Aust Fam Physician
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The Dix-Hallpike manoeuvre is performed for diagnosis and the Epley manoeuvre used for treatment of posterior canal benign paroxysmal positional vertigo (BPPV). However, musculoskeletal conditions may restrict utility of these manoeuvres. ⋯ The diagnosis of BPPV should not be missed as it can be diagnosed clinically and it is easily treated.
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Refugees in Australia experience barriers in accessing healthcare services. The aim of this study was to analyse the factors influencing Afghan refugees' access to general practice. ⋯ This case study highlights the benefits of providing affordable, co-located, culturally responsive services with integrated interpreter and settlement agency support. Increasing the use of interpreters and translated materials at reception, and improving the coordination of patient transport assistance could enhance refugees' access to general practice.
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There are no data about general practitioners' (GPs') involvement in involuntary psychiatric community treatment orders (CTOs). We examined stakeholder perspectives on the GP's role in this area. ⋯ GPs play an important role in the implementation of CTOs. Failure to better integrate GPs in the care of people on CTOs appears to be a significant shortcoming of its implementation.
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The underlying moral principles and values, and the virtues held as desirable for a researcher, should be reflected upon and embedded in the research. The foundation step is to download the National Health and Medical Research Council's (NHMRC's) National Statement on Ethical Conduct in Human Research and the NHMRC's Guidelines for Ethical Conduct in Aboriginal and Torres Strait Islander Health Research to use as references. ⋯ The researcher should use the research ethics process as an opportunity to foster and guide the development and conduct of ethical research.
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Multicenter Study
Improving cultural respect to improve Aboriginal health in general practice: a multi-methods and multi-perspective pragmatic study.
To address the gap in access to healthcare between Aboriginal people and other Australians, we developed Ways of Thinking, Ways of Doing (WoTWoD) to embed cultural respect into routine clinical practice. WoTWoD includes a workshop, toolkit and cultural mentors in a partnership of general practice and Aboriginal organisations. The aim of this study was to examine the im-pact of WoTWoD on cultural respect, health checks and risk factor management for Aboriginal patients in general practice. ⋯ The WoTWoD may improve culturally appropriate care in general practice. Further research requires adequately powered randomised controlled trials.