Child abuse is as age-old problem which involves physical, emotional and sexual abuse and also the unauthorised administration of drugs to children. The problem does not arise from just a single cause or factor but is multifactorial. One big area is the presence of social situational stresses prior to or during the episodes of abuse. The author has carried out a retrospective study of twenty cases of child abuse investigated by the Department of Social Welfare, Kuala Lumpur from December 1979 to January 1980. This paper describes part of the findings, namely the social situational stresses. The findings are found to be similar to those of other studies, both local and abroad.
Night calls at the doctor's residence are part of the family physician's service to the community. not all night calls are emergencies. Many of the cases can be managed at home if they keep simple remedies at home or they are properly instructed by the doctor. But because some of the calls are medical, surgical or gynaecolofical emergencies, the doctor must respond to all night calls. Some common illnesses necessitating night calls are identified and a list of drugs either to be stocked in the house clinic or in the doctor's emergency bad are identified. Reduction in night calls can be achieved by educating our patients regarding self-management of minor illnesses, use of hospital emergency services, setting up of group practices, a private hospital with emergency service or a community night clinic.
MeSH terms: Emergencies; Humans; Malaysia; Physicians, Family