abstract：BACKGROUND:The use of alcohol and illicit substances is high among people with mental illnesses. Clinicians experience a range of complex issues while treating such patients. OBJECTIVE:This article provides a brief overview of the problem of substance abuse comorbidity in people with a major mental illness. It outline...

journal_title：Australian family physician

authors： Pawsey B,Castle D

更新日期：2006-03-01 00:00:00

abstract：UNLABELLED:PHCRED funds a number of 'research clinicians' who choose a project to research for a year. This article explores one researcher's perspective of the transition from clinician to researcher, including motivation for researching, challenges of research and hopes for research. CONCLUSION:research is engrossin...

journal_title：Australian family physician

authors： Galea ML

更新日期：2006-03-01 00:00:00

abstract：BACKGROUND:Recent government funding initiatives have increased the number of nurses in general practice and the range of tasks undertaken by them. These nurses are trained, professionally regulated health care professionals who can make a significant contribution to the work of the practice. OBJECTIVE:Approaches are ...

journal_title：Australian family physician

authors： Walker L

更新日期：2006-01-01 00:00:00

abstract：:There is an increased awareness of the words 'resilience' and 'spiritual' in both the community and the media. This has introduced the need for a new dimension of clinical care that can be addressed by considering the implications of 'resilience promotion'. ...

journal_title：Australian family physician

authors： Lloyd M

更新日期：2006-01-01 00:00:00

abstract：INTRODUCTION:Illicit drug use is a significant problem within Australia. However, GPs are reluctant to treat these problems due to a perceived lack of knowledge and confidence. METHOD:All advanced general practice registrars training through the Victorian Metropolitan Alliance in 2004 attended a 1 day pilot addiction ...

journal_title：Australian family physician

authors： Jansen C,Grinzi P,Monheit B,Parker R

更新日期：2005-12-01 00:00:00

abstract：:The BEACH program, a continuous national study of general practice activity in Australia, gives us an overview of consultations in general practice involving the management of epilepsy. Participating general practitioners recorded the problem as 'epilepsy' in 90% of cases, while 'grand mal' was specified at about 4% o...

journal_title：Australian family physician

authors： Charles J,Ng A,Britt H

更新日期：2005-12-01 00:00:00

abstract：:Communication skills courses are an essential component of undergraduate and postgraduate training and effective communication skills are actively promoted by medical defence organisations as a means of decreasing litigation. This article discusses active listening, a difficult discipline for anyone to practise, and e...

journal_title：Australian family physician

authors： Robertson K

更新日期：2005-12-01 00:00:00

abstract：:This ninth article in our series on breast disease will focus on ductal carcinoma in situ of the breast--a proliferation of potentially malignant cells within the lumen of the ductal system. An overview of the management of ductal carcinoma in situ including pathology, clinical presentation and relevant investigations...

journal_title：Australian family physician

authors： Stuart K,Boyages J,Brennan M,Ung O

更新日期：2005-11-01 00:00:00

abstract：BACKGROUND:The Identifying Depression as a Comorbid Condition (IDACC) study aimed to identify depressive symptoms in hospitalised cardiac patients and support management of depression in general practice. OBJECTIVE:This post hoc analysis of the IDACC trial examines the effectiveness and practicality of different forms...

journal_title：Australian family physician

authors： Wade V,Cheok F,Schrader G,Hordacre AL,Marker J

更新日期：2005-11-01 00:00:00

abstract：BACKGROUND:The Royal Australian College of General Practitioners (RACGP) has worked with funding from the Australian government to improve support and training for general practitioners working in Aboriginal and Torres Strait Islander communities. OBJECTIVE:This article outlines the role being played by the RACGP and ...

journal_title：Australian family physician

authors： Reath J

更新日期：2005-10-01 00:00:00

abstract：:Fever in children is a common presenting problem in general practice, and its assessment and management are steeped in habits and teaching from the past. Evidence now suggests that treating fever is not based on the evidence that we thought--that the use of drugs has little effect both on the course of disease and the...

journal_title：Australian family physician

authors： Pearce C,Curtis N

更新日期：2005-09-01 00:00:00

abstract：BACKGROUND:Facial pain is a relatively frequent cause of presentation to both general medical and dental practitioners. Although in the vast majority of cases the cause is dental disease or tempero-mandibular joint dysfunction, the remaining patients are often difficult to diagnose and treat. OBJECTIVE:This article di...

journal_title：Australian family physician

authors： Quail G

更新日期：2005-08-01 00:00:00

abstract：:This second article in a 2 part series exploring the issues around the use of complementary and alternative medicine (CAM) in the Australian general practice context gives an overview of the available evidence for the benefits and risks of CAM, and how to access that evidence. It also outlines an approach to addressin...

journal_title：Australian family physician

authors： Kotsirilos V

更新日期：2005-08-01 00:00:00

abstract：:The BEACH program, a continuous national study of general practice activity in Australia, gives us an overview of the consultations in general practice involving a patient presentation of shortness of breath. This provides a backdrop against which articles in this issue of Australian Family Physician can be further co...

journal_title：Australian family physician

authors： Charles J,Ng A,Britt H

更新日期：2005-07-01 00:00:00

abstract：:An understanding of breast pathology is essential when caring for women with breast disease. Part five of this series discusses the spectrum of common benign and malignant conditions including the distinction between invasive and noninvasive breast cancer. It also aims to increase the general practitioner's confidence...

journal_title：Australian family physician

authors： Bilous M,Brennan M,French J,Boyages J

更新日期：2005-07-01 00:00:00

abstract：BACKGROUND:Smoking is the largest single preventable cause of death and disease in Australia. Tobacco smoking causes an estimated 19 000 deaths and 142 500 hospital admissions per year. Approximately 23% of the population are smokers. Patients see general practitioners as having a key and supportive role in smoking ces...

journal_title：Australian family physician

authors： Litt J

更新日期：2005-06-01 00:00:00

abstract：:General practitioners are often the 'first port of call' for patients with a range of mental health problems, many of whom have a history of trauma or loss. Exposure to emotionally difficult situations puts them at risk of burnout and compassion fatigue. Balint groups are groups of GPs, usually facilitated by a psychi...

journal_title：Australian family physician

authors： Benson J,Magraith K

更新日期：2005-06-01 00:00:00

abstract：BACKGROUND:The requirement for general practitioners to write reports about their patients' fitness to drive will increase as the population ages and licensing criteria change. It is important that GPs understand the medical and legal issues involved in this important area of public health. OBJECTIVE:This two part art...

journal_title：Australian family physician

authors： Odell M

更新日期：2005-05-01 00:00:00

abstract：BACKGROUND:Irritable bowel syndrome (IBS) a common worldwide problem, particularly women, and presents from the teenage years onward. OBJECTIVE:This article discusses the causes, diagnosis and management of IBS. DISCUSSION:Disturbed motility and sensory function underlie much of the disturbance in function that, not ...

journal_title：Australian family physician

authors： Bolin TD

更新日期：2005-04-01 00:00:00

abstract：BACKGROUND:Mild traumatic brain injury (MTBI) is the commonest type of brain injury. It is sometimes difficult to select patients who require ongoing follow up to avoid the sequelae of MTBI. OBJECTIVE:This article outlines the diagnosis and management of MTBI using case vignettes. DISCUSSION:General practitioners sho...

journal_title：Australian family physician

authors： Olver J

更新日期：2005-04-01 00:00:00

abstract：BACKGROUND:During the course of their cancer treatment, patients have to deal with a number of health professionals. We investigated patients' perceptions of the role of the general practitioner, with particular reference to GPs' ability to manage patients' cancer outside of the hospital setting. METHOD:We took a phen...

journal_title：Australian family physician

authors： Bulsara C,Ward AM,Joske D

更新日期：2005-04-01 00:00:00

abstract：:Public health and medicine have evolved into different disciplines with (at times) competing values and philosophies. The public health role in general practice is expanding. This article reviews the interface between population health, public health, and 'new' public health and general practice, and suggests educatio...

journal_title：Australian family physician

authors： Fraser J

更新日期：2005-03-01 00:00:00

abstract：BACKGROUND:Child psychiatry is a highly specialised practice and many general practitioners are uncertain how to manage a child who might require such intervention. OBJECTIVE:This article provides some guidelines regarding referral and ongoing collaboration, but it is important to remember that each child psychiatrist...

journal_title：Australian family physician

authors： England R

更新日期：2004-12-01 00:00:00

abstract：BACKGROUND:Dysfunctional uterine bleeding (DUB) is the major cause of heavy menstrual bleeding and impacts on women's health both medically and socially. OBJECTIVE:This article reviews the management of DUB. DISCUSSION:Dysfunctional uterine bleeding is defined as heavy menstrual uterine bleeding not due to any recogn...

journal_title：Australian family physician

authors： Farrell E

更新日期：2004-11-01 00:00:00

abstract：BACKGROUND:The accuracy of sphygmomanometers used in Australian general practice is unknown but potentially important. METHOD:We measured the accuracy of sphygmomanometers in general practice in the Hunter region of New South Wales using a gold standard. Practices were recruited by an advertisement in the division new...

journal_title：Australian family physician

authors： Shah NC,Sibbritt DW,Heaney S,Sharples J

更新日期：2004-11-01 00:00:00

abstract：BACKGROUND:Prescribing medications to older people is difficult due to comorbidity, limited evidence for efficacy, increased risk of adverse drug reactions, polypharmacy, and altered pharmacokinetics. OBJECTIVE:This article describes the principles underlying clinical geriatric pharmacology including approaches to eva...

journal_title：Australian family physician

authors： Le Couteur DG,Hilmer SN,Glasgow N,Naganathan V,Cumming RG

更新日期：2004-10-01 00:00:00

abstract：BACKGROUND:Poststroke depression (PSD) is common and often unrecognised. The diagnosis can be difficult due to deficits of stroke such as impaired self reporting and cognition, poor insight and dysphasia. Untreated PSD can interfere with recovery and adversely affect functional and social outcomes. OBJECTIVE:This arti...

journal_title：Australian family physician

authors： Khan F

更新日期：2004-10-01 00:00:00

abstract：BACKGROUND:Changing general practice workforce characteristics, with fewer people prepared to work excessive hours, mean that both teachers and learners need greater flexibility in their approach. OBJECTIVE:This article describes the strategies one practice has used in aiming for optimum and stimulating medical educat...

journal_title：Australian family physician

authors： Birks J,Farrell E,Newson A

更新日期：2004-09-01 00:00:00

abstract：:Case histories are based on actual medical negligence claims, however, certain facts have been omitted or changed by the author to ensure the anonymity of the parties involved. Medical negligence claims alleging 'failure to diagnose' are a common cause of claims and complaints against general practitioners. This artic...

journal_title：Australian family physician

authors： Bird S

更新日期：2004-09-01 00:00:00

abstract：BACKGROUND:Quinine is commonly prescribed to the elderly for the treatment of benign nocturnal cramps, yet its use is not without complications. OBJECTIVE:This article presents a case of quinine toxicity producing bilateral blindness, followed by a review of the adverse reactions associated with quinine use and its ef...

journal_title：Australian family physician

authors： Townend BS,Sturm JW,Whyte S

更新日期：2004-08-01 00:00:00

abstract：OBJECTIVE:To describe undergraduate formal training on immunisation as remembered by general practice registrars and its perceived helpfulness. SETTING AND METHODS:Self completed questionnaire by all general practice registrars in advanced general practice terms (second 6 months of general practice) in New South Wales...

journal_title：Australian family physician

authors： Leask J,Williams A,McIntyre P,O'Dea D

更新日期：2004-08-01 00:00:00

abstract：BACKGROUND:Back pain is a common presenting problem in Australian general practice. Serious causes, however, are rare. Tumours, infections and fractures account for less than 1% of cases and can usually can be recognised or excluded by taking a careful history. Patients should expect a good outcome. OBJECTIVE:This art...

journal_title：Australian family physician

authors： Wilk V

更新日期：2004-06-01 00:00:00

abstract：:The long term aim of general practice teaching is to train competent general practitioners to provide high quality care to patients in any setting. The Royal Australian College of General Practitioners' (RACGP) curriculum sets educational outcomes for postgraduate general practice training programs throughout Australi...

journal_title：Australian family physician

authors： Fraser J

更新日期：2004-06-01 00:00:00

abstract：BACKGROUND:Pertussis (whooping cough) is a highly infectious, preventable disease, which causes significant morbidity and mortality. OBJECTIVE:This article discusses the presentations, investigations and management of cases and their contacts. DISCUSSION:Maternal antibody does not confer protection to the infant so b...

journal_title：Australian family physician

authors： Frydenberg A,Starr M

更新日期：2004-05-01 00:00:00

abstract：BACKGROUND:The funnel web spiders, encompassed within the genera Atrax and Hadronyche, are the most dangerous spiders in the world. Although the incidence of envenomation is low, funnel web spiders remain a cause of considerable public concern. However, most common spider bites produce only minor effects-requiring only...

journal_title：Australian family physician

authors： Nimorakiotakis B,Winkel KD

更新日期：2004-04-01 00:00:00

abstract：BACKGROUND:Pain and stiffness of the shoulder is a common complaint, particularly in the 40-80 years age group. There are several causes of painful, stiff shoulders, but the most common cause in the fifth decade of life is idiopathic capsulitis ('frozen shoulder'). OBJECTIVE:This article summarises the functional anat...

journal_title：Australian family physician

authors： Bhargav D,Murrell GA

更新日期：2004-03-01 00:00:00

abstract：BACKGROUND:Burning pain in the feet has been known to occur as a distinct clinical symptom for almost two centuries. Despite being a common and fascinating clinical entity, this syndrome has received scant attention in the medical literature and has been described only in anecdotal reports. OBJECTIVE:This article desc...

journal_title：Australian family physician

authors： Makkar RP,Arora A,Monga A,Gupta AK,Mukhopadhyay S

更新日期：2003-12-01 00:00:00

abstract：BACKGROUND:Fatigue or excessive tiredness of body or mind is a common presenting problem in general practice. OBJECTIVE:This article provides a diagnostic model for the diagnosis of fatique in general practice. DISCUSSION:Fatigue is not a diagnosis but rather a symptom. Fatigue is interchangeable with terms such as t...

journal_title：Australian family physician

authors： Murtagh J

更新日期：2003-11-01 00:00:00

abstract：BACKGROUND:Parkinson disease (PD) is a neurodegenerative disorder that increases sharply after the sixth decade. There are many disorders in the elderly that exhibit some parkinsonian signs that can be confused with PD. OBJECTIVE:This article discusses the diagnostic and management issues of PD in the elderly patient....

journal_title：Australian family physician

authors： Chan DK

更新日期：2003-11-01 00:00:00

abstract：BACKGROUND:Infectious mononucleosis is caused by the ubiquitous Epstein-Barr virus. It is a common condition usually affecting adolescents and young adults. Most cases are mild to moderate in severity with full recovery taking place over several weeks. More severe cases and unusual complications occasionally occur. OB...

journal_title：Australian family physician

authors： Charles PG

更新日期：2003-10-01 00:00:00