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OAB is a diagnosis of exclusion that begins with a targeted history and examination of the urogenital system with the aim of assessing the burden of disease on the patient. First-line treatment comprises conservative measures including weight reduction, a decrease in exposure to bladder stimulants, fluid optimisation and pelvic floor exercises. Pharmacological treatments for OAB include anticholinergic medications such as oxybutynin. If the patient is unresponsive to pharmacological treatment, a review by a urology specialist is appropriate. Recommendations may include minimally invasive procedures such as intravesical botulinum toxin A injections, reserving the invasive procedures for patients in specific circumstances.
Osteoarthritis (OA) is one of the most common chronic joint diseases and aleading cause of pain and disability inAustralia. A National Osteoarthritis Strategy (the Strategy) was developed to outline a national plan to achieve optimal health outcomes for people at risk of, or with, OA.
This article focuses on the theme of advanced care of patients with OA withinthe Strategy.
The Strategy was developed in consultation with a leadership group, thematic working groups, an implementation advisory committee, multisectoral stakeholders and the public. This Strategy identified three priorities in advanced care for osteoarthritis. In brief, these include surgical decision making, referral for evidence-informed non-surgical alternatives and surgical services. A set of goals within these priority areas and strategies was also proposed by the working group in consultation with stakeholders nationwide. Peak arthritis bodies and major healthcare professional associations currently endorse the Strategy.
The Strategy was developed in consultation with a leadership group, thematic working groups, an implementation advisory committee, multisectoral stakeholders and the public. This Strategy identified three priorities in advanced care for osteoarthritis. In brief, these include surgical decision making, referral for evidence-informed non-surgical alternatives and surgical services. A set of goals within these priority areas and strategies was also proposed by the working group in consultation with stakeholders nationwide. Peak arthritis bodies and major healthcare professional associations currently endorse the Strategy.
Data from qualitative semi-structured interviews with 19 participants fromprimary care settings were thematically analysed.
Critical elements in providing clinical care in primary care settings were identified atan organisational and provider level. compound 3i nmr Asupportive organisational culture included leadership, a multidisciplinary team approach, community engagement and cultural competency, while provider-related issues included authorisation to prescribe, access to linguistic and cultural mediators and effective relationships with relevant specialist services.
The research identified practice leadership, organisational culture and a patient focus supported hepatitis B clinical management transitioning from specialist to primary care services.
The research identified practice leadership, organisational culture and a patient focus supported hepatitis B clinical management transitioning from specialist to primary care services.
Semi-structured interviews were conducted with 12 rural general practiceinterns.
Six main themes emerged the social experience of rural/remote placements, the intern role, skill acquisition, challenges experienced by interns, placements reinforcing ideas of rural general practice and advice to future interns. Rural interns were positive about the program, reporting intensive learning experiences from a range of clinical environments. There were some challenges initially implementing the wave consulting model. The main difficulty faced by interns was isolation from peers/social support.
Rural general practice intern terms support rural career pathways. Practice staff need to be mindful of the integration of interns into the practice environment, and programs need to provide training and support for the role.
Rural general practice intern terms support rural career pathways. Practice staff need to be mindful of the integration of interns into the practice environment, and programs need to provide training and support for the role.
General practice is now completely computerised yet still largely reflects the habits and culture of the paper records that these computer programs have replaced. Technology is advancing rapidly,and computers are poised to startinteracting (or intruding) in the consultation in new ways that practitioners (GPs) will once again needto understand and integrate.
The aim of this article is to describe thedeveloping trends in computing, dataand intelligence, and demonstrate to GPs how to best use the examination room computer to enhance care of patients, prepare for upcoming revolutionary changes and continue toconnect with patients.
Using two real-world examples, this article explains the complexity of the changing environment and implications for the patient-doctor relationship, and offers guidance for change.
Using two real-world examples, this article explains the complexity of the changing environment and implications for the patient-doctor relationship, and offers guidance for change.
Conditions that present as a 'swelling' inthe oral cavity are relatively common, and patients may seek initial assessment from their general practitioners.
The aim of this article is to provide anoverview of common causes of a 'swelling' in the oral cavity to help with formulating a differential diagnosis and stratifying the urgency of referral.
Pathological conditions in the oral cavity (excluding mucosal presentations) may present as a swelling in the submucosa orjaws, symptoms related to teeth and/or gums or an incidental finding on imaging. In this review, the authors outline the most common submucosal orjaw swellings, organised according to their clinical presentations, and describe their typical appearance and management.
Pathological conditions in the oral cavity (excluding mucosal presentations) may present as a swelling in the submucosa or jaws, symptoms related to teeth and/or gums or an incidental finding on imaging. In this review, the authors outline the most common submucosal or jaw swellings, organised according to their clinical presentations, and describe their typical appearance and management.
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