Aust Fam Physician
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Comparative Study
Reasons for incomplete immunisation among Australian children. A national survey of parents.
Incomplete immunisation among Australian children may be due to parents disagreeing with immunisation rather than medical contraindications or access issues. ⋯ In order to achieve the 95% immunisation rates necessary for disease control, tailored approaches to promote immunisation among parents are required.
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Chronic low back pain presents a major challenge for general practitioners and is a significant drain on community resources. Patients often feel frustrated by modern medicine's apparent failure to validate their symptoms with a specific diagnosis and management plan. ⋯ Modern imaging techniques rarely determine the cause of pain. The GP must look for 'red flag' clues in the history. Management of low back pain includes NSAIDs, simple injections of plain local anaesthetic without adrenalin or cortisone, referral to a masseuse, cortisone, physiotherapist and/or a musculoskeletal pain physician. Specific management includes medial branch and sacroiliac joint blocks, and radiofrequency neurotomy. Patients with long term pain may be referred to a psychologist for cognitive behavioural therapy.