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Unravelling the efficacy of antidepressants as analgesics

March 2016

Chronic pain is reported in 17.1% of males and 20.0% of females in Australia. Having chronic pain is significantly associated with older age, female gender, lower levels of completed education and not having private health insurance. It is also strongly associated with receiving a disability or...

Heat illnesses

January-February 2015

Homeostatic physiological responses to heatUnder normal circumstances, and in a vast range of temperatures, a panoply of physiological processes allow for humans to maintain a near constant internal environment that allows for maximal efficiency of cellular processes. When conditions become...

Chronic kidney disease - Management

2005

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Incidentally detected thrombocytopaenia in adults

October 2014

Figure 1. Aetiology of thrombocytopaenia5 *Less likely to result in isolated thrombocytopeniaProposed approach to thrombocytopeniaIs it real?Artefactual thrombocytopenia is found in about 1 in 1000 blood test results and can be a result of platelet aggregation, collection errors and/or platelet...

Changes in mood, depression and suicidal ideation after commencing pregabalin for neuropathic pain

October 2014

Patient 1Patient 1 was a woman, 48 years of age, who had painful diabetic peripheral neuropathy and lower back pain. She first presented to a clinic in April 2013. She had a diagnosis of bipolar affective disorder and had regular follow-up with a private psychiatrist. She reported taking...

Paediatric palliative care – the role of the GP

April 2014

To adequately cover all aspects of palliative care for children, a team of health professionals, including the general practitioner (GP), is required (Figure 1).2 This team is individualised for each patient. Local health resources, including community palliative care teams, the GP and other...

Evaluation, diagnosis and management of chronic urticaria

September 2014

Urticaria is characterised by swelling of the skin and mucosa due to plasma leakage.1The term is often used to describe a rash that may present with weals, with or without angioedema. Urticaria can be divided into a number of subgroups listed below:ordinary urticariaacute urticariachronic...

Wind

May 2013

GasesTwenty-five litres of gas is produced in the intestine every day (Table 1), so it is little wonder that bloating will be common if there is any disturbance of gut motility.Despite the enormous production of gases, there is an equally enormous re-absorption and utilisation of gas within the...

Self-monitoring blood glucose

September 2013

There is little evidence that self-monitoring blood glucose (SMBG) benefits patients with non-insulin-treated type 2 diabetes (T2D). While considerably more expensive, SMBG appears to be no more effective than urine testing in improving glycaemic control.1 A recent meta-analysis found no...

The paediatric clinical experiences of general practice registrars

July 2012

Commensurate with the demographic changes in the overall population, recent studies have demonstrated changes in the demography of patients who visit general practice.3 Over the past 16 years, a greater proportion of visits are being made by adults and seniors and a smaller proportion by children...

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