Browse publications by year: 1993

  1. Soshila R
    Family Physician, 1993;5:14-17.
    MeSH terms: Diagnosis; Malaysia; Tuberculosis
  2. Sidek Nontak MA, Hamzah N, Salleh MO
    Family Physician, 1993;5:28-34.
    There is increasing evidence that insomnia is a common complaint. Furthermore, physicians tend to institute treatment without adequate assessment of the patients with insomnia. For the purpose of management, cases are presented on the basis of classification. A survey of doctor's knowledge and practice in the primary care department is discussed. Management principles and problems are outlined.
    MeSH terms: Ambulatory Care Facilities; Cross-Sectional Studies; Humans; Sleep Initiation and Maintenance Disorders; Health Knowledge, Attitudes, Practice; Malaysia; Outpatient Clinics, Hospital; Primary Health Care; Physicians, Primary Care
  3. Rokiah I
    Family Physician, 1993;5:5-13.
    MeSH terms: Malaysia; HIV Infections
  4. Rokiah I
    Family Physician, 1993;5:14-22.
    MeSH terms: HIV Infections
  5. Pillay B, Gregory ARA, Subbiah M, Yap SK
    Family Physician, 1993;5:34-36.
    118 cases of cervical dysplasia were followed up by cytological smears for over 9 years to determine their biologic outcome. All grades of dysplasia showed evidence of regression and progression to more severe lesions, including carcinoma. Severe dysplasia however did not regress to normalcy and had the maximum conversion rates to malignancy. The period taken for transition to malignancy was found to be shorter than that generally described. Since even mild dysplasia carries with it a malignant potential, all patients with cervical dysplasia, irrespective of the grade, have to be followed up by repeated clinical and cytological examinations.
    MeSH terms: Carcinoma; Follow-Up Studies; Head; Malaysia
  6. Osman A, Johari M, Abalos M, Banjong O, Dheerasawad C, Sanchez I, et al.
    Family Physician, 1993;5:26-30.
    Analysis of the nutritional status and its related factors of three different geographic areas was conducted. The areas were Kampong Sungai Gulang-Gulang, a traditional village in Kuala Selangor, vegetable farming area in Kuala Terla, Cameron Highland and housing flats in Kuala Lumpur. Assessment of nutritional status was done using anthropometric, clinical, biochemical, dietary and stool examination. The results show that 13% of the children in traditional village were stunted, 8% were wasted and 17% were underweight. In vegetable farming area the prevalence were 16.5%, 10.2% and 20.2% respectively. The prevalence of anaemia among toddler was 81.0% in traditional village, 77.2% in vegetable farming area and 55.3% in urban flats. Anaemia in the three areas was strongly associated with inadequate intake of iron.
    MeSH terms: Anemia; Child; Humans; Malaysia; Nutritional Status; Prevalence; Malnutrition
  7. Md Shajahan MY, Yen BYW
    Family Physician, 1993;5:23-27.
    MeSH terms: HIV; HIV Infections
  8. Md Shajahan MY, Liam CK
    Family Physician, 1993;5:16-21.
    MeSH terms: Asthma; Malaysia; Primary Health Care
  9. Md Shajahan MY
    Family Physician, 1993;5:3-3.
    MeSH terms: Editorial
  10. Md Shajahan MY
    Family Physician, 1993;5:3-3.
    MeSH terms: Tuberculosis; Editorial
  11. Md Shajahan MY
    Family Physician, 1993;5:3-4.
    MeSH terms: HIV; Physicians; Physicians, Family; HIV Infections; Editorial; General Practitioners
  12. Md Hussain H, Ahmad Zafri AB
    Family Physician, 1993;5:31-32.
    A 13-year old Malay girl presented with multiple parasuicide attempts. She made multiple attempts at suicide and at the last attempt she developed liver damage. This article discusses the etiology and different methods used to prevent future suicidal attempts in this patient.
    MeSH terms: Adolescent; Liver; Malaysia; Suicide
  13. Liam CK
    Family Physician, 1993;5:22-26.
    The knowledge of 16 medical officers and 21 house officers from the Department of Medicine regarding the technique of using the pressurised metered dose inhaler (MDI) was evaluated. The doctors were interviewed individually and each was requested to demonstrate the use of a placebo inhaler. Only 21.6% of the participants correctly performed all the ten steps considered to constitute correct inhalation technique. The most common mistake was failure to actuate the inhaler at the start of breathing in through the mouth. Although inhaler technique was better among the medical officers, all of whom claimed to have instructed patients on the use of pressurised MDIs, house officers who were also involved in patient instruction performed equally well. Unfortunately, doctors with inadequate technique had also instructed patients and this could be one of the causes of incorrect technique among patients. Key words: Correct technique, doctors, pressurised metered dose inhaler
    MeSH terms: Asthma; Hospitals; Humans; Internship and Residency; Malaysia; Physicians; Knowledge; Metered Dose Inhalers
  14. Liam CK
    Family Physician, 1993;5:5-10.
    MeSH terms: Asthma; Malaysia
  15. Liam CK
    Family Physician, 1993;5:46-53.
    Smoking cessation helps patients with COPD more than any specific medical treatment. By commencing treatment early, the main symptoms of COPD, i.e. cough, dyspnoea, and excessive mucus production, can be relieved and premature mortality from respiratory failure can, in many cases, be prevented. An anticholinergic aerosol offers the greatest bronchodilator benefit with the least side-effects to a patient with COPD. After maximising the dosage of an anticholinergic agent, either an inhaled beta2-agonist or oral theophylline may be added for additional bronchodilator effects. Corticosteroids may be beneficial in a subset of the patients. Selected patients with exercise limitation despite optimal medical therapy may gain from an increased sense of well-being enrolled in a supervised exercise rehabilitation progromrne. Long-term domiciliary oxygen therapy improves survival for patients who are chronically hypoxaemic. Antibiotics are reserved for acute exacerbations. The role of alpha-1-antitrypsin replacement and lung transplantation is still investigational.
    MeSH terms: Anti-Bacterial Agents; Cough; Glucocorticoids; Malaysia; Mortality; Mucus; Oxygen; Rehabilitation; Smoking; Survival; Theophylline; Transplantation; Exercise; Lung Transplantation; Smoking Cessation; Pulmonary Disease, Chronic Obstructive
  16. Leong KC
    Family Physician, 1993;5:11-15.
    MeSH terms: Inhalation; Asthma; Malaysia
  17. Kuppusamy I
    Family Physician, 1993;5:5-6.
    MeSH terms: Anemia; Child; Malaysia; Nutritional Status; Tuberculosis; Prevalence; Malnutrition
  18. Khor GL, Ko CF, Kok KM, Chee HL
    Family Physician, 1993;5:27-31.
    The cultural and socioeconomic determinants (including the accessibility, costs and perceived effectiveness of medical care) of why and how individuals engaged in health-improving behaviours are essential information for policy makers in designing strategies towards increasing the efficient utilisation of public health services and interventions. Studies on such determinants are particularly needed for urban populations given their socioeconomic and cultural heterogeneity.
    MeSH terms: Malaysia; Public Health; Urban Population
  19. Kamaruzaman WS, Siti Minah D, Che Rahim A
    Family Physician, 1993;5:22-25.
    A study was done in 1987 to find out the attitudes and perceptions of patients toward treatment in the Hospital Universiti Sains Malaysia (HUSM). A similar study was repeated five years later covering both patients and relatives of patients. In 1987, 17% of patients were not satisfied with the treatment mainly because of poor patient-staff relationship. In 1991, 5% of the patients were dissatisfied. The reasons attributed for their dissatisfaction were rudeness of staff, the presence of medical students and attitude of the patients and public of the nurses. There was a positive change of attitude of the aptients and public towards the hospital services after five years. Factors that lead to this improvement like education and better public relations is discussed.
    MeSH terms: Attitude; Hospitals; Humans; Malaysia; Public Relations; Patient Satisfaction
  20. Kader NM
    Family Physician, 1993;5:33-34.
    A case of Stevens-Johnson syndrome induced by clindamycin resulting in total shedding of all the nails is reported to highlight the rarity and severity of the drug reaction.
    MeSH terms: Clindamycin; Dermatology; London; Malaysia; Nails; Stevens-Johnson Syndrome
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