Malaysian Family Physician最新文献

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Acute medical care for individuals experiencing homelessness in Kuala Lumpur. 为吉隆坡无家可归者提供紧急医疗服务。
Malaysian Family Physician Pub Date : 2025-06-10 eCollection Date: 2025-01-01 DOI: 10.51866/mol.927
Khasnur Abd Malek, Ilham Ameera Ismail, Farnaza Ariffin, Md Yasin Mazapuspavina, Raja Ahmad Shaharul
{"title":"Acute medical care for individuals experiencing homelessness in Kuala Lumpur.","authors":"Khasnur Abd Malek, Ilham Ameera Ismail, Farnaza Ariffin, Md Yasin Mazapuspavina, Raja Ahmad Shaharul","doi":"10.51866/mol.927","DOIUrl":"https://doi.org/10.51866/mol.927","url":null,"abstract":"","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"20 ","pages":"37"},"PeriodicalIF":0.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12258502/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638357","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}
引用次数: 0
A comparative review of current international atrial fibrillation guidelines from a primary care perspective. 从初级保健的角度对当前国际房颤指南进行比较回顾。
Malaysian Family Physician Pub Date : 2025-06-07 eCollection Date: 2025-01-01 DOI: 10.51866/cpg.872
Jazlan Jamaluddin, Siok Fuang Liong, Hooi Chin Beh, Karleen Chong, Jin Ian Choong, Ahmad Firdaus Zakaria, Nik Aminah Nik Abdul Kadir
{"title":"A comparative review of current international atrial fibrillation guidelines from a primary care perspective.","authors":"Jazlan Jamaluddin, Siok Fuang Liong, Hooi Chin Beh, Karleen Chong, Jin Ian Choong, Ahmad Firdaus Zakaria, Nik Aminah Nik Abdul Kadir","doi":"10.51866/cpg.872","DOIUrl":"10.51866/cpg.872","url":null,"abstract":"<p><p>Atrial fibrillation (AF) is the most frequent sustained arrhythmia globally with significant morbidity and mortality. A local guideline has been created to help physicians in clinical decision-making by outlining various generally accepted approaches for the diagnosis, management and prevention of AF. This guideline was published 10 years ago, and it is imperative that new guidelines based on the latest consensus be renewed. Since then, various clinical guidelines have been issued in the past 5 years to standardise the management of AF, including the American College of Cardiology, European Society of Cardiology, National Institute for Health and Care Excellence and Asia Pacific Heart Rhythm Society guidelines. This review aims to provide a comprehensive comparison of these guidelines across multiple aspects of clinical management, including management frameworks, screening, anticoagulation, stroke and bleeding risk assessments, rate and rhythm control, follow-up, comorbidity management and technology usage.</p>","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"20 ","pages":"35"},"PeriodicalIF":0.0,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12258508/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638354","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}
引用次数: 0
World Salt Awareness Week: A call to action for reducing salt intake in Malaysia. 世界食盐意识周:呼吁马来西亚采取行动减少食盐摄入量。
Malaysian Family Physician Pub Date : 2025-05-27 eCollection Date: 2025-01-01 DOI: 10.51866/cm.929
Yook Chin Chia, Siew Mooi Ching, Nik Sherina Hanafi
{"title":"World Salt Awareness Week: A call to action for reducing salt intake in Malaysia.","authors":"Yook Chin Chia, Siew Mooi Ching, Nik Sherina Hanafi","doi":"10.51866/cm.929","DOIUrl":"10.51866/cm.929","url":null,"abstract":"<p><p>Cardiovascular diseases remain a primary contributor to death worldwide, with hypertension being a key determinant. Excessive salt intake is a contributing factor of high blood pressure and cardiovascular diseases. To address this, the World Health Organization recommends keeping daily salt consumption under 5 g and aiming for a 30% decrease by 2025. In Malaysia, efforts to reach this target have faced delays. A local study found that 79% of Malaysians consume an average of 7.9 g of salt per day, which is significantly higher than the WHO's recommendations. Despite efforts such as voluntary food reformulation, mandatory sodium labelling and public education campaigns, challenges remain. Industry reluctance, low consumer awareness and inadequate enforcement slow down such efforts. This commentary reviews these issues and suggests applicable approaches to strengthen Malaysia's salt reduction strategies.</p>","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"20 ","pages":"32"},"PeriodicalIF":0.0,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12160092/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286741","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}
引用次数: 0
A rare case report of delayed thyroxine hypersensitivity: Challenges and management strategies. 迟发性甲状腺素超敏症1例报告:挑战与处理策略。
Malaysian Family Physician Pub Date : 2025-05-10 eCollection Date: 2025-01-01 DOI: 10.51866/cr.734
A Kari Halimah Hana, Ahmad Saharuddin
{"title":"A rare case report of delayed thyroxine hypersensitivity: Challenges and management strategies.","authors":"A Kari Halimah Hana, Ahmad Saharuddin","doi":"10.51866/cr.734","DOIUrl":"10.51866/cr.734","url":null,"abstract":"<p><p>Herein, we present the case of a 45-year-old woman with a history of Graves' disease who underwent radioactive iodine therapy and was prescribed different oral preparations of thyroxine. Despite initial tolerance to the medication, she developed hypersensitivity reactions 3 months after consumption, which presented as urticarial rashes, erythematous maculopapular eruptions and angio-oedema. She tried a different preparation of thyroxine accompanied by antihistamines but continued having persistent reactions. This led to her discontinuation of thyroxine, resulting in overt hypothyroidism with secondary dyslipidaemia and weight gain. A diagnosis of delayed thyroxine hypersensitivity was made based on history, clinical assessment and supportive evidence from the Naranjo Adverse Drug Reaction Probability Scale.</p>","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"20 ","pages":"28"},"PeriodicalIF":0.0,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12160093/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286735","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}
引用次数: 0
Unforeseen sequela of a traditional remedy: A garlic burn case report. 传统疗法不可预见的后遗症:大蒜烧伤病例报告。
Malaysian Family Physician Pub Date : 2025-05-10 eCollection Date: 2025-01-01 DOI: 10.51866/cr.802
Shamsudin Nor Amal Lina, Chee Hon Yee, Yoon Chin Yap
{"title":"Unforeseen sequela of a traditional remedy: A garlic burn case report.","authors":"Shamsudin Nor Amal Lina, Chee Hon Yee, Yoon Chin Yap","doi":"10.51866/cr.802","DOIUrl":"10.51866/cr.802","url":null,"abstract":"<p><p>Garlic is one of the most popular natural home remedies for a variety of illnesses. Many different cultures have recognised its beneficial properties as a herbal remedy since ancient times. Nevertheless, inappropriate usage of garlic can cause unwanted side effects despite its numerous positive qualities. Although they may appear to be the least dangerous, natural remedies like garlic can also cause burn themselves. Garlic typically resulted in second-degree burns, but in some cases, necrotic tissue could also develop. This case report described burn injuries caused by the application of raw garlic. We aimed to demonstrate the possible adverse effects of using garlic as a natural home remedy as well as to educate the public and healthcare providers about inappropriate usage of natural home remedy for self-treatment.</p>","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"20 ","pages":"30"},"PeriodicalIF":0.0,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12160090/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286740","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}
引用次数: 0
Lived experiences of Malaysian family caregivers of patients with chronic illnesses: A qualitative study. 马来西亚慢性病患者家庭照护者的生活经验:一项定性研究。
Malaysian Family Physician Pub Date : 2025-05-08 eCollection Date: 2025-01-01 DOI: 10.51866/oa.683
Nurul Salwa Sajali, Norfaezah Md Khalid, Norsafatul Aznin A Razak
{"title":"Lived experiences of Malaysian family caregivers of patients with chronic illnesses: A qualitative study.","authors":"Nurul Salwa Sajali, Norfaezah Md Khalid, Norsafatul Aznin A Razak","doi":"10.51866/oa.683","DOIUrl":"10.51866/oa.683","url":null,"abstract":"<p><strong>Introduction: </strong>Chronic illnesses have added to the demand in informal caregiving. Culturally, family members are expected to provide physical care and psychosocial support to their sick members, but the challenges they face have adversely impacted their employment, financial, physical and emotional wellbeing. This study aimed to explore the lived experiences of family caregivers of patients with chronic illnesses.</p><p><strong>Methods: </strong>This qualitative research was based on the interpretative phenomenological analysis (IPA) approach. Purposive sampling was used to recruit five family caregivers of patients with chronic illnesses. Data were collected through in-depth semi-structured individual interviews and document analysis and later analysed systematically according to the six-step IPA process.</p><p><strong>Results: </strong>The data revealed the informants' meaning of experience in four themes: 1) adversities, 2) adjustment challenges, 3) adaptation and acceptance and 4) identity.</p><p><strong>Conclusion: </strong>The findings suggest that constructive lived experiences may be cultivated by increasing knowledge in caregiving, receiving greater appreciation and support from family members and learning to embrace the new identity. Caregiver support programmes or workshops focusing on emotional resilience or communication strategies can help to boost the positive life experiences of caregivers. The findings can be useful for healthcare professionals in understanding and addressing the needs of caregivers and improving the support and services provided to them.</p>","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"20 ","pages":"31"},"PeriodicalIF":0.0,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12160095/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286738","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}
引用次数: 0
Exploring diabetes care at the Leicester Diabetes Centre. 探索莱斯特糖尿病中心的糖尿病护理。
Malaysian Family Physician Pub Date : 2025-05-05 eCollection Date: 2025-01-01 DOI: 10.51866/mol.921
Shafinaz Syed Hamzah Shariffah
{"title":"Exploring diabetes care at the Leicester Diabetes Centre.","authors":"Shafinaz Syed Hamzah Shariffah","doi":"10.51866/mol.921","DOIUrl":"https://doi.org/10.51866/mol.921","url":null,"abstract":"","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"20 ","pages":"27"},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12160096/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286736","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}
引用次数: 0
From general practice in Australia to academic family medicine in Malaysia. 从澳大利亚的全科医生到马来西亚的学术家庭医学。
Malaysian Family Physician Pub Date : 2025-05-04 eCollection Date: 2025-01-01 DOI: 10.51866/mol.888
Mohamed-Syarif Mohamed-Yassin
{"title":"From general practice in Australia to academic family medicine in Malaysia.","authors":"Mohamed-Syarif Mohamed-Yassin","doi":"10.51866/mol.888","DOIUrl":"10.51866/mol.888","url":null,"abstract":"","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"20 ","pages":"25"},"PeriodicalIF":0.0,"publicationDate":"2025-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12160091/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286737","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}
引用次数: 0
Postgraduate family medicine training in Southeast Asia. 东南亚家庭医学研究生培训。
Malaysian Family Physician Pub Date : 2025-05-01 eCollection Date: 2025-01-01 DOI: 10.51866/cm.903
Apichai Wattanapisit, Krishna Suvarnabhumi, Wichuda Jiraporncharoen, Indah Suci Widyahening, Oua Phimmasarn, Khamphanh Prabouasone, Ping Yein Lee, Adina Abdullah, Thin Nyein Nyein Aung, Myint Zaw, Leilani Apostol Nicodemus, Chirk Jenn Ng, Ho Thi Kim Thanh, Pham Le An
{"title":"Postgraduate family medicine training in Southeast Asia.","authors":"Apichai Wattanapisit, Krishna Suvarnabhumi, Wichuda Jiraporncharoen, Indah Suci Widyahening, Oua Phimmasarn, Khamphanh Prabouasone, Ping Yein Lee, Adina Abdullah, Thin Nyein Nyein Aung, Myint Zaw, Leilani Apostol Nicodemus, Chirk Jenn Ng, Ho Thi Kim Thanh, Pham Le An","doi":"10.51866/cm.903","DOIUrl":"10.51866/cm.903","url":null,"abstract":"<p><p>Family medicine is a medical discipline that has been recognised globally for nearly six decades. Postgraduate family medicine training was introduced more recently in Southeast Asia. This article presents the characteristics of postgraduate family medicine training in eight Southeast Asian countries: Indonesia, Laos, Malaysia, Myanmar, the Philippines, Singapore, Thailand and Vietnam. The duration of training varies across countries and programmes within each country, ranging from 1 to 5 years. Completion of training leads to qualifications such as master's degree, diploma or certificate. Some countries also offer further training following postgraduate family medicine training, classified into two types: capacity-based training (e.g. family medicine fellowship) and discipline-based training (e.g. palliative care fellowship). The increasing burden of non-communicable diseases and the ageing population as well as the shortage of family physicians are significant concerns and challenges that influence postgraduate family medicine training in Southeast Asia.</p>","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"20 ","pages":"29"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12160097/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286739","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}
引用次数: 0
Knowledge, views, practice and self-efficacy regarding copper intrauterine contraceptive device usage among public primary care doctors in Sarawak: A cross-sectional study. 砂拉越公立初级保健医生关于铜宫内节育器使用的知识、观点、实践和自我效能:一项横断面研究。
Malaysian Family Physician Pub Date : 2025-04-28 eCollection Date: 2025-01-01 DOI: 10.51866/oa.662
Yik Huang Chua, Chare Chee Kueh, Sing Seng Lee, Li Lian Lim, Kii Han Sia, Hie Ping Sii, Ishak Maziah, Chandramani Thuraisingham, Cheong Lieng Teng
{"title":"Knowledge, views, practice and self-efficacy regarding copper intrauterine contraceptive device usage among public primary care doctors in Sarawak: A cross-sectional study.","authors":"Yik Huang Chua, Chare Chee Kueh, Sing Seng Lee, Li Lian Lim, Kii Han Sia, Hie Ping Sii, Ishak Maziah, Chandramani Thuraisingham, Cheong Lieng Teng","doi":"10.51866/oa.662","DOIUrl":"https://doi.org/10.51866/oa.662","url":null,"abstract":"<p><strong>Introduction: </strong>Intrauterine contraceptive device (IUCD) insertion is a reversible and effective way to reduce unplanned pregnancy. Doctors play a key role in IUCD usage. This study aimed to assess knowledge, views, practice and self-efficacy regarding copper IUCD usage among public primary care doctors in Sarawak.</p><p><strong>Methods: </strong>A cross-sectional study was conducted in all public primary care clinics in Sarawak. A selfadministered online survey form was distributed to doctors in the eligible clinics.</p><p><strong>Results: </strong>A total of 312 doctors participated in the survey. Most of them (81.4%) worked in a clinic where IUCDs were available. The median knowledge score among the medical officers was 15 (maximum score: 20). The knowledge score was correlated with the length of primary care experience and was higher among the doctors who had prior IUCD training and ever had inserted IUCDs. The doctors were concerned about the side effects of IUCDs, especially perforation and pelvic inflammatory diseases, and were negatively influenced by the additional counselling time required when recommending IUCDs. They recognised IUCD usage as a long-term and reversible contraception method. Most (69.2%) doctors had inserted IUCDs before, but only 45.9% had inserted five or more IUCDs. The self-efficacy of the doctors regarding IUCD insertion was moderate (63% of the total score).</p><p><strong>Conclusion: </strong>The knowledge and self-efficacy of the public primary care doctors in Sarawak were moderate. Although IUCDs were widely available, the number of IUCD insertions was relatively small. Further research is warranted to quantify IUCD usage and identify its barriers among nurses and patients.</p>","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"20 ","pages":"24"},"PeriodicalIF":0.0,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12051973/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005070","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}
引用次数: 0
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