Malaysian Family Physician最新文献_第7页

Acute nicotine poisoning in a 2-year-old child - A case report of a near-death event. 2岁儿童急性尼古丁中毒-一例濒死事件报告。

Malaysian Family Physician Pub Date : 2025-10-18 eCollection Date: 2025-01-01 DOI: 10.51866/cr.532

Mohd Shaiful Ehsan Shalihin, Sakinah Md Rifin, Nur Izzati Binti Mohd Sabri

{"title":"Acute nicotine poisoning in a 2-year-old child - A case report of a near-death event.","authors":"Mohd Shaiful Ehsan Shalihin, Sakinah Md Rifin, Nur Izzati Binti Mohd Sabri","doi":"10.51866/cr.532","DOIUrl":"10.51866/cr.532","url":null,"abstract":"Acute nicotine poisoning is a devastating condition that occurs when there is an excessive intake of nicotine, a toxic alkaloid found in tobacco products, mainly e-cigarettes. It impairs respiratory and neurological functioning due to its massive inflammatory effect. It is mainly related to vaping activity. Most smokers know about smoking's adverse effects and implications. However, public awareness is still poor, and a majority are unable to quit the trending vaping addiction. Nevertheless, the potential severity of its toxicity to a growing child both in the short and long term is of critical concern, especially in cases of accidental direct ingestion. We report the case of a 2-year-old child who presented with acute respiratory failure secondary to liquid nicotine ingestion at home. The child was first seen by the medical team at primary care and required urgent intubation and paediatric intensive care unit admission. Her condition was complicated with several episodes of seizure requiring close monitoring. This case highlights that despite ignorance of adults on the danger of vaping, significant harm can still occur among children at home when parents engage in vaping. Although adults may take certain precautions, their harmful habits can indirectly and directly affect children, making the risk unavoidable. This serves as an urgent call for the government to strictly ban nicotine products and enact corresponding legislation immediately.","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"20 ","pages":"67"},"PeriodicalIF":0.0,"publicationDate":"2025-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12596154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483282","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

Integrating augmented intelligence and artificial intelligence into primary healthcare. 将增强智能和人工智能集成到初级医疗保健中。

Malaysian Family Physician Pub Date : 2025-10-07 eCollection Date: 2025-01-01 DOI: 10.51866/lte.25.01

S Kaviyarasan Sailin Stalin

引用次数: 0

Prevalence and associated factors of high-level diabetes-related distress among patients with type 2 diabetes mellitus in northern Malaysian primary care settings: A cross-sectional study. 马来西亚北部初级保健机构中2型糖尿病患者高水平糖尿病相关窘迫的患病率及相关因素：一项横断面研究

Malaysian Family Physician Pub Date : 2025-10-05 eCollection Date: 2025-01-01 DOI: 10.51866/oa.796

Peng Yit Tan, Azmilumur Mahfuzah, Kupusamy Gaayatiri, Darshini Latsmanan Rhena, Govindasamy Sangeetha, Mohamed Syarif Mohamed Yassin, Noorhida Baharudin

{"title":"Prevalence and associated factors of high-level diabetes-related distress among patients with type 2 diabetes mellitus in northern Malaysian primary care settings: A cross-sectional study.","authors":"Peng Yit Tan, Azmilumur Mahfuzah, Kupusamy Gaayatiri, Darshini Latsmanan Rhena, Govindasamy Sangeetha, Mohamed Syarif Mohamed Yassin, Noorhida Baharudin","doi":"10.51866/oa.796","DOIUrl":"10.51866/oa.796","url":null,"abstract":"Introduction: Diabetes-related distress (DRD) affects disease control and quality of life. This study aimed to determine the prevalence of high-level DRD, compare the prevalence according to diabetes complications and identify the associated sociodemographic and clinical factors.Methods: This cross-sectional study included 198 participants from three primary care clinics in northern Malaysia from 1 May 2023 to 31 July 2023. DRD was measured using the 17-Item Diabetes Distress Scale, with a score of >3 indicating high-level distress. Multiple logistic regression was used to assess the association between the sociodemographic and clinical characteristics and DRD.Results: The prevalence of high-level DRD was 13.6%. The prevalence was significantly higher among the patients without nephropathy (17.2%) than among those with nephropathy (3.8%) (P=0.014) but did not significantly differ among those with other complications. Those who attended the clinics independently were less likely to be highly distressed than those using public transportation or sent by others (adjusted odds ratio [aOR]=0.31, 95% confidence interval [CI]=0.10-0.99, P=0.048). The participants who were obese (aOR=2.96, 95% CI=1.08-8.08, P=0.034) had higher odds of having high-level DRD than those who were not, while those who had nephropathy (aOR=0.11, 95% CI=0.02-0.58, P=0.010) had lower odds of having high-level DRD than those who did not.Conclusion: The overall prevalence of high-level DRD is relatively low but significantly higher among individuals without nephropathy. 0besity, lack of transportation and the absence of nephropathy are positively associated with high-level DRD and should therefore be a focus of psychological support and intervention.","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"20 ","pages":"69"},"PeriodicalIF":0.0,"publicationDate":"2025-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12596156/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483257","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

Hypothalamic amenorrhoea as an extraintestinal manifestation of Crohn's disease: A case report. 下丘脑闭经作为克罗恩病的肠外表现：1例报告。

Malaysian Family Physician Pub Date : 2025-10-01 eCollection Date: 2025-01-01 DOI: 10.51866/cr.937

Ibrahim Adibah, Omar Ahmad Akram, Nageshar Ashna, Vikiraman Tamileswari

{"title":"Hypothalamic amenorrhoea as an extraintestinal manifestation of Crohn's disease: A case report.","authors":"Ibrahim Adibah, Omar Ahmad Akram, Nageshar Ashna, Vikiraman Tamileswari","doi":"10.51866/cr.937","DOIUrl":"10.51866/cr.937","url":null,"abstract":"Crohn's disease (CD), a chronic inflammatory bowel condition, although rare in Malaysia, can present with atypical systemic features, including reproductive dysfUnction. We report the case of a 31-year-old woman referred for secondary amenorrhoea and presumed endometriosis, later diagnosed with CD following worsening gastrointestinal symptoms and significant weight loss. Hormonal evaluation revealed hypothalamic-pituitary axis suppression secondary to malnutrition and systemic inflammation. Treatment with corticosteroids and nutritional rehabilitation led to weight gain and resumption of menses within 3 months. This case highlights the importance of recognising functional hypothalamic amenorrhoea as a reversible consequence of chronic illness and nutritional deficiency. It also underscores how systemic diseases such as CD may mimic gynaecological conditions, potentially delaying accurate diagnosis. Early multidisciplinary collaboration is essential in evaluating menstrual disturbances with overlapping gastrointestinal symptoms, especially in regions where inflammatory bowel disease remains uncommon.","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"20 ","pages":"64"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12596155/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483254","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

24-day-old newborn with tinea capitis: A case report. 24日龄新生儿头癣1例。

Malaysian Family Physician Pub Date : 2025-09-16 eCollection Date: 2025-01-01 DOI: 10.51866/cr.902

Fa'iza Abdullah, Cm Nor Azmi Hani Azmina, Che Abdul Rahim Abdul Rahman

引用次数: 0

Never lose hope, regardless of how gloomy it gets - Fuji-san. 永远不要失去希望，不管它变得多么黯淡。

Malaysian Family Physician Pub Date : 2025-09-11 eCollection Date: 2025-01-01 DOI: 10.51866/mol.981

Imran Ahmad, Ruzilawati Abu Bakar

引用次数: 0

Association of symptoms and comorbidities with hospitalization among patients infected with coronavirus disease : A cross-sectional study among users of Universitas Sumatera Utara's COVID-19 Telemedicine. 冠状病毒感染患者的症状和合并症与住院的关系：苏门答腊北方大学COVID-19远程医疗用户的横断面研究

Malaysian Family Physician Pub Date : 2025-09-11 eCollection Date: 2025-01-01 DOI: 10.51866/oa.329

Albert Tanaka, Isti Ilmiati Fujiati

{"title":"Association of symptoms and comorbidities with hospitalization among patients infected with coronavirus disease : A cross-sectional study among users of Universitas Sumatera Utara's COVID-19 Telemedicine.","authors":"Albert Tanaka, Isti Ilmiati Fujiati","doi":"10.51866/oa.329","DOIUrl":"10.51866/oa.329","url":null,"abstract":"Introduction: Coronavirus disease (COVID-19) is a highly contagious disease caused by severe acute respiratory syndrome coronavirus 2 and was declared by the World Health Organization as a pandemic on 11 March 2020. However, COVID-19 will continue to occur in the future. Therefore, this research aimed to determine the factors that affect the risk of hospitalisation of patients infected with COVID-19 so that preventive measures can be taken promptly.Methods: This study adopted a descriptive, analytic, cross-sectional research design. The sample included the people of North Sumatra who used Universitas Sumatera Utara's COVID-19 Telemedicine and met the research criteria. The data were analysed using the chi-square test, with odds ratios (ORs) calculated.Results: Among the clinical symptoms of the patients, runny nose (OR=10.9), sore throat (OR=23.5), muscle pain (OR=24.3), headache (OR=33.7), diarrhoea (OR=7.7), nausea (OR=10.6), vomiting (OR=4.4), ageusia (OR=6.3) and anosmia (OR=5.5) were more commonly associated with an increased risk of hospitalisation. Among the comorbidities, hypertension (OR=2.5) and diabetes (OR=4.9) increased the risk of hospitalisation.Conclusion: Runny nose, sore throat, muscle pain, headache, diarrhoea, nausea, vomiting, ageusia, anosmia, diabetes and hypertension are associated with an increased risk of hospitalisation among patients with COVID-19.","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"20 ","pages":"56"},"PeriodicalIF":0.0,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12510772/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281502","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

Prevalence and risk factors of preterm birth among pregnant adolescents in Kuala Lumpur: A cross-sectional study. 吉隆坡怀孕青少年早产的患病率和危险因素：一项横断面研究。

Malaysian Family Physician Pub Date : 2025-09-11 eCollection Date: 2025-01-01 DOI: 10.51866/oa.711

Nur Aznida Abu Bakar, Dalila Roslan, Nik Nairan Abdullah, Musbahiyah Mat Zainal, Pillai Simon Puvanese Rebecca

{"title":"Prevalence and risk factors of preterm birth among pregnant adolescents in Kuala Lumpur: A cross-sectional study.","authors":"Nur Aznida Abu Bakar, Dalila Roslan, Nik Nairan Abdullah, Musbahiyah Mat Zainal, Pillai Simon Puvanese Rebecca","doi":"10.51866/oa.711","DOIUrl":"10.51866/oa.711","url":null,"abstract":"Introduction: Adolescent pregnancies are often associated with a higher risk of adverse outcomes, including preterm birth, which may lead to severe physiological and psychological health impacts on both mothers and children. Despite the acknowledged risks, there is a knowledge gap regarding the risk factors of preterm birth among pregnant adolescents. This study aimed to determine the prevalence and associated sociodemographic, maternal, intrapartum and neonatal factors of preterm birth among pregnant adolescents in Kuala Lumpur.Methods: A cross-sectional study was conducted in Kuala Lumpur, Malaysia, from March to June 2024. Samples were selected using simple random sampling from the Wilayah Persekutuan Kuala Lumpur and Putrajaya Department of Health pregnant adolescents' line listing from 2019 to 2023. Simple and multiple logistic regression analyses were used to determine the factors associated with preterm birth.Results: A total of 175 pregnant adolescents were included in the study. The prevalence of preterm birth was 16%. Anaemia at booking (adjusted odds ratio [aOR]: 7.8; 95% confidence interval [CI]: 2.53, 23.997), history of preterm birth (aOR: 11.654; 95% CI: 1.517, 89.498), history of smoking (aOR: 6.89; 95% CI: 1.397, 34.002) and low birth weight (aOR: 12.503; 95% CI: 3.858, 40.522) were significantly associated with preterm birth.Conclusion: Targeted interventions to address anaemia, history of smoking, previous history of preterm births and low birth weight babies in adolescent pregnancies are crucial to reduce the incidence of preterm birth and improve maternal and infant health outcomes in this population among adolescents.","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"20 ","pages":"60"},"PeriodicalIF":0.0,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12510770/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281478","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

Factors associated with home blood pressure monitoring practices among patients with hypertension in Putrajaya, Malaysia: A cross-sectional study. 马来西亚布城高血压患者家庭血压监测相关因素：一项横断面研究。

Malaysian Family Physician Pub Date : 2025-09-11 eCollection Date: 2025-01-01 DOI: 10.51866/oa.889

Luqman Melissha, Siew Mooi Ching, Mohamad Fadzilah, Hanum Mohd Yusof Hazira

{"title":"Factors associated with home blood pressure monitoring practices among patients with hypertension in Putrajaya, Malaysia: A cross-sectional study.","authors":"Luqman Melissha, Siew Mooi Ching, Mohamad Fadzilah, Hanum Mohd Yusof Hazira","doi":"10.51866/oa.889","DOIUrl":"10.51866/oa.889","url":null,"abstract":"Introduction: This study primarily aimed to determine the factors associated with home blood pressure monitoring (HBPM) practices among patients with hypertension in Putrajaya, Malaysia.Methods: A cross-sectional study was conducted among patients with hypertension aged 18 years and above in a government health clinic in Putrajaya. An adopted and validated questionnaire on the knowledge, attitude and practice of HBPM was utilised. A total of 338 patients with hypertension were recruited.Results: The median age of the participants was 52 years. Approximately 95.3%, 87.3%, 61.2%, 54.4% and 49.4% were Malay, were married, completed tertiary education, were men and were government servants, respectively. The prevalence of good HBPM knowledge, good attitude towards HBPM and HBPM practice among the participants was 79.0%, 57.1% and 81.7%, respectively. Having medical insurance (adjusted odds ratio [aOR]: 3.05, 95% confidence interval (CI): 1.47- 6.29, P=0.003), having diabetes mellitus (DM) (aOR: 4.58, 95% CI: 2.47-8.49, P<0.01), staying with household members (aOR: 2.95, 95% CI: 1.07-8.10, P=0.036), being a non-smoker (aOR: 3.72, 95% CI: 1.41-9.80, P=0.008) and engaging in physical activity (aOR: 2.47, 95% CI: 1.314.65, P=0.005) showed significant associations with HBPM practice.Conclusion: The knowledge and practice of HBPM among patients with hypertension in Putrajaya, Malaysia, were excellent. The significant associated factors of HBPM practice were having medical insurance, having DM, staying with household members, being a non-smoker and being physically active. This study should be extended to the whole nation to obtain a true reflection of HBPM practice among Malaysians.","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"20 ","pages":"61"},"PeriodicalIF":0.0,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12510775/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281443","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

Reply to: 'Postgraduate family medicine training in Southeast Asia' by Wattanapisit et al. (2025). 回复：Wattanapisit等人的“东南亚研究生家庭医学培训”（2025）。

Malaysian Family Physician Pub Date : 2025-09-02 eCollection Date: 2025-01-01 DOI: 10.51866/lte.979

Schawanya Kaewpitoon Rattanapitoon, Chutharat Thanchonnang, Nathkapach Kaewpitoon Rattanapitoon

引用次数: 0