Academic literature on the topic 'Physicians (General practice) Victoria History'

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Journal articles on the topic "Physicians (General practice) Victoria History"

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Clayton, Alison. "Malaria therapy for general paralysis of the insane at the Sunbury Hospital for the Insane in Australia, 1925–6." History of Psychiatry 33, no. 4 (November 19, 2022): 377–93. http://dx.doi.org/10.1177/0957154x221120757.

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This paper, drawing on the published medical literature and unpublished medical record archives, provides an in-depth account of the introduction of malaria therapy for general paralysis of the insane into Australia in 1925–6, at Victoria’s Sunbury Hospital for the Insane. This study reveals a complex and ambiguous picture of the practice and therapeutic impact of malaria therapy in this local setting. This research highlights a number of factors which may have contributed to some physicians overestimating malaria therapy’s effectiveness. It also shows that other physicians of the era held a more sceptical attitude towards malaria therapy. Finally, this paper discusses the relevance of this history to contemporary psychiatry.
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Temple-Smith, M. J., G. Mulvey, and L. Keogh. "Attitudes to taking a sexual history in general practice in Victoria, Australia." Sexually Transmitted Infections 75, no. 1 (February 1, 1999): 41–44. http://dx.doi.org/10.1136/sti.75.1.41.

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Hallinan, Christine Mary, Jane Maree Gunn, and Yvonne Ann Bonomo. "Implementation of medicinal cannabis in Australia: innovation or upheaval? Perspectives from physicians as key informants, a qualitative analysis." BMJ Open 11, no. 10 (October 2021): e054044. http://dx.doi.org/10.1136/bmjopen-2021-054044.

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Objective We sought to explore physician perspectives on the prescribing of cannabinoids to patients to gain a deeper understanding of the issues faced by prescriber and public health advisors in the rollout of medicinal cannabis. Design A thematic qualitative analysis of 21 in-depth interviews was undertaken to explore the narrative on the policy and practice of medicinal cannabis prescribing. The analysis used the Diffusion of Innovations (DoI) theoretical framework to model the conceptualisation of the rollout of medicinal cannabis in the Australian context. Setting Informants from the states and territories of Victoria, New South Wales, Tasmania, Australian Capital Territory, and Queensland in Australia were invited to participate in interviews to explore the policy and practice of medicinal cannabis prescribing. Participants Participants included 21 prescribing and non-prescribing key informants working in the area of neurology, rheumatology, oncology, pain medicine, psychiatry, public health, and general practice. Results There was an agreement among many informants that medicinal cannabis is, indeed, a pharmaceutical innovation. From the analysis of the informant interviews, the factors that facilitate the diffusion of medicinal cannabis into clincal practice include the adoption of appropriate regulation, the use of data to evaluate safety and efficacy, improved prescriber education, and the continuous monitoring of product quality and cost. Most informants asserted the widespread assimilation of medicinal cannabis into practice is impeded by a lack of health system antecedents that are required to facilitate safe, effective, and equitable access to medicinal cannabis as a therapeutic. Conclusions This research highlights the tensions that arise and the factors that influence the rollout of cannabis as an unregistered medicine. Addressing these factors is essential for the safe and effective prescribing in contemporary medical practice. The findings from this research provides important evidence on medicinal cannabis as a therapeutic, and also informs the rollout of potential novel therapeutics in the future.
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McVaugh, Michael. "The "Experience-Based Medicine" of the Thirteenth Century." Early Science and Medicine 14, no. 1-3 (2009): 105–30. http://dx.doi.org/10.1163/157338209x425524.

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AbstractWe should not assume that medieval physicians did not take pains to found their practice upon evidence. Academic physicians at Montpellier ca. 1300 were cautious about accepting textbook claims for the powers of drugs, and tried to verify each drug's physiological effects before using it; yet they were also flexible, ready to believe that powerful new medicines might be discovered empirically that were unknown to their authorities or superficially inconsistent with existing knowledge. Likewise, physicians were careful to observe their patients closely and to try to identify the condition from which each was suffering, and when they were unsure of the nature of an illness, they feared to administer medicines lest their known effects might be harmful to the patient. Anticipating today's "evidence-based medicine," the physician's practice involved the conscientious use of current best evidence.
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Barry, Jonathan. "Educating physicians in seventeenth-century England." Science in Context 32, no. 2 (June 2019): 137–54. http://dx.doi.org/10.1017/s0269889719000188.

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ArgumentThe tension between theoretical and practical knowledge was particularly problematic for trainee physicians. Unlike civic apprenticeships in surgery and pharmacy, in early modern England there was no standard procedure for obtaining education in the practical aspects of the physician’s role, a very uncertain process of certification, and little regulation to ensure a suitable reward for their educational investment. For all the emphasis on academic learning and international travel, the majority of provincial physicians returned to practice in their home area, because establishing a practice owed more to networks of kinship, patronage and credit than to formal qualifications. Only when (and where) practitioners had to rely solely on their professional qualification to establish their status as young practitioners that the community could trust would proposals to reform medical education, such as those put forward to address a crisis of medicine in Restoration London, which are examined here, be converted into national regulation of medical education in the early nineteenth century, although these proposals prefigured many informal developments in medical training in the eighteenth century.
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Lahham, Aroub, Angela T. Burge, Christine F. McDonald, and Anne E. Holland. "How do healthcare professionals perceive physical activity prescription for community-dwelling people with COPD in Australia? A qualitative study." BMJ Open 10, no. 8 (August 2020): e035524. http://dx.doi.org/10.1136/bmjopen-2019-035524.

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ObjectivesClinical practice guidelines recommend that people with chronic obstructive pulmonary disease (COPD) should be encouraged to increase their physical activity levels. However, it is not clear how these guidelines are applied in clinical practice. This study aimed to understand the perspectives of respiratory healthcare professionals on the provision of physical activity advice to people with COPD. These perspectives may shed light on the translation of physical activity recommendations into clinical practice.DesignA qualitative study using thematic analysis.SettingHealthcare professionals who provided care for people with COPD at two major tertiary referral hospitals in Victoria, Australia.Participants30 respiratory healthcare professionals including 12 physicians, 10 physical therapists, 4 nurses and 4 exercise physiologists.InterventionsSemistructured voice-recorded interviews were conducted, transcribed verbatim and analysed by two independent researchers using an inductive thematic analysis approach.ResultsHealthcare professionals acknowledged the importance of physical activity for people with COPD. They were conscious of low physical activity levels among such patients; however, few specifically addressed this in consultations. Physicians described limitations including time constraints, treatment prioritisation and perceived lack of expertise; they often preferred that physical therapists provide more comprehensive assessment and advice regarding physical activity. Healthcare professionals perceived that there were few evidence-based strategies to enhance physical activity. Physical activity was poorly differentiated from the prescription of structured exercise training. Although healthcare professionals were aware of physical activity guidelines, few were able to recall specific recommendations for people with COPD.ConclusionPractical strategies to enhance physical activity prescription may be required to encourage physical activity promotion in COPD care.
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Khan, Asaduzzaman, David Plummer, Rafat Hussain, and Victor Minichiello. "Sexual risk assessment in general practice: evidence from a New South Wales survey." Sexual Health 4, no. 1 (2007): 1. http://dx.doi.org/10.1071/sh06012.

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Background: Physicians’ inadequate involvement in sexual risk assessment has the potential to miss many asymptomatic cases. The present study was conducted to explore sexual risk assessment by physicians in clinical practice and to identify barriers in eliciting sexual histories from patients. Methods: A stratified random sample of 15% of general practitioners (GP) from New South Wales was surveyed to assess their management of sexually transmissible infections (STI). In total, 409 GP participated in the survey with a response rate of 45.4%. Results: Although nearly 70% of GP regularly elicited a sexual history from commercial sex workers whose presenting complaint was not an STI, this history taking was much lower (<10%) among GP for patients who were young or heterosexual. About 23% never took a sexual history from Indigenous patients and 19% never elicited this history from lesbian patients. Lack of time was the most commonly cited barrier in sexual history taking (55%), followed by a concern that patients might feel uncomfortable if a sexual history was taken (49%). Other constraints were presence of another person (39%) and physician’s embarrassment (15%). About 19% of GP indicated that further training in sexual history taking could improve their practice. Conclusions: The present study identifies inconsistent involvement by GP in taking sexual histories, which can result in missed opportunities for early detection of many STI. Options for overcoming barriers to taking sexual histories by GP are discussed.
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Barry, Jonathan. "Educating physicians in seventeenth-century England - ADDENDUM." Science in Context 32, no. 3 (August 27, 2019): 353. http://dx.doi.org/10.1017/s026988971900022x.

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ArgumentThe tension between theoretical and practical knowledge was particularly problematic for trainee physicians. Unlike civic apprenticeships in surgery and pharmacy, in early modern England there was no standard procedure for obtaining education in the practical aspects of the physician’s role, a very uncertain process of certification, and little regulation to ensure a suitable reward for their educational investment. For all the emphasis on academic learning and international travel, the majority of provincial physicians returned to practice in their home area, because establishing a practice owed more to networks of kinship, patronage and credit than to formal qualifications. Only when (and where) practitioners had to rely solely on their professional qualification to establish their status as young practitioners that the community could trust would proposals to reform medical education, such as those put forward to address a crisis of medicine in Restoration London, which are examined here, be converted into national regulation of medical education in the early nineteenth century, although these proposals prefigured many informal developments in medical training in the eighteenth century.
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Rosner, Lisa M. "Book Review: Physicians, Surgeons, and Apothecaries: Medical Practice in Seventeenth-Century Edinburgh." Bulletin of the History of Medicine 71, no. 1 (1997): 152–53. http://dx.doi.org/10.1353/bhm.1997.0014.

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DIACONU, Camelia, Giorgiana DEDIU, Mădălina ILIE, and Mihaela Adela IANCU. "Treatment with new oral anticoagulants in the family medicine practice." Romanian Journal of Medical Practice 10, no. 4 (December 31, 2015): 329–32. http://dx.doi.org/10.37897/rjmp.2015.4.4.

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Vitamin K antagonists represented for more than 50 years the only oral anticoagulant treatment option, though encumbered by numerous food and drug interactions, with direct impact on the safety and efficacy of this treatment. The frequent complications of anticoagulant treatment with vitamin K antagonists led to the need for the emergence of new oral anticoagulants (NOAC). The main NOACs used today are dabigatran, rivaroxaban and apixaban. NOAC have a number of advantages over antivitamin K anticoagulants: fewer drug interactions, no food interactions, rapid onset of the anticoagulant action, rapid clearance, no need for INR monitoring. NOAC therapy must be individualized according to patient age, comorbidities and medical history, renal function, concomitant medications. Given that clinical experience with NOAC is still limited in practice, physicians (including family physicians) must monitor these patients and need to pay attention and report any side effects.
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Dissertations / Theses on the topic "Physicians (General practice) Victoria History"

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McCall, Louise 1965. "Can continuing medical education in general practice psychiatry aid GPs to deal with common mental disorders ? : a study of the impact on doctors and their patients." Monash University, Faculty of Education, 2001. http://arrow.monash.edu.au/hdl/1959.1/8363.

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Books on the topic "Physicians (General practice) Victoria History"

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Hainsworth, Eric. The doctors of Queensbury: Two centuries of general practice in a Yorkshire village. (Queensbury?): E. Hainsworth, 1993.

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Humphreys, R. C. History of research in general practice in Wales, 1950-1992. [Cardiff]: Welsh Council of the Royal College of General Practitioners, 1994.

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The evolution of British general practice 1850-1948. Oxford: Oxford University Press, 1999.

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Medical practice, 1600-1900: Physicians and their patients. Leiden: Brill Rodopi, 2016.

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Bremer, G. J. Huisarts zijn in het interbellum. Rotterdam: Erasmus, 2006.

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Dr. George: An account of the life of a country doctor. Carbondale: Southern Illinois University Press, 1994.

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Norma, Geggie, and Geggie Stuart 1925-1997, eds. The extra mile: The journals of H.J.G. Geggie, M.D. : medicine in rural Quebec, 1885-1965. Wakefield, Quebec: N. Geggie, 2007.

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Geggie, H. J. G. The extra mile: Medicine in rural Quebec, 1885-1965. [Wakefield, Quebec: N. and S. Geggie], 1987.

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(Program), BEACH. General practice activity in the states and territories of Australia, 1998-2003. Canberra: Australian Institute of Health and Welfare, 2003.

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Arztpraxen im Vergleich: 18.-20. Jahrhundert. Innsbruck: StudienVerlag, 2008.

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Book chapters on the topic "Physicians (General practice) Victoria History"

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Wijdicks, Eelco F. M. "The Physician in Practice." In Cinema, MD, 1–24. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780190685799.003.0001.

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Celluloid physicians emerged early in cinema. When medicine changed and became more sophisticated, cinema took notice and changed in parallel. The family physician became a hospital specialist, primarily saving lives, but then physicians’ vulnerability (and misjudgments) entered screenplays. The cinematic history of general practitioners shows film doctors doing very little actual doctoring. Many specialties are absent in film because they are less understood or provide no inspiration for a plot line. The psychiatrist, gynecologist, and surgeon have common appearances due to the preferred topic matter. This chapter discusses the portrayal of physicians by actors and how this could affect the audience’s perception of the profession. This chapter reviews the authenticity of the doctor. What does cinema think we are?
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Sharpe, Michael. "General introduction." In Oxford Textbook of Medicine, 5257–58. Oxford University Press, 2010. http://dx.doi.org/10.1093/med/9780199204854.003.2601.

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All physicians who deal with patients experience situations where psychiatric knowledge, skills, and attitudes are relevant. This section of the book provides (1) guidance on how to take a psychiatric history and perform a mental state examination in a medical patient; (2) information about those psychiatric diagnoses most relevant to general medical practice; (3) practical advice on the management of depression and anxiety when it coexists with disease, medically unexplained somatic symptoms, deliberate self-harm, and acute behavioural problems; and (4) detailed information on the common and clinically important problems of alcohol and substance misuse....
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Wallace, Daniel J., and Janice Brock Wallace. "What Happens at a Fibromyalgia Consultation?" In All About Fibromyalgia. Oxford University Press, 2002. http://dx.doi.org/10.1093/oso/9780195147537.003.0024.

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Fibromyalgia is usually a diagnosis of exclusion. Often poorly understood by some primary care physicians, the diagnosis of fibromyalgia is often delayed. Even though in one survey up to 10 percent of general medical visits involve a complaint of generalized musculoskeletal pain, the diagnosis was made only after patients saw a mean of 3.5 doctors. This chapter will take you through the workup that establishes the definitive diagnosis and eliminates other possible explanations for the patient’s complaints. Doctors who diagnose and treat fibromyalgia often cross specialty lines. Although rheumatologists tend to regard fibromyalgia as residing within their bailiwick, there are too few of us to handle all the needs of the 6 million fibromyalgia sufferers. The 5,000 rheumatologists in the United States are internal medicine subspecialists. A total of 80,000 doctors practice primary care internal medicine in the United States, and an additional 80,000 general or family practitioners are the front-line doctors for most patients. These physicians may suspect fibromyalgia and consult a rheumatologist to confirm the diagnosis. In complicated cases, the rheumatologist can take over the management of the condition. Orthopedists, neurosurgeons, and neurologists frequently diagnose fibromyalgia but generally refer patients to rheumatologists or internists for treatment. Rheumatologists may refer patients to physical medicine specialists or pain management centers when their approaches do not bear fruit. Suppose that you are suspected of having fibromyalgia, and a primary care physician has referred you to a fibromyalgia consultant (usually a rheumatologist but sometimes an internist, physiatrist, neurologist, orthopedist, or osteopath) to confirm the diagnosis and make management suggestions. Is any sort of advanced preparation advisable? Yes. Bring copies of outside records and previous test results or workups to the consultant. If you have more than a few complaints or are taking more than a few medications, a summary list is useful. The evaluation will consist of a history, physical examination, diagnostic laboratory tests, and possibly imaging studies (X-rays, scans, etc.). Once all the observations and test results are in, the doctor will discuss the findings with you—perhaps at the time of the visit, by telephone after the initial meeting, or in a follow-up visit.
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