Malaysian Family Physician最新文献_第9页

It is not depression: A case report of a 37-year-old firefighter with frontotemporal dementia. 这不是抑郁症：一名37岁消防员的额颞叶痴呆病例报告。

Malaysian Family Physician Pub Date : 2023-08-13 eCollection Date: 2023-01-01 DOI: 10.51866/cr.348

Fa'iza Abdullah, Anith Aqillah Abd Razak, Umi Kalsom Mohd Idris

{"title":"It is not depression: A case report of a 37-year-old firefighter with frontotemporal dementia.","authors":"Fa'iza Abdullah, Anith Aqillah Abd Razak, Umi Kalsom Mohd Idris","doi":"10.51866/cr.348","DOIUrl":"10.51866/cr.348","url":null,"abstract":"A 37-year-old married, right-handed active firefighter presented to the primary care clinic with a self-report of difficulties in memorising and recalling information associated with declining work performance. Collaborative history-taking revealed that he also experienced emotional and social withdrawal, apathy, irritability and distractibility. He was initially diagnosed with major depressive disorder but showed no improvement with an antidepressant. This young man with no history of hereditary neurodegenerative disorder had further deterioration in cognitive function, predominantly executive behaviours, with progressive aphasia. Brain magnetic resonance imaging revealed cerebral atrophy predominant over the frontotemporal lobe. Positron emission tomography showed fluorodeoxyglucose hypometabolism at the bifrontal and left parietal and temporal cortices, consistent with frontotemporal dementia. He required institutionalisation with full nursing care less than 24 months after the onset of the symptoms. This case highlights the need for diagnostic consideration of dementia in young individuals presenting with cognitive impairment among other symptoms. It also emphasises the importance of obtaining collateral information from close relatives to avoid misdiagnosis and addresses the psychosocial impact of dementia at a young age.","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10504896/pdf/MFP-18-46.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10307991","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

Incredible past, resplendent present, envisioned promising future: 50th Anniversary of the Academy of Family Physicians of Malaysia (14 March 1973 to 14 March 2023). 令人难以置信的过去，辉煌的现在，充满希望的未来：马来西亚家庭医生学会成立50周年（1973年3月14日至2023年3月4日）。

Malaysian Family Physician Pub Date : 2023-08-02 eCollection Date: 2023-01-01 DOI: 10.51866/gj0001

Kaviyarasan Sailin

引用次数: 0

Characteristics and factors associated with severity of COVID-19 infections in primary care. 初级保健中与新冠肺炎感染严重程度相关的特征和因素。

Malaysian Family Physician Pub Date : 2023-07-26 eCollection Date: 2023-01-01 DOI: 10.51866/oa.285

Yeow Siong Lee, Jazlan Jamaluddin, Bee Kiau Ho

{"title":"Characteristics and factors associated with severity of COVID-19 infections in primary care.","authors":"Yeow Siong Lee, Jazlan Jamaluddin, Bee Kiau Ho","doi":"10.51866/oa.285","DOIUrl":"10.51866/oa.285","url":null,"abstract":"Introduction: Primary care service plays a vital role in early clinical assessment of patients with COVID-19 in Malaysia. This study aimed to evaluate the potential risk factors of COVID-19 severity at presentation to primary care facilities in the post-vaccination period.Method: Clinical records from the Selangkah system of all patients with COVID-19 aged above 18 years seen at COVID-19 assessment centres located in 10 government health clinics in Gombak district, Selangor, from 1 October to 31 December 2021 with complete documentation and outcomes were retrieved. Demographics, comorbidities, clinical features and vaccination statuses and types were retrospectively evaluated. The variables were compared between mild and severe diseases. Univariate and multivariable logistic regressions were used to identify the factors affecting disease severity.Results: A total of 4406 patients (median age=37 years, men=51.2%) were analysed. Approximately 97.1% of the cases were mild, while 2.9% were severe. Fever, difficulty breathing, lethargy, throat irritation/runny nose, oxygen saturation of <95%, respiratory rate of >20 breaths per minute, CoronaVac vaccination and hypertension were the determinants of severity (P<0.05).Conclusion: The high proportion (97.1%) of mild cases in this study compared with an earlier report (81.8%) during the pre-vaccination period may suggest the impact of vaccine, as 84.9% of this cohort was fully vaccinated. Our study also demonstrated a significant difference in COVID-19 severity between the vaccine types. The identified clinical features and comorbidities could assist primary care doctors in stratifying patients with COVID-19 judiciously in terms of hospital referral or home quarantine.","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10431198/pdf/MFP-18-42.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10044652","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 malnourished post-stroke man with multi-morbidity and sarcopenia risk in a long-term stroke clinic: A case report. 长期卒中门诊中一名营养不良的卒中后男性，患有多种疾病和肌肉疏松症：病例报告。

Malaysian Family Physician Pub Date : 2023-03-02 eCollection Date: 2023-01-01 DOI: 10.51866/cr.281

Chai Li Tay, Nor Haslinda Ishak, Mohd Fairuz Ali, Nor Shahrina Mohd Zawawi, Noor Azah Abd Aziz

{"title":"A malnourished post-stroke man with multi-morbidity and sarcopenia risk in a long-term stroke clinic: A case report.","authors":"Chai Li Tay, Nor Haslinda Ishak, Mohd Fairuz Ali, Nor Shahrina Mohd Zawawi, Noor Azah Abd Aziz","doi":"10.51866/cr.281","DOIUrl":"10.51866/cr.281","url":null,"abstract":"A 78-year-old post-stroke man with multiple comorbidities who was activity of daily living- dependent developed aspiration pneumonia associated with nasogastric tube (NGT) blockage. He presented with malnutrition and risk of sarcopenia with hypoalbuminaemia, small calf circumference (CC), low body mass index and small mid upper arm circumference. He showed symptoms of moderate-to-severe vascular dementia with behavioural psychological stress disorder, resulting in carer stress. Psychoeducation among the carers and referral to a neuro-psychiatrist were ensued after outpatient-based team meeting discussion. Herein, we highlight the importance of screening for sarcopenia and nutritional status in post-stroke patients with the use of the CC and serum albumin level as well as the involvement of a multidisciplinary team in the primary care setting to improve patient outcomes. Percutaneous endoscopic gastrostomy tubes are more suitable than NGTs for post-stroke patients who require enteral feeding to improve the nutritional status.","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10150325/pdf/MFP-18-12.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9403129","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 of undiagnosed depression among patients with hypertension: A cross-sectional study of Malaysian primary care perspective. 高血压患者中未确诊抑郁症的患病率：马来西亚初级保健视角的横断面研究。

Malaysian Family Physician Pub Date : 2023-02-22 eCollection Date: 2023-01-01 DOI: 10.51866/oa.2l4

Siaw Mei Choong, Ping Yein Lee, Aneesa Abdul Rashid

{"title":"Prevalence of undiagnosed depression among patients with hypertension: A cross-sectional study of Malaysian primary care perspective.","authors":"Siaw Mei Choong, Ping Yein Lee, Aneesa Abdul Rashid","doi":"10.51866/oa.2l4","DOIUrl":"10.51866/oa.2l4","url":null,"abstract":"Introduction: This study aimed to determine the prevalence of suspected depression and its associated factors among patients with hypertension in a Malaysian primary care clinic.Method: This cross-sectional study was conducted in a primary care clinic from 1 June to 31 August 2019 using the Patient Health Questionnaire-9.Results: The prevalence of suspected depression was 9.0%. The significant predictors of depression were Indian ethnicity (adjusted odd ratio [AOR]: 2.373; confidence interval [CI]: 1.147-4.907), divorce (AOR: 3.5; CI: 1.243-9.860), singleness (AOR: 2.241; CI: 1.182-4.251), heavy episodic drinking (AOR: 7.343; CI: 2.494-21.624), low physical activity level (AOR: 1.921; CI: 1.0932.274), low fibre intake (AOR: 1.836; CI: 1.061-3.178), uncontrolled blood pressure (AOR: 1.800; CI: 1.134-2.858) and presence of hypertension complications (AOR: 3.263; CI: 2.053-5.185).Conclusion: Primary health care providers must screen for depression among patients with hypertension, particularly those within high-risk groups, and implement interventions that address modifiable risk factors.","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10042249/pdf/MFP-18-10.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10004768","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 cause of acute abdomen in a paediatric patient: A case report of a twisted ovarian cyst. 小儿急腹症的罕见病因:一例扭曲卵巢囊肿的报告。

Malaysian Family Physician Pub Date : 2023-01-01 DOI: 10.51866/cr.207

Norzhafarina Hani, Meera Attiyah Mohd Tahir, Afifah Sjamun Sjahid, Mimi Azliha Abu Bakar, Ahmad Akram Omar

{"title":"A rare cause of acute abdomen in a paediatric patient: A case report of a twisted ovarian cyst.","authors":"Norzhafarina Hani, Meera Attiyah Mohd Tahir, Afifah Sjamun Sjahid, Mimi Azliha Abu Bakar, Ahmad Akram Omar","doi":"10.51866/cr.207","DOIUrl":"https://doi.org/10.51866/cr.207","url":null,"abstract":"Ovarian cysts are rare in children. Their common presentation is acute abdomen, which can be a life-threatening event that needs emergent investigation and intervention. Herein, we report a gynaecological case of a twisted ovarian cyst in an 11-year-old girl who presented to the emergency department with sudden-onset generalised abdominal pain. Multiple strong analgesics were prescribed, and pain-controlled analgesia was then started. Abdominal ultrasound revealed a left adnexal mass, and abdominal computed tomography showed a non-enhancing soft tissue tumour with multiple cystic components in the pouch of Douglas. The patient underwent emergency laparotomy, which revealed a gangrenous left ovarian mass measuring 9x5 cm that was twisted five times. Histopathology showed extensive haemorrhagic infarction with no remnant of viable tissue, consistent with a twisted ovary. It was challenging to determine the origin of the pain in this patient, as thorough examination could not be performed because she was in severe pain. Abdominal ultrasound helps guide diagnosis, as a gynaecological cause is rare in premenarchal children. A vigilant assessment is important to avoid delays in diagnosis and emergency intervention.","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10150323/pdf/MFP-18-15.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9403132","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

Is menopause managed well enough in general practice? 一般来说，更年期管理得好吗?

Malaysian Family Physician Pub Date : 2023-01-01 DOI: 10.51866/cm.264

Chandramani Thuraisingham, Sivalingam Nalliah

引用次数: 0

A case of sudden slow heart rate in a patient with atrial fibrillation - what could be the possible cause? 心房颤动患者突然心率缓慢的病例-可能的原因是什么?

Malaysian Family Physician Pub Date : 2023-01-01 DOI: 10.51866/tyk.256

Jin Yi Goh, Carwen Siaw

引用次数: 0

Left frontal lobe glioblastoma multiforme masquerading as psychosis: A case report. 伪装成精神病的左额叶多形性胶质母细胞瘤1例。

Malaysian Family Physician Pub Date : 2023-01-01 DOI: 10.51866/cr.287

Bee Zhen Ng, Jeremiah Sunderaj Peter, Sze Hung Chua

引用次数: 0

Development and implementation of a community-based COVID-19 assessment centre in Selangor: A descriptive study. 在雪兰莪州建立和实施基于社区的COVID-19评估中心:一项描述性研究。

Malaysian Family Physician Pub Date : 2023-01-01 DOI: 10.51866/oa.156

Anusha Manoharan, Nik Mazlina Mohammad, Azah Abdul Samad, Dalyana Hamid, Zil Azwan Abdullah

{"title":"Development and implementation of a community-based COVID-19 assessment centre in Selangor: A descriptive study.","authors":"Anusha Manoharan, Nik Mazlina Mohammad, Azah Abdul Samad, Dalyana Hamid, Zil Azwan Abdullah","doi":"10.51866/oa.156","DOIUrl":"https://doi.org/10.51866/oa.156","url":null,"abstract":"Introduction: With the rising number of COVID-19 cases in Malaysia and the overwhelming strain on the tertiary healthcare system, home isolation has been introduced by the Ministry of Health Malaysia to reduce the admission of patients with mild COVID-19 to tertiary and low-risk quarantine centres. COVID-19 assessment centres (CACs) have been set up to provide initial assessment, triaging and monitoring of patients with COVID-19 prior to and during their home isolation. In this study, we aimed to share our experience in setting up CACs in Selangor, Malaysia.Method: We described the steps taken in developing assessment tools and guidelines for assisting healthcare providers in safely monitoring patients with COVID-19 undergoing home isolation.Results: A total of 26,826 patients were clinically assessed from 1 to 28 February 2021 in various CACs in the state. The majority of the cases seen in the CACs were under category (CAT) 1 and 2. Only 0.2% (n=53) of the cases were categorised as severe COVID-19 (CAT 3 and above).Conclusion: CACs coordinated by primary care providers play an important role in triaging, assessing and monitoring patients with COVID-19 undergoing home isolation in the community. There needs to be a better partnership between various stakeholders and the private healthcare sector to improve the services. The usage of a pulse oximeter in home monitoring of all patients with COVID-19 in Selangor needs to be seriously considered.","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10337599/pdf/MFP-18-33.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9878241","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