Malaysian Family Physician最新文献

{"title":"A scoping review of digital health applications for managing noncommunicable diseases in primary care post-pandemic: Lessons from the Western Pacific Region.","authors":"Muhammad Solehuddin Ishak, Rizq Fazzali Abdul Raes, Ihsan Abdul Razak, Mohd Hanif Mohd Nawawi, Suhana Hasan, Afiq Izzudin A Rahim","doi":"10.51866/rv.919","DOIUrl":"10.51866/rv.919","url":null,"abstract":"<p><strong>Introduction: </strong>The global rise of digital health is reshaping healthcare delivery and improving outcomes, especially for noncommunicable diseases (NCDs) post-pandemic. Guided by the World Health Organization (WHO) Global Strategy on Digital Health 2020-2025, this study examined digital health applications in Western Pacific Region (WPR) primary care, focusing on NCD management and related challenges.</p><p><strong>Methods: </strong>A scoping review following the Arksey and O'Malley framework and Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guidelines was conducted. Using the PICO framework, studies on digital interventions in WPR primary care were identified through PubMed, Scopus, ScienceDirect, Web of Science and the <i>Journal of Medical Internet Research</i> (2022-2024). Eighteen studies were synthesized using the WHO digital health intervention and Health System Challenge frameworks.</p><p><strong>Results: </strong>The review included studies from Australia (n=10), Singapore (n=5), South Korea (n=1), and China (n=2), encompassing randomized, observational, qualitative, and pragmatic designs. Digital interventions-telehealth, mobile health (mHealth) and electronic health (eHealth)-targeted NCDs such as diabetes, mental health, and cardiovascular diseases, addressing information quality, acceptability, efficiency, cost, accountability, and equity.</p><p><strong>Conclusion: </strong>The scoping review identified several digital health interventions, predominantly telehealth, mHealth and eHealth, deployed across Australia, Singapore, South Korea and China for NCD management in primary care. The studies demonstrated improvements in information quality, acceptability and efficiency, while highlighting persistent barriers such as technology integration issues, data quality concerns and inequities.</p>","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"20 ","pages":"77-100"},"PeriodicalIF":0.0,"publicationDate":"2025-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12789808/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145953374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Looking back at 2025: Strengthening primary care evidence for Malaysia, regional partners, and the global health community.","authors":"Salim Hani","doi":"10.51866/ed0009","DOIUrl":"10.51866/ed0009","url":null,"abstract":"","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"20 ","pages":"80-100"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12789807/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145953404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validity and reliability of the Malay Iowa Infant Feeding Attitude Scale among mothers with infants in Malaysia: A validation study.","authors":"Nurjasmine Aida Jamani, Hazwani Hanum Hashim, Karimah Hanim Abd Aziz, Nor Azam Kamaruzaman","doi":"10.51866/oa.518","DOIUrl":"10.51866/oa.518","url":null,"abstract":"<p><strong>Introduction: </strong>The Iowa Infant Feeding Attitude Scale (IIFAS) has been developed to assess maternal attitudes towards infant feeding choices to predict breastfeeding intention. Validity and reliability need to be established considering cultural, language and environmental differences, especially in the Malay context due to currently unavailable Malay version. This study aimed to translate the IIFAS into Malay (IIFAS-M) and determine its validity and reliability.</p><p><strong>Methods: </strong>A validation study using a digital survey was conducted. The final translated version was distributed to mothers with infants using the digital form. Principal component analysis was performed using SPSS version 27.</p><p><strong>Results: </strong>A total of 272 mothers with a mean age of 30.1 (SD±4.2) years participated in the study. A new scoring was given to the IIFAS-M, representing positive attitudes towards breastfeeding and neutral and positive attitudes towards formula feeding. The principal component analysis showed that all items had a factor loading of more than 0.4. The Cronbach's alpha value was 0.657, and the P-value for the test-retest Pearson correlation was <0.001.</p><p><strong>Conclusion: </strong>The IIFAS-M is a validated and reliable tool for assessing maternal attitudes towards infant feeding among Malay speakers.</p>","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"20 ","pages":"76"},"PeriodicalIF":0.0,"publicationDate":"2025-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12701943/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Palpitation post-vaccination: What should we do?","authors":"Samat Farhani, Aidi Zaharudin, Nur Athirah Rosli, Jue Jing Ong, T Ramanathan Sharmilee, Siti Athirah Baharuddin","doi":"10.51866/tyk.935","DOIUrl":"10.51866/tyk.935","url":null,"abstract":"<p><p>In this clinical dilemma, we highlight the case of a previously healthy 37-year-old lady who presented to a primary care clinic with palpitations, chest discomfort and difficulty breathing within 2 hours post-mRNA COVID-19 vaccine injection. During the initial presentation to the clinic and subsequent admission to the ward, there were no significant findings except for intermittent palpitations, which were relieved by supine positioning. Serial electrocardiograms and blood investigations, including troponin-I and thyroid function tests, revealed normal findings. Given persistent symptoms, further referrals were made. She underwent a tilt table test, which demonstrated normal results. Cardiac MRI showed myocardial oedema and inflammation at the basal anteroseptal wall. Herein, we discuss several differential diagnoses, clinical features and appropriate management for this patient. This case highlights the importance of having a high clinical index of suspicion and involving a multidisciplinary team in managing a case with a diagnostic dilemma.</p>","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"20 ","pages":"73"},"PeriodicalIF":0.0,"publicationDate":"2025-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12723603/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145828572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transforming custodial healthcare: A reflective summary of insights from my placement in Australia.","authors":"Suriya Devi Gurunathan","doi":"10.51866/mol.995","DOIUrl":"https://doi.org/10.51866/mol.995","url":null,"abstract":"","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"20 ","pages":"70"},"PeriodicalIF":0.0,"publicationDate":"2025-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12701942/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond the surface: Distinguishing leprosy from fungal mimics - A case report.","authors":"Nurjasmine Aida Jamani, Norrifhan Akmal Ismail, Mohd Shaari Nur Shairah","doi":"10.51866/cr.954","DOIUrl":"10.51866/cr.954","url":null,"abstract":"<p><p>Leprosy, a chronic infectious disease caused by <i>Mycobacterium leprae,</i> remains a significant public health concern in many developing countries, including Malaysia. Continuous monitoring and effective diagnostic strategies are crucial for curbing its transmission. The insidious nature of leprosy, characterised by slow progression and diverse clinical manifestations, often leads to delayed diagnosis, increasing the risk of irreversible nerve damage and subsequent disabilities. We report the case of a 55-year-old man who had leprosy presenting with chronic generalised hypopigmented lesions and was misdiagnosed with a fungal infection. Early detection and accurate differentiation from other hypopigmented skin conditions are crucial for timely intervention and the prevention of long-term complications.</p>","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"20 ","pages":"74"},"PeriodicalIF":0.0,"publicationDate":"2025-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12701944/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Marked reduction in hallucination rates with GPT-5: A positive development for medical and scientific writing.","authors":"Serkan Polat, Bülent Alyanak, Burak Tayyip Dede, Mustafa Hüseyin Temel, Mustafa Turgut Yildizgören, Fatih Bağcier","doi":"10.51866/lte.1004","DOIUrl":"10.51866/lte.1004","url":null,"abstract":"","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"20 ","pages":"75"},"PeriodicalIF":0.0,"publicationDate":"2025-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12701941/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Navigating the diagnostic and management challenges of paratubal cysts in adolescents: A case report and primary care insights.","authors":"Poh Yi Ooi, Imran Ahmad, Abdul Kadir Azidah","doi":"10.51866/cr.956","DOIUrl":"10.51866/cr.956","url":null,"abstract":"<p><p>Abdominal pain frequently drives patients to seek care at family physician clinics and emergency departments. It often signifies serious underlying conditions, presenting diagnostic challenges for physicians. Failure to diagnose an acute abdomen can result in patient morbidity and mortality and medicolegal risks for physicians. Herein, we report an unusual gynaecological case involving a paratubal cyst in a 15-year-old girl who presented with acute abdominal pain. This case underscores the critical role of primary care physicians in identifying red flags and initiating timely specialist referral. Abdominal ultrasound revealed a large, unilocular mass in the right adnexa, measuring 18x9.8 cm. The patient underwent an emergency laparotomy with a clinical diagnosis of a twisted ovarian cyst. However, intraoperative findings revealed a right paratubal cyst measuring 18x16x16 cm, which was not twisted. A fertility-preserving cystectomy was subsequently performed, successfully removing the cyst while preserving the ovary. Histopathological examination confirmed it as a benign paratubal cyst, consistent with the intraoperative findings. Although paratubal cysts are uncommon, they are a significant cause of abdominal pain. Therefore, timely identification, thorough clinical evaluation and appropriate diagnostic tests are essential for optimal patient care.</p>","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"20 ","pages":"71"},"PeriodicalIF":0.0,"publicationDate":"2025-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12701940/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge, attitude and practice in managing patients with asymptomatic hyperuricaemia among primary care doctors in Malaysia: A cross-sectional study.","authors":"Mohamad Faris Rusydi Rusly, Mazapuspavina Md Yasin, Mariam Mohamad, Khairatul Nainey Kamaruddin","doi":"10.51866/oa.970","DOIUrl":"10.51866/oa.970","url":null,"abstract":"<p><strong>Introduction: </strong>The prevalence of hyperuricaemia is increasing worldwide. Hyperuricaemia is associated with many comorbidities, but care quality is suboptimal. This study aimed to determine the level of knowledge, attitude (perceived barrier) and practice in managing asymptomatic hyperuricaemia (AH) among primary care doctors (PCDs) and whether there is a significant difference between PCDs with and without postgraduate qualifications in Malaysia. It also aimed to determine the factors associated with adequate practice in managing AH.</p><p><strong>Methods: </strong>A cross-sectional study was conducted using a validated online questionnaire. The adequacy of knowledge and practice was set at a score of >50%, and attitude (perceived barrier) was described in percentages. Multiple logistic regression examined the factors associated with adequate practice in managing AH.</p><p><strong>Results: </strong>A total of 412 PCDs participated, with the majority being women (76.2%) and Malay (74.0%) and working in public primary care clinics (84.0%). The overall mean knowledge score was 24.78 (standard deviation [SD] =3.01), and 96.4% achieved adequacy. For attitude, the most commonly perceived barriers were lack of knowledge about the disease (50%) and guidelines (48.5%). The overall mean practice score was 17.51 (SD=8.09), with 53.2% demonstrating adequate practice. Multivariate analysis identified prior rheumatology attachment as the only significant predictor of adequate practice in managing AH (aOR=1.778, 95% confidence interval=1.083-2.920; P<0.005).</p><p><strong>Conclusion: </strong>Despite high knowledge levels, a substantial proportion of PCDs report inadequate understanding of AH and its guidelines. Addressing these barriers through targeted educational interventions, guideline dissemination and specialised training, including rheumatology exposure, may enhance AH management in primary care.</p>","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"20 ","pages":"72"},"PeriodicalIF":0.0,"publicationDate":"2025-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12596157/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of parental depression with educational outcomes in Indonesian children aged 6-12 years: A cross-sectional study.","authors":"Rofingatul Mubasyiroh, Indri Yunita Suryaputri, Dini Rahma Bintari, Yurika Fauzia Wardhani, Eka Denis Machfutra, Ning Sulistiyowati, Sugiatmi Sugiatmi","doi":"10.51866/oa.931","DOIUrl":"10.51866/oa.931","url":null,"abstract":"<p><strong>Introduction: </strong>Psychological factors affecting children have received less attention in relation to continued education, particularly among elementary school-aged children. This study aimed to investigate the association between parental depression and educational outcomes in children aged 6-12 years.</p><p><strong>Methods: </strong>This study was conducted using data from the Indonesian Family Life Survey. Children aged 6-12 years living with their parents were included in the study. The outcome variable was school dropout. The Center for Epidemiologic Studies Depression scale was used to assess parental depression as the independent variable. Multivariate logistic regression was performed with covariate adjustments to determine the association of parental depression with educational outcomes.</p><p><strong>Results: </strong>Approximately 8.7% of the children dropped out of school, with the prevalence being higher among the boys (11.6%) than among the girls (5.5%). After being adjusted for covariates, maternal depression was found to be associated with an increased risk of school dropout, particularly when it occurred during the children's toddlerhood and childhood (odds ratio=1.97; 95% confidence interval=1.04-3.74; P=0.037). In contrast, paternal depression was not associated with an increased risk of school dropout.</p><p><strong>Conclusion: </strong>These findings suggest that maternal depression significantly influences the likelihood of school dropout among children.</p>","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"20 ","pages":"68"},"PeriodicalIF":0.0,"publicationDate":"2025-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12598747/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145497054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}