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Specialty: General Medicine
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Total 284 results found since Jan 2013.

Taking the first step: protocol for a cluster randomised implementation trial comparing strategies on access to exercise programmes for people with knee osteoarthritis
Introduction This cluster randomised implementation trial will assess the effect of two behavioural change interventions on the proportion of people with structural knee osteoarthritis (OA) referred and attending exercise-based professionals (physiotherapists and exercise physiologists). The interventions are designed to increase awareness of guidelines, benefits and access pathways for exercise therapy. We hypothesise either strategy will result in more people with knee OA being referred and attending physiotherapy/exercise physiology than current standard of care. Methods and analysis We will recruit 30 radiology clinic...
Source: BMJ Open - August 11, 2023 Category: General Medicine Authors: Mills, K., Bowden, J. L., Boland, R., Pardey, M., Descallar, J., Naylor, J. M. Tags: Open access, Health services research Source Type: research

Topical ophthalmic anesthetics for corneal abrasions
CONCLUSIONS: Despite topical anesthetics providing excellent pain control in the intraoperative setting, the currently available evidence provides little or no certainty about their efficacy for reducing ocular pain in the initial 24 to 72 hours after a corneal abrasion, whether from unintentional trauma or surgery. We have very low confidence in this evidence as a basis to recommend topical anesthetics as an efficacious treatment modality to relieve pain from corneal abrasions. We also found no evidence of a substantial effect on epithelial healing up to 72 hours or a reduction in ocular complications when we compared ane...
Source: Cochrane Database of Systematic Reviews - August 9, 2023 Category: General Medicine Authors: Michael Sulewski Louis Leslie Su-Hsun Liu Cristos Ifantides Kyongjin Cho Irene C Kuo Source Type: research

Pain management in indigenous and tribal peoples: a scoping review protocol
Introduction Effective and culturally safe pain management can facilitate analgesia and improve the quality of life. Individualised, multimodal and multidisciplinary approaches are highly recommended. There exist gaps in the knowledge on pain management, in terms of the assessment and/or treatment, in indigenous peoples and the currently available information is scattered in the literature. A scoping review will provide an overview or evidence map on the variety of approaches used in different cultures, in different parts of the world. Methods and analysis The search strategy comprises three stages. The first stage identi...
Source: BMJ Open - August 9, 2023 Category: General Medicine Authors: Oliveira, P. R. d., Pereira, L. V., da Silva Carvalho Vila, V., Guimaraes Lemes, A., da Rocha, E. M., Ferreira, A. B., Borges, M. D. Tags: Open access, General practice / Family practice Source Type: research

Rapid access chest pain clinics in Australia and New Zealand
Med J Aust. 2023 Aug 6. doi: 10.5694/mja2.52043. Online ahead of print.ABSTRACTChest pain is the second most common reason for adult emergency department presentations. Most patients have low or intermediate risk chest pain, which historically has led to inpatient admission for further evaluation. Rapid access chest pain clinics represent an innovative outpatient pathway for these low and intermediate risk patients, and have been shown to be safe and reduce hospital costs. Despite variations in rapid access chest pain clinic models, there are limited data to determine the most effective approach. Developing a national fram...
Source: Medical Journal of Australia - August 6, 2023 Category: General Medicine Authors: Kenneth K Cho John K French Gemma A Figtree Clara K Chow Rebecca Kozor Source Type: research

What are the benefits and harms of different treatments for jellyfish stings?
The Cochrane Pain, Palliative and Supportive Care Group produced more than 300 reviews across a very wide range of topics. These include a review of the treatment of jelly fish stings, which was updated in June 2023. We asked lead author, Richard McGee from the Department of Paediatrics in Gosford Hospital in Australia to tell us more and he used an AI voice from elevenlabs.io to make the recording.
Source: Podcasts from The Cochrane Library - July 11, 2023 Category: General Medicine Authors: Cochrane Source Type: podcasts

Clinical outcomes and health care costs of transferring rural Western Australians for invasive coronary angiography, and a cost-effective alternative care model: a retrospective cross-sectional study
CONCLUSION: Many rural and remote Western Australians transferred for ICA in Perth have non-obstructive CAD and are medically managed. Providing CTCA as a first line investigation in rural centres could avert half of these transfers and be a cost-effective strategy for risk stratification of people with suspected CAD.PMID:37403443 | DOI:10.5694/mja2.52018
Source: Med J Aust - July 5, 2023 Category: General Medicine Authors: Mikhail Alexander Nick S R Lan Michael J Dallo Tom G Briffa Frank M Sanfilippo Andrew Hooper Helen Bartholomew Loletta Hii Graham S Hillis Brendan M McQuillan Girish Dwivedi James M Rankin Abdul Rahman Ihdayhid Source Type: research

Clinical practice guideline for deprescribing opioid analgesics: summary of recommendations
Med J Aust. 2023 Jun 25. doi: 10.5694/mja2.52002. Online ahead of print.ABSTRACTINTRODUCTION: Long term opioids are commonly prescribed to manage pain. Dose reduction or discontinuation (deprescribing) can be challenging, even when the potential harms of continuation outweigh the perceived benefits. The Evidence-based clinical practice guideline for deprescribing opioid analgesics was developed using robust guideline development processes and Grading of Recommendations, Assessment, Development and Evaluation (GRADE) methodology, and contains deprescribing recommendations for adults prescribed opioids for pain.MAIN RECOMMEN...
Source: Medical Journal of Australia - June 25, 2023 Category: General Medicine Authors: Aili V Langford Christine Cw Lin Lisa Bero Fiona M Blyth Jason Doctor Simon Holliday Yun-Hee Jeon Joanna Moullin Bridin Murnion Suzanne Nielsen Rawa Osman Jonathan Penm Emily Reeve Sharon Reid Janet Wale Carl R Schneider Danijela Gnjidic Source Type: research

Interventions for the symptoms and signs resulting from jellyfish stings
CONCLUSIONS: Few studies contributed data to this review, and those that did contribute varied in types of treatment, settings, and range of jellyfish species. We are unsure of the effectiveness of any of the treatments evaluated in this review given the very low certainty of all the evidence. This updated review includes two new studies (with 139 additional participants). The findings are consistent with the previous review.PMID:37272501 | PMC:PMC10240560 | DOI:10.1002/14651858.CD009688.pub3
Source: Cochrane Database of Systematic Reviews - June 5, 2023 Category: General Medicine Authors: Richard G McGee Angela C Webster Sharon R Lewis Michelle Welsford Source Type: research