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General practice represents the synergy between mechanistic and humanistic cognitive paradigms – promoting the best of science and technology, while placing the patient and their welfare centrally.
Clinical
Many First Nations people of middle and older age have been directly affected by the Stolen Generations. A trauma-informed approach to dementia care is imperative.
This article reviews the difficulties of driving assessment, including what measures there are to guide GPs, and proposes a practical approach to this issue for general practice.
This article provides an overview of the pathophysiological processes of the most common types of dementia in older adults and highlights some of the developments in the research of biomarkers.
GPs play an important ongoing role in supporting gifted children and developing a course of action that helps ensure their optimum development so they can fulfil their potential.
Dementia with Lewy bodies (DLB) is often misdiagnosed as Alzheimer’s dementia, with the risk of inappropriate antipsychotic use considering neuroleptic sensitivity in DLB.
Clinical challenge
These questions are based on the Focus articles in this issue. Please choose the single best answer for each question.
Editorial
The differing cognitive frameworks and life experiences of GPs have brought varied approaches to problem solving and patient engagement into the profession.
Letters
Readers express their opinions on published articles and topics of interest.
This paper highlights the importance of screening for hepatitis D virus (HDV) in patients living with chronic hepatitis B (CHB) and provides an overview of diagnosis and treatment approaches for GPs.
Diabetic dermopathy is a benign, asymptomatic and likely underdiagnosed skin condition seen in up to 40% of individuals with diabetes.
VMAT does not have a clearly established role in the management of field cancerisation. Suitably powered, controlled, long-term trials are needed before its routine use can be recommended.
Research
To reduce diagnostic delay for women with endometriosis-related symptoms, we need to understand GPs’ perspectives on the challenges they face in diagnosing and managing endometriosis.
This paper explored GP experiences in providing early medical abortion to women from culturally and linguistically diverse backgrounds and their recommendations for service improvements.
The aim of this study was to describe the pattern of mental health attendances in a university-based general practice clinic during phases of the COVID-19 pandemic.
Viewpoint
Because death is one of life’s only certainties, as ‘specialists in life’ it is imperative for GPs to appreciate the multifaceted nature of death.