acne vulgaris, leading to new topical and systemic treatments. PMID: 29464224 [PubMed - in process] (Source: Australian Family Physician)
Source: Australian Family Physician - December 1, 2017 Category: Primary Care Authors: Gebauer K Tags: Aust Fam Physician Source Type: research

Eczema management in school-aged children.
This article will describe how eczema manifests in school-aged children, focusing on when to suspect triggers and how to manage these from a general practice perspective, and when to refer the child on to specialist services. PMID: 29464225 [PubMed - in process] (Source: Australian Family Physician)
Source: Australian Family Physician - December 1, 2017 Category: Primary Care Authors: Leins L, Orchard D Tags: Aust Fam Physician Source Type: research

Depression in children.
DISCUSSION: 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 init...
Source: Australian Family Physician - December 1, 2017 Category: Primary Care Authors: Charles J, Fazeli M Tags: Aust Fam Physician Source Type: research

Childhood constipation.
This article aims to provide a structure for evaluating, diagnosing and managing childhood functional constipation in general practice. DISCUSSION: Structured history and examination can screen for organic pathology or red flags that require specialist referral. Investigations such as abdominal X-ray are not routine. Early management of childhood constipation provides improved quality of life for patients and their families. Management, including disimpaction and maintenance, should maintain continuity of care and provide long-term support for families. PMID: 29464227 [PubMed - in process] (Source: Australian Family Physician)
Source: Australian Family Physician - December 1, 2017 Category: Primary Care Authors: Waterham M, Kaufman J, Gibb S Tags: Aust Fam Physician Source Type: research

Growth disorders in adolescents.
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. DISCUSSION: 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...
Source: Australian Family Physician - December 1, 2017 Category: Primary Care Authors: Taylor-Miller T, Simm PJ Tags: Aust Fam Physician Source Type: research

Management of bariatric patients beyond the scalpel.
This article is written to equip general practitioners (GPs) to manage the comprehensive needs, before and after bariatric surgery, of patients who are obese. DISCUSSION: 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-wri...
Source: Australian Family Physician - December 1, 2017 Category: Primary Care Authors: Yates N, Liew V, Mouton JM, Turner J, White A, Smith J Tags: Aust Fam Physician Source Type: research

The Australian Mid-West Coastal Marine Wound Infections Study.
The objective of this article was to identify the causative organisms in marine wounds sustained in the subtropical and tropical coastal waters of the Indian Ocean, Gascoyne region (north-west), Western Australia. METHODS: This was a prospective study. A single wound swab was taken from 28 consenting patients who presented with a suppurating marine wound to the emergency departments of Carnarvon and Exmouth hospitals. RESULTS: The wounds of 27 out of 28 patients returned a positive culture. The two most common organisms were Staphylococcus aureus (n = 18/28; 64.3%) and Vibrio species (n = 9/28; 32.1%). The cultur...
Source: Australian Family Physician - December 1, 2017 Category: Primary Care Authors: Foote A, Henderson R, Lindberg A, Grigg C, Greenfield C, Kirke AB, Auret K Tags: Aust Fam Physician Source Type: research

A mixed-methods feasibility study of routinely weighing patients in general practice to aid weight management.
DISCUSSION: Routinely weighing adult patients in general practice is feasible, requires resources and may be associated with weight loss in patients who are obese. Further research is required to inform support for implementation within practices. PMID: 29464231 [PubMed - in process] (Source: Australian Family Physician)
Source: Australian Family Physician - December 1, 2017 Category: Primary Care Authors: Bonney A, MacKinnon D, Barnett S, Mayne DJ, Dijkmans-Hadley B, Charlton K Tags: Aust Fam Physician Source Type: research

Psychological distress and risky sexual behaviours among women aged 16-25 years in Victoria, Australia.
DISCUSSION: Although data were collected from a small sample of young women, we found that those with underlying psychological distress may adopt risky sexual behaviours, especially if concomitantly drinking alcohol or taking drugs. PMID: 29464232 [PubMed - in process] (Source: Australian Family Physician)
Source: Australian Family Physician - December 1, 2017 Category: Primary Care Authors: Nguyen NT, Subasinghe AK, Wark JD, Reavley N, Garland SM Tags: Aust Fam Physician Source Type: research

Understanding the decision to commence a dose administration aid.
This study highlights the role of individual autonomy, close relatives and pharmacy staff in decisions to commence using a DAA. Tablets included in DAAs can take priority over inhaled and injected medications. GPs have an important role in ensuring that commencing a DAA helps empower patients to improve their healthcare management and does not inhibit communication between patient, doctor and pharmacist. PMID: 29464233 [PubMed - in process] (Source: Australian Family Physician)
Source: Australian Family Physician - December 1, 2017 Category: Primary Care Authors: Barton E, Twining L, Walters L Tags: Aust Fam Physician Source Type: research

You should get that mole checked out: Ethical and legal considerations of the unsolicited clinical opinion.
DISCUSSION: The application of professional and ethical standards may require the doctor to act in some way to alert the person of their findings in a context whereby there is no defined positive duty to do so in Australian law. The degree to which the doctor is ethically obligated to provide an unsolicited dermatological opinion is affected by numerous and, oftentimes, competing factors. PMID: 29464234 [PubMed - in process] (Source: Australian Family Physician)
Source: Australian Family Physician - December 1, 2017 Category: Primary Care Authors: Adler NR, Mahar PD, Kelly JW Tags: Aust Fam Physician Source Type: research

Occupational violence and staff safety in general practice.
DISCUSSION: The majority of doctors have experienced aggression or violence in their workplaces in the past 12 months. Risks for violence include elements of workplace design, policy and procedures, and client factors. A series of practical tools designed to assist the assessment and management of risk of occupational violence are discussed. PMID: 29464235 [PubMed - in process] (Source: Australian Family Physician)
Source: Australian Family Physician - December 1, 2017 Category: Primary Care Authors: Moylan S Tags: Aust Fam Physician Source Type: research

AFP reviewers 2017.
Authors: PMID: 29464236 [PubMed - in process] (Source: Australian Family Physician)
Source: Australian Family Physician - December 1, 2017 Category: Primary Care Tags: Aust Fam Physician Source Type: research

Strategies for Increasing the Role of Family Medicine in Mexican Health Care Reform.
ith F Abstract There is little or no role for primary care and family medicine in current health reforms in Mexico. However, robust evidence shows that primary care helps prevent morbidity and mortality and increases health equity. Mexico has participated in several international meetings sponsored by the World Organization of National Colleges, Academies and Academic Associations and the North American Primary Care Research Group that are aimed at increased understanding of national health systems and the need to strengthen primary care for improved health outcomes. From 1 of these meetings the Cancún Mani...
Source: Australian Family Physician - November 1, 2017 Category: Primary Care Authors: Ramírez Aranda JM, van Weel C, Goodyear-Smith F Tags: J Am Board Fam Med Source Type: research

Pericarditis.
This article describes in detail the common features, management and complications of pericarditis in the general practice setting. DISCUSSION: Characteristic clinical findings in pericarditis include pleuritic chest pain and pericardial friction rub on auscultation of the left lower sternal border. Electrocardiography may reveal diffuse PR-segment depressions and diffuse ST-segment elevations with upward concavity. The most common aetiologies of pericarditis are idiopathic and viral, and the most common treatment for these are nonsteroidal anti-inflammatory drugs and colchicine. The complications of pericarditis incl...
Source: Australian Family Physician - November 1, 2017 Category: Primary Care Authors: Rahman A, Saraswat A Tags: Aust Fam Physician Source Type: research

Pulmonary embolism An update.
This article reviews the approach to the diagnostic assessment and management of patients with suspected pulmonary embolism. DISCUSSION: Various clinical decision rules and algorithms are available to assist in the diagnosis of pulmonary embolism, and the Wells score and Pulmonary Embolism Rule-out Criteria rule are presented in this article. The utility of D-dimer testing and the role of imaging to confirm the diagnosis are also discussed. Treatment options once pulmonary embolism is confirmed are presented. PMID: 29101916 [PubMed - in process] (Source: Australian Family Physician)
Source: Australian Family Physician - November 1, 2017 Category: Primary Care Authors: Doherty S Tags: Aust Fam Physician Source Type: research

Troponin testing in the primary care setting.
This article will discuss the role of troponin testing in the diagnosis of ACS, and the role of high-sensitive troponin, which is now in widespread use. The importance of clinical acumen in the interpretation of troponin testing and the pitfalls of troponin testing in the primary care setting will also be explored. DISCUSSION: Patients should be promptly referred to the hospital when there is a high clinical suspicion of ACS. This is to ensure early diagnosis, provide specialist care and minimise the risk of complications. For patients who present with suspected ACS, troponin testing in the community should not delay ...
Source: Australian Family Physician - November 1, 2017 Category: Primary Care Authors: Mauro MS, Nelson AJ, Stokes MB Tags: Aust Fam Physician Source Type: research

Diverticular disease practice points.
The objectives of this article are to evaluate the literature regarding dietary factors and diverticular disease, routine colonoscopy and antibiotic treatment in acute diverticulitis, to enable primary care physicians to manage patients and provide sound advice after hospital admission. DISCUSSION: Diverticulitis can often be managed in the community by general practitioners, but the necessity of antibiotics may not be definitive. When patients do require hospital admission, advice and management of patient lifestyle factors after admission, and investigations to rule out red flags are crucial. These elements of patie...
Source: Australian Family Physician - November 1, 2017 Category: Primary Care Authors: McSweeney W, Srinath H Tags: Aust Fam Physician Source Type: research

Early detection of eating disorders in general practice.
DISCUSSION: Eating disorders are complex, potentially life-threatening illnesses with significant medical and psychosocial consequences. Early detection and intervention can significantly contribute to better outcomes, and GPs are ideally placed to effect this. PMID: 29101919 [PubMed - in process] (Source: Australian Family Physician)
Source: Australian Family Physician - November 1, 2017 Category: Primary Care Authors: Rowe E Tags: Aust Fam Physician Source Type: research

Painful bilateral lower limb swelling in an elderly female.
PMID: 29101920 [PubMed - in process] (Source: Australian Family Physician)
Source: Australian Family Physician - November 1, 2017 Category: Primary Care Authors: Chan L, Lee K, Cook D Tags: Aust Fam Physician Source Type: research

Unilateral diffuse lung opacification in an asymptomatic woman.
PMID: 29101921 [PubMed - in process] (Source: Australian Family Physician)
Source: Australian Family Physician - November 1, 2017 Category: Primary Care Authors: Khajotia RR, Raman S Tags: Aust Fam Physician Source Type: research

Osteosarcopenia: A new geriatric syndrome.
DISCUSSION: The most important aspects of osteosarcopenia are discussed here. These include pathogenesis, prevalence, diagnostic criteria, management and follow-up. Finally, the role of multidisciplinary clinics for the care of patients with osteosarcopenia is discussed in brief. PMID: 29101922 [PubMed - in process] (Source: Australian Family Physician)
Source: Australian Family Physician - November 1, 2017 Category: Primary Care Authors: Hassan EB, Duque G Tags: Aust Fam Physician Source Type: research

A non-healing ulcer in a healthy young woman.
PMID: 29101923 [PubMed - in process] (Source: Australian Family Physician)
Source: Australian Family Physician - November 1, 2017 Category: Primary Care Authors: Loftus MJ, Gates RJ, Crouch S, Sutton B, Johnson PD Tags: Aust Fam Physician Source Type: research

The challenge of liver cancer surveillance in general practice: Do recall and reminder systems hold the answer?
The objective of this study was to measure participation and adherence to liver cancer HCC surveillance in eligible patients in a community health centre, following support from the Integrated Hepatitis B Service (IHBS). METHODS: A retrospective analysis of the medical records of patients with CHB who met the indications for HCC surveillance over a 4.5-year period of IHBS involvement was conducted. Data collected included the date of ultrasound examinations and HBV DNA viral load tests. RESULTS: Sixty-seven patients underwent HCC surveillance, representing 213 person years. The participation rate was 75%. Adheren...
Source: Australian Family Physician - November 1, 2017 Category: Primary Care Authors: Allard N, Cabrie T, Wheeler E, Richmond J, MacLachlan J, Emery J, Furler J, Cowie B Tags: Aust Fam Physician Source Type: research