abstract：BACKGROUND:Congenital talipes equinovarus--or clubfoot--is a common paediatric condition of unknown cause. OBJECTIVE:This article presents two case studies and outlines the diagnosis, treatment, referral pathways and expected outcomes in patients with clubfoot. DISCUSSION:A significant change in treatment has occurre...

journal_title：Australian family physician

authors： Gray K,Gibbons P

更新日期：2012-05-01 00:00:00

abstract：:From April 2010 to March 2011 in BEACH (Bettering the Evaluation and Care of Health), sprains and strains were managed at a rate of 14 per 1000 encounters, suggesting an average 1.7 million sprain/strain patient-doctor encounters nationally per year. ...

journal_title：Australian family physician

authors： Charles J,Valenti L,Miller G

更新日期：2012-04-01 00:00:00

abstract：BACKGROUND:Hand injuries are a common presentation to general practice and optimal hand function is essential for good quality of life. OBJECTIVE:This article outlines an approach to the initial assessment of hand injuries, explains the principles of management and provides an overview of common hand injuries. DISCUS...

journal_title：Australian family physician

authors： Eddy M

更新日期：2012-04-01 00:00:00

abstract：BACKGROUND:The scientific literature related to vitamin D and bone health in older adults is extensive. OBJECTIVE:This article aims to summarise key practice points regarding vitamin D and bone health in older adults, relevant to general practitioners, and to provide an overview of the background literature to enable ...

journal_title：Australian family physician

authors： Winzenberg T,van der Mei I,Mason RS,Nowson C,Jones G

更新日期：2012-03-01 00:00:00

abstract：BACKGROUND:In 2010, the federal government introduced the first comprehensive national policy statement for primary healthcare in Australia. This policy identifies key reform initiatives with the overall aim of improving the quality of healthcare. However, what constitutes quality and how to measure it is the subject o...

journal_title：Australian family physician

authors： Gardner K,Mazza D

更新日期：2012-03-01 00:00:00

abstract：BACKGROUND:Due to the projected increase of medical graduates and general practice registrars, a rapid increase in new trainers and practices is required. The resulting mix of relatively inexperienced trainers and trainees makes the examination of the important question of patient safety even more pertinent. OBJECTIVE...

journal_title：Australian family physician

authors： Byrnes PD,Crawford M,Wong B

更新日期：2012-01-01 00:00:00

abstract：BACKGROUND:In the United Kingdom, the General Medical Council aims to introduce revalidation for all medical doctors from 2012, in response to public and government pressure. Doctors will submit evidence to support their fitness to practise medicine every 5 years in relation to the four domains and 12 attributes of goo...

journal_title：Australian family physician

authors： Thistlethwaite J,Charlton R,Coomber J

更新日期：2012-01-01 00:00:00

abstract：:From April 2001 to March 2011 in BEACH, multiple sclerosis(MS) was managed at a rate of 0.9 per 1000 general practice encounters, suggesting an average 98 000 multiple sclerosis general practice patient encounters per year nationally. ...

journal_title：Australian family physician

authors： Charles J,Valenti L,Britt H

更新日期：2011-12-01 00:00:00

abstract：BACKGROUND:In Australia, primary healthcare is largely delivered through two parallel systems: Medicare supported primary care delivered by fee-for-service general practitioners, and state funded and managed community health services. METHODS:Semistructured interviews with 18 GPs to investigate the current links betwe...

journal_title：Australian family physician

authors： Wiese M,Jolley G,Baum F,Freeman T,Kidd M

更新日期：2011-12-01 00:00:00

abstract：:Unintended pregnancies have significant social, health and financial costs. Importantly, there is surprisingly little information available about the prevalence of unintended pregnancy in Australia. We are currently investigating unintended pregnancy and access to contraception among women aged 18-23 years in rural an...

journal_title：Australian family physician

authors： Lucke J,Herbert D,Loxton D,Weisberg E

更新日期：2011-11-01 00:00:00

abstract：:The problem of violence directed toward general practitioners and their practice staff is acknowledged worldwide. In Australia, the tragic 2006 murder of a Melbourne GP while practising in her surgery highlighted the seriousness of the issue. ...

journal_title：Australian family physician

authors： Magin P,Adams J

更新日期：2011-11-01 00:00:00

abstract：:Antenatal screening is performed in the first or second trimester to determine whether a pregnant woman's baby has an increased risk of having Down syndrome (a chromosomal abnormality affecting one in 500 pregnancies), Edward syndrome (one in 3000) or open neural tube defects (one in 750). First trimester screening co...

journal_title：Australian family physician

authors： Bonacquisto L

更新日期：2011-10-01 00:00:00

abstract：BACKGROUND:Prevention of vascular disease is an important and challenging role for general practice. Various professional bodies in Australia have published best practice guidelines that address the major behavioural and physiological risk factors for vascular disease. Although these guidelines provide consistent advic...

journal_title：Australian family physician

authors： Christl B,Lloyd J,Krastev Y,Litt J,Harris MF

更新日期：2011-10-01 00:00:00

abstract：BACKGROUND:Alcohol has long been an integral part of the social life of many Australians. However, alcohol is associated with significant harm to drinkers, and also to nondrinkers. OBJECTIVE:This article explores the role of the general practitioner in the detection and assessment of problem drinking. DISCUSSION:Exce...

journal_title：Australian family physician

authors： Demirkol A,Haber P,Conigrave K

更新日期：2011-08-01 00:00:00

abstract：:Tudor Hart's Inverse Care Law classically described the inequity in medical service access in South Wales. From his primary care perspective, the availability of good medical care varied inversely with the need and the population served. In Australia, future funding for primary care research capacity building appears ...

journal_title：Australian family physician

authors： Brett T

更新日期：2011-08-01 00:00:00

abstract：BACKGROUND:Psoriasis is one of the more common rashes presenting to general practice. OBJECTIVE:This article outlines the assessment and management of psoriasis in the general practice setting. DISCUSSION:Careful clinical assessment will usually lead to a diagnosis of psoriasis. Management starts with education, life...

journal_title：Australian family physician

authors： Clarke P

更新日期：2011-07-01 00:00:00

abstract：:As Australia's population ages, three things are inevitable: more people will develop chronic illnesses; more will grow very ill and more will die. Blueprints for the future suggest an increasingly important role for general practitioners and primary healthcare in palliative care. ...

journal_title：Australian family physician

authors： Mitchell GK

更新日期：2011-07-01 00:00:00

abstract：:BACKGROUND Risk assessment of patients in general practice is a challenging area of clinical practice. Competing interests of managing patient wishes, consideration of duty to warn others and invoking the Mental Health Act while practising in a medicolegally accountable manner can be difficult. OBJECTIVE This article ...

journal_title：Australian family physician

authors： Balaratnasingam S

更新日期：2011-06-01 00:00:00

abstract：:The recent reaction from the scientific community to the proposed $400 million cut to the National Health and Medical Research Council (NHMRC) budget highlights the importance of adequate funding for research. While there has been significant growth in research dollars in recent years, as a percentage of gross domesti...

journal_title：Australian family physician

authors： Stocks N

更新日期：2011-06-01 00:00:00

abstract：:Opportunity cost and trade-off - similar concepts with slightly different meanings and definitions in different fields - are concepts that we were all probably first exposed to as a toddler. For most women however, opportunity cost and trade-off is a part of their daily lives as they try to balance their needs, includ...

journal_title：Australian family physician

authors： O'Shea C

更新日期：2011-05-01 00:00:00

abstract：BACKGROUND:Polymyalgia rheumatica (PMR) is a common inflammatory rheumatic disease and an indication for long term treatment with oral steroids. Its incidence rises progressively beyond the age of 50 years. For the most part, PMR is managed in primary care. OBJECTIVE:This article highlights the main points in the Brit...

journal_title：Australian family physician

authors： van Hecke O

更新日期：2011-05-01 00:00:00

abstract：:Welcome to an issue of Australian Family Physician that is particularly close to my heart. My son has an intellectual disability, and I understand firsthand the importance and challenges of maintaining optimal health in this group of patients. ...

journal_title：Australian family physician

authors： Tracy J

更新日期：2011-04-01 00:00:00

abstract：BACKGROUND:Eating disorders are complex illnesses that impact on both the physical and socio-emotional health of young people, and contribute to significant morbidity. Dieting behaviours and body image concerns are common in adolescence and it can be challenging to identify those at the extreme end of this spectrum who...

journal_title：Australian family physician

authors： Yeo M,Hughes E

更新日期：2011-03-01 00:00:00

abstract：BACKGROUND:Management of recurrent vulvovaginal candidiasis can be problematic, and current guidelines are limited by scant evidence. METHOD:The authors found no research on how clinicians manage this condition and whether existing guidelines were followed. To ascertain how recurrent vulvovaginal candidiasis is manage...

journal_title：Australian family physician

authors： Watson C,Pirotta M

更新日期：2011-03-01 00:00:00

abstract：BACKGROUND:A general practice in inner city Melbourne (Victoria), committed to ensuring quality standards of clinical care, developed a process for peer review of their doctors' performance. The aim was to ensure that there was a robust and fair process for evaluation of doctor performance from both a safety point of v...

journal_title：Australian family physician

authors： Rutherford A

更新日期：2011-01-01 00:00:00

abstract：:This article forms part of our 'Paperwork' series for 2011, providing information about a range of paperwork that general practitioners complete regularly. The aim of the series is to provide information on the purpose of the paperwork, and hints on how to complete it accurately. This will allow the GP to be more effi...

journal_title：Australian family physician

authors： Bird S

更新日期：2011-01-01 00:00:00

abstract：BACKGROUND:Acute pulmonary oedema is a life threatening emergency that requires immediate intervention with a management plan and an evidence based treatment protocol. OBJECTIVE:This article describes the features, causes, prevalence and prognosis of heart failure and the management of acute pulmonary oedema. DISCUSS...

journal_title：Australian family physician

authors： Baird A

更新日期：2010-12-01 00:00:00

abstract：BACKGROUND:Patients are not always fully aware of the details of their assessment and management plan detailed in the letter sent from the specialist to the general practitioner following referral. One approach to solving this problem is for the specialist to copy the GP reply letter to the patient. OBJECTIVE:To deter...

journal_title：Australian family physician

authors： Selzer R,McGartland M,Foley FM,Fitzgerald PB,Ellen S,Blashki G,Lee SJ

更新日期：2010-12-01 00:00:00

abstract：:Current Australian health, hospital and primary care reforms, emphasise e-health strategies, including online communities and the electronic Person Controlled Health Record (ePCHR), as a means to improving patient support and self management of chronic disease. However, the benefits and risks of these tools to general...

journal_title：Australian family physician

authors： Liaw ST,Lau A,Dennis S

更新日期：2010-11-01 00:00:00

abstract：BACKGROUND:Practice based research networks comprise research academics and primary care practitioners who have the mutual goal of supporting the development and implementation of research that is necessary to build the evidence base that informs both primary healthcare practitioners and policy makers. This article des...

journal_title：Australian family physician

authors： Soós M,Temple-Smith M,Gunn J,Johnston-Ata'Ata K,Pirotta M

更新日期：2010-11-01 00:00:00

abstract：:The proportion of the Australian population aged 65 years or more increased from 12.5% in 2001 to 13.3% in 2009. This aging of the population will increasingly pose challenges to the public health system. In BEACH (Bettering the Evaluation and Care of Health), between April 2001 and March 2002, and April 2008 and Marc...

journal_title：Australian family physician

authors： Valenti L,Britt H

更新日期：2010-10-01 00:00:00

abstract：BACKGROUND:Bone mineral density is presently the only reliable diagnostic test for osteoporosis. METHODS:Using quantitative questionnaires, general practitioners prospectively evaluated their own investigation and treatment of osteoporosis in patients aged more than 70 years. RESULTS:Data are available for 114 GPs; 2...

journal_title：Australian family physician

authors： Inderjeeth C,Smeath A

更新日期：2010-10-01 00:00:00

abstract：:The past couple of months have seen Australia gripped by election fever, with political parties and advocacy groups jostling to capture as many potential voters as possible. One factor of interest in an otherwise bland election campaign was the emergence of internet based social media tools, such as Facebook, twitter,...

journal_title：Australian family physician

authors： Daniel D

更新日期：2010-09-01 00:00:00

abstract：BACKGROUND:The range of oral hypoglycaemic agents (OHAs) has increased from one insulin sensitiser (metformin) and one class of insulin secretagogues (sulphonylureas) with the addition of further class of insulin secretagogues (glitinides), a further class of insulin sensitisers (glitazones) and two new classes: an alp...

journal_title：Australian family physician

authors： Phillips PJ,Twigg SM

更新日期：2010-09-01 00:00:00

abstract：BACKGROUND:Many patients with type 2 diabetes need to progress to insulin use when oral glucose lowering therapies fail to maintain adequate glycaemic control. OBJECTIVE:To suggest when and how to initiate insulin therapy for patients with type 2 diabetes in the primary care setting. DISCUSSION:In general, initiation...

journal_title：Australian family physician

authors： MacIsaac R,Cheung A,Jerums G

更新日期：2010-08-01 00:00:00

abstract：BACKGROUND:Warfarin is a commonly used medication for the prevention and treatment of venous thromboembolism. It can be challenging for both the patient and the prescriber to manage at times. OBJECTIVE:To describe the mechanism of action of warfarin, and to discuss the indications for warfarinisation, the risks associ...

journal_title：Australian family physician

authors： Tadros R,Shakib S

更新日期：2010-07-01 00:00:00

abstract：:There has been a lot of talk in 2010 about the bottom line of health care expenditure in Australia, and how we as a community manage, control and allocate the available health care dollar. ...

journal_title：Australian family physician

authors： Parsons J

更新日期：2010-06-01 00:00:00

abstract：BACKGROUND:Overweight and obesity was responsible for 7.5% of the total burden of disease and injury in Australia in 2003, and was estimated in 2008 to cost the community $58.2 billion. More than half of the adult, and up to a third of the child, population in Australia is now classified as overweight or obese. OBJECT...

journal_title：Australian family physician

authors： Clark A,Franklin J,Pratt I,McGrice M

更新日期：2010-06-01 00:00:00

abstract：:In this analysis we used BEACH (Bettering the Evaluation and Care of Health) encounters with children aged 0-14 years from January 2008 to December 2009. Croup was managed 276 times during that period (at 1.2% of 23 016 encounters with children in this age group). This suggests that croup is managed in general practic...

journal_title：Australian family physician

authors： Charles J,Britt H,Fahridin S

更新日期：2010-05-01 00:00:00

abstract：BACKGROUND:The prevalence of asthma is high in Australia. Despite national guidelines recommending the use of an Asthma Action Plan only 22.5% of people with asthma had a plan in 2004-2005. METHODS:To ascertain the effect on attendance for an annual Asthma Cycle of Care resulting in an Asthma Action Plan, a retrospect...

journal_title：Australian family physician

authors： Byrnes P,McGoldrick C,Crawford M

更新日期：2010-05-01 00:00:00