abstract：INTRODUCTION:Programs involving hospitals and general practitioners (GPs) have become more commonplace, with a greater emphasis on integration of health services emerging over the last generation. Hospital in the home (HIH) refers to the delivery of acute hospital services such as intravenous therapy, anticoagulation a...

journal_title：Australian family physician

authors： Montalto M,Karabatsos G

更新日期：1998-09-01 00:00:00

abstract：:In 1995 I encountered a problem with the use of adrenaline in the resuscitation of a patient on prazosin who had an anaphylactic collapse resulting from a bee sting. I concluded that the problem was the result of the 'reversed adrenaline effect' and I predicted that other drugs with alpha adrenergic receptor blocking ...

journal_title：Australian family physician

authors： Watson A

更新日期：1998-08-01 00:00:00

abstract：OBJECTIVE:To assess the current nature and extent of general practice (obstetric) involvement and the effect of gender on the provision of maternity care in Victoria. METHOD:A postal survey to a community derived sample of 1104 Victorian general practitioners (with oversampling of female GPs) in August 1994 with hiera...

journal_title：Australian family physician

authors： Gunn J,Lumley J,Young D

更新日期：1998-07-01 00:00:00

abstract：BACKGROUND:Tension headache and migraine are opposite ends of a benign recurrent headache spectrum. OBJECTIVE:To provide an approach to the diagnosis of benign recurrent headache. DISCUSSION:Tension headache is characterised by symmetry, non-disabling severity and the absence of vascular features (throbbing quality, ...

journal_title：Australian family physician

authors： Spira PJ

更新日期：1998-07-01 00:00:00

abstract：BACKGROUND:Genital candidiasis is the most common gynaecological infection and has the potential to produce considerable long-term sequelae especially with regard to sexual health. OBJECTIVE:The implications of the relatively higher levels of oestrogen found in women with genital candidiasis will be explored with part...

journal_title：Australian family physician

authors： Dennerstein G

更新日期：1998-05-01 00:00:00

abstract：:In summary, a consultation for a blood pressure check provides the opportunity and obligation for a systemic review of and, when needed, the development of, strategies to modify risk factors which are known to expose an individual to greater risk of ultimately developing vascular disease. ...

journal_title：Australian family physician

authors： Steven I

更新日期：1998-04-01 00:00:00

abstract：BACKGROUND:With the increasing age of our population many of the causes of vision loss are becoming more frequent. Not all gradual loss of vision can be considered non urgent and those patients requiring early attention are highlighted. OBJECTIVE:This article discusses the tools available to the general practitioner f...

journal_title：Australian family physician

authors： Reich J

更新日期：1998-03-01 00:00:00

abstract：BACKGROUND:Joint replacement is most commonly performed at the hip and knee for osteoarthritis. It is also possible to replace joints such as: the shoulder, elbow, metacarpophalangeal joints and ankle, but usually only when the joint has been destroyed by rheumatoid arthritis. While the main benefit of joint replacemen...

journal_title：Australian family physician

authors： Brewster N,Lewis P

更新日期：1998-01-01 00:00:00

abstract：:Venous ulcers are common in clinical practice. They are due to end stage skin and subcutaneous damage from sustained venous hypertension. The common cause may be post thrombotic syndrome or primary superficial venous insufficiency. This case illustrates the need to think of inherited thrombophilia as a primary cause. ...

journal_title：Australian family physician

authors： Elvy M

更新日期：1998-01-01 00:00:00

abstract：OBJECTIVE:To describe factors that influence participation by general practitioners (GPs) in survey research, and in particular to examine the effectiveness of telephone prompts made by a GP researcher compared with non-medical researchers in a survey of GPs on sexually transmissible diseases (STDs). DESIGN AND SETTIN...

journal_title：Australian family physician

authors： Temple-Smith M,Mulvey G,Doyle W

更新日期：1998-01-01 00:00:00

abstract：BACKGROUND:An estimated 100,000 Australians each year will seek medical attention after a dog attack. Such attacks have the potential to cause significant morbidity especially with regard to soft tissue injury and infection. Proper wound assessment and early intervention will reduce this morbidity. OBJECTIVE:To review...

journal_title：Australian family physician

authors： Young S

更新日期：1997-12-01 00:00:00

abstract：:Food borne infections and intoxications, typically manifesting as gastroenteritis, are a common community acquired illness in Australia. For infants, immunocompromised people, pregnant women and the elderly, food borne illness can be fatal. Food borne illness can be difficult to distinguish from illness transmitted by...

journal_title：Australian family physician

authors： Veitch MG,Hogg GG

更新日期：1997-11-01 00:00:00

abstract：OBJECTIVE:The aim of this study is to assess general practice registrars' (GPRs) learning needs in relation to their procedural skills development and compare these with the learning opportunities offered by their general practice supervisors (GPSs). METHOD:A 43 item questionnaire was designed to assess the procedural...

journal_title：Australian family physician

authors： Sturmberg J

更新日期：1997-10-01 00:00:00

abstract：:Patients who in earlier life suffered from acute poliomyelitis are reporting new and disabling symptoms that have been variously labelled the 'late sequelae' or 'post polio syndrome'. Systematic review of such patients has identified specific categories of disability. A practical investigation and management plan for ...

journal_title：Australian family physician

authors： Nolan P,Beeston P

更新日期：1997-09-01 00:00:00

abstract：:The field of travel medicine is undergoing rapid change. Vaccination recommendations change with disease outbreaks, emerging infections and the availability of new vaccines. The following information on typhoid and cholera vaccination should be used in conjunction with up to date information and individualised for eac...

journal_title：Australian family physician

authors： Cohen J

更新日期：1997-08-01 00:00:00

abstract：:An HIV test requires counselling, confidentiality and consent. The patient, the doctor or a third party may initiate it. Assessment of risk behaviours, rather than stereotyping into risk groups, is needed. Patients initiate tests after perceived risk behaviour, and other factors such as guilt or anxiety may prompt tes...

journal_title：Australian family physician

authors： Anderson J

更新日期：1997-07-01 00:00:00

abstract：:The Quality Assurance (QA) Program of the Royal Australian College Of General Practitioners has required doctors to engage in practice assessment (PA) activities. Clinical audit is one of these activities and has been used as an assessment tool in the Graduate Diploma in Family Medicine at Monash University, in impact...

journal_title：Australian family physician

authors： Piterman L,Nelson M

更新日期：1997-07-01 00:00:00

abstract：:Depression is the most common, serious psychological disability presenting to general practitioners. Its prevalence varies from 0.6 to 36% of GP encounters depending on the method of diagnosis. Apart from methodological differences, some of this variability relates to barriers in the diagnostic process. These include ...

journal_title：Australian family physician

authors： Piterman L,Blashki G,Liaw T

更新日期：1997-06-01 00:00:00

abstract：:The decision to say stop is unequivocally one for the patient alone. The general practitioner's role is to ensure that the patient understands the problem as fully as possible and appreciates the various treatment options and all their ramifications. ...

journal_title：Australian family physician

authors： Brown C

更新日期：1997-05-01 00:00:00

abstract：:Diabetic retinopathy is a common complication in people with diabetes. General practitioners can arrange annual screening for diabetic eye disease to detect early changes and prevent severe damage. Due to an ageing population the number of people with type II diabetes will increased dramatically during the next 20 yea...

journal_title：Australian family physician

authors： Popplewell P,Wong G,Phillips P

更新日期：1997-04-01 00:00:00

abstract：:The final article in this series considers the practical issues of developing practice-based clinical teaching sessions which can contribute to a clinical clerkship. It has two aims: first, to demonstrate that practice-based clinical teaching can assume a range of interesting and innovative guises that add to both tea...

journal_title：Australian family physician

authors： Barrington DL

更新日期：1997-03-01 00:00:00

abstract：:It is now common for almost every general practitioner to care for many patients of advanced age. These patients are at the highest risk of developing osteoporosis of falling and sustaining fractures that threaten their independence and their lives. These patients must be managed with the same clinical rigour as any o...

journal_title：Australian family physician

authors： Mykyta LJ

更新日期：1997-02-01 00:00:00

abstract：OBJECTIVE:To assess the confidence of GPs in assessing physical, psychological and social functioning in the elderly and managing complex multi-systems in cooperation with other services and resources in the community. METHOD:One hundred and ninety general practitioners in the Fairfield and Liverpool municipalities we...

journal_title：Australian family physician

authors： Shah S,Harris M

更新日期：1997-01-01 00:00:00

abstract：:Ross River virus infection and Barmah Forest virus infection are two commonly reported arboviral diseases in Australia. Ross River virus has long been recognised as a cause of epidemic polyarthritis and polyarticular disease. Clinical disease as a result of Barmah Forest virus infection has only been identified since ...

journal_title：Australian family physician

authors： Hills S

更新日期：1996-12-01 00:00:00

abstract：:A case of insulinoma is presented which highlights the need for the physician to be alert and non-judgmental, and the importance of performing basic, simple and appropriate investigations. In this case a fasting blood glucose provided the evidence for the diagnosis. ...

journal_title：Australian family physician

authors： Kerr CD

更新日期：1996-12-01 00:00:00

abstract：:Some patients come to the doctor with multiple symptoms but no discernible illness. Others have florid 'blue chip' diseases, but are either asymptomatic, or present with symptoms that are nothing to do with the disease. This creates a confusing situation that can adversely affect patient care. Resolving this dilemma i...

journal_title：Australian family physician

authors： Bateman B

更新日期：1996-11-01 00:00:00

abstract：OBJECTIVE:To record the attitudes of members of significant ethnic groups in the Hunter region of New South Wales, Australia, with regard to care and management of the terminally ill so as to offer some guidance to medical practitioners dealing with people from different ethnic communities. METHODS:A questionnaire was...

journal_title：Australian family physician

authors： Norman C

更新日期：1996-10-01 00:00:00

abstract：OBJECTIVE:To determine whether the breastfeeding knowledge of health professionals can be improved by attending breastfeeding workshops. DESIGN:Health professionals attending a series of two breastfeeding workshops in 1994/1995 were asked to complete the same breastfeeding knowledge questionnaire before and again afte...

journal_title：Australian family physician

authors： McIntyre E,Lawlor-Smith C

更新日期：1996-09-01 00:00:00

abstract：:Regional nerve blocks are a valuable skill for general practitioners and surgeons who perform surgical procedures under local anaesthetic. Once mastered, these injections provide rapid anaesthesia with minimal pain, little distortion of the tissues and improved aesthetic results. This paper describes techniques applic...

journal_title：Australian family physician

authors： Quail G

更新日期：1996-09-01 00:00:00

abstract：:The biomedical model that forms the basis of conventional medical practice is limited in its usefulness when applied to many of the presentations encountered in clinical general practice. Anxiety as a presenting symptom on its own is the fifth commonest presentation in Australian general practice. To relieve the physi...

journal_title：Australian family physician

authors： Singh H

更新日期：1996-08-01 00:00:00

abstract：:The incident Monitoring in General Practice Project began as an initiative of the Professional Indemnity Review. Anonymous data from general practitioners about unintended, and possibly adverse events were collected in order to develop preventive strategies that might ultimately increase patient safety and therefore r...

journal_title：Australian family physician

authors： Bhasale A,Miller G,Britt H,Reid S

更新日期：1996-08-01 00:00:00

abstract：:Arrhythmias are often a common finding in general practice. They are frequently found incidentally to the presenting complaint. The bulk of this article deals with tachyarrhythmias, which have been traditionally subdivided into supraventricular and ventricular, according to their presumed site of origin. A few notes a...

journal_title：Australian family physician

authors： Campbell TJ

更新日期：1996-07-01 00:00:00

abstract：:Diabetes mellitus and rheumatoid arthritis often affect the foot. Indeed in either of these, the foot is commonly the initial site of symptoms. Early diagnosis appropriate treatment can prevent or at least slow the progression of the disease in the foot. Extra depth shoes and moulded inserts are the keystone of non op...

journal_title：Australian family physician

authors： Saxby T

更新日期：1996-06-01 00:00:00

abstract：:Involving junior members of the profession in evaluating and developing their training programs engenders a sense of involvement and empowerment. This is a review of an intern program at the Repatriation Campus of the Austin and Repatriation Medical Centre, Melbourne. ...

journal_title：Australian family physician

authors： Sinclair A

更新日期：1996-06-01 00:00:00

abstract：:One of the main difficulties GPs face is in communication. This is not necessarily in the doctor-patient relationship, but often in areas of practice management, and the way our work impinges on our social lives. ...

journal_title：Australian family physician

authors： Chong A

更新日期：1996-05-01 00:00:00

abstract：:Safe sex is alive and well. However, it is unsafe sex and the circumstances around it that clinicians need to identify. The difficulties in defining safe and unsafe sex will be described in an effort to highlight the great diversity and individuality that surrounds notions of safety and of sexual activity. It is empha...

journal_title：Australian family physician

authors： Savage J

更新日期：1996-04-01 00:00:00

abstract：:Herpes zoster is a common clinical illness, with acute and chronic pain a major feature. Antiviral agents started within 72 hours of the onset of the rash are effective in the acute illness and in post herpetic neuralgia or zoster associated pain. Newer agents offer advantages in efficacy and dosage convenience. ...

journal_title：Australian family physician

authors： Dwyer DE

更新日期：1996-03-01 00:00:00

abstract：:Quality assurance is a topical issue in general practice. This study examined the Morbidity and Therapeutic Index (MTI), a self-audit activity, offered as a QA option by the RACGP. GP response to this activity was generally positive and it appears to be an adequate tool for performance review. The study highlights the...

journal_title：Australian family physician

authors： Vagholkar S,Spencer J,Charles J

更新日期：1996-03-01 00:00:00

abstract：OBJECTIVE:To assess the efficacy of a topical medication, Tiger Balm, in the treatment of acute tension headache. DESIGN:Randomised, double blind, three group comparison. SETTING:Patients were recruited by newspaper advertisements and general practitioners who were also responsible for enrolment. Pre-treatment assess...

journal_title：Australian family physician

authors： Schattner P,Randerson D

更新日期：1996-02-01 00:00:00

abstract：:It is not surprising that diabetes care has been a very active area for divisional projects and activities. Diabetes is prevalent in the community (up to one million Australians) and in general practice (1% of GP encounters). Optimal cost-effective diabetes management involves collaboration between general practice an...

journal_title：Australian family physician

authors： Pond D,Knowlden S,Harris M

更新日期：1996-01-01 00:00:00