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Helicobacter pylori eradication – an update on the latest therapies

May 2014

Today, newer eradication regimens are altering peptic ulcer natural history and offering long-term cure with increasing frequency. Nonetheless, the ever-changing face of H. pylori therapy, necessitated by the organism’s resistance to various antibiotics, continues to pose a challenge for...

Eye care in the elderly

July 2014

Australia has good epidemiological data concerning eye disease and visual loss from two large cross-sectional, population-based studies: the Melbourne Visual Impairment Project and the Blue Mountains Eye Study, which together have provided data on nearly 9000 participants. These studies highlight...

Traumatic brain injury – support for injured people and their carers

November 2014

The majority of moderate-to-severe TBIs result from motor vehicle crashes. Other causes of TBI include falls, bicycle accidents, assaults and sports injuries and the latter causes a higher proportion of mild TBIs. With the ageing of the population there are an increasing number of older people...

GP supervisors assessing GP registrars – theory and practice

December 2014

Table 1. General practice colleges standards for supervisorsAustralian College of Rural and Remote Medicine17.2.7 The supervisor must conduct formative assessment of the registrar, in accordance with their stage of training. In the first 12 months of training, the supervisor agrees to undertake...

Prescribing for older people with chronic renal impairment

January-February 2013

It is important to have an estimate of a patient’s renal function before prescribing medicines that are renally excreted or that impair renal function or cause nephrotoxicity, such as non-steroidal anti-inflammatory drugs (NSAIDs), angiotensin converting enzyme inhibitors (ACEIs) and angiotensin...

Prader-Willi syndrome

January-February 2013

Infants with PWS are floppy and inactive, have a weak cry, a poor suck and feeding problems, which lead to growth failure. This is followed by several characteristic stages in which feeding problems diminish, weight rapidly increases and hyperphagia develops at 1–4 years of age.7,8 The pubertal...

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...

Hepatitis C

July 2013

Hepatitis C infection is an important chronic disease, affecting 1.4% of the Australian population.1 The primary mode of acquisition is via injecting drug use. As people living with chronic hepatitis C (CHC) infection age, the burden of liver disease, liver failure and hepatocellular carcinoma is...

An approach to neck pain for the family physician

November 2013

Epidemiology of neck painNeck pain accounts for 15% of soft tissue problems seen in general practice1 and imparts a significant socioeconomic burden of disease.2 More than 75% of the total cost of neck pain is attributable to indirect costs such as disability and work absenteeism.3Most people...

Meniscal tear

April 2012

The menisci of the knee have several important roles:shock absorption and distributing load throughout the jointincreasing stabilityproviding nutrition for articular cartilagelimiting extreme flexion and extensioncontrolling the movements of the knee joint.1,2The medial meniscus is 'C' shaped...

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