Displaying publications 41 - 60 of 684 in total

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  1. Lim KH
    Family Physician, 2001;11:35-36.
    Despite time, mobility, knowledge and other constraints, it is still possible for General Practitioners to play an active role in Palliative Care. This article offers various roles where GP can play. Differences between hospice, palliative medicine, palliative care are discussed. Suggestions are made on where to seek formal or informal education on palliative care. Key Words: role, hospice, palliative medicine, palliative care, illness, sickness
    Matched MeSH terms: Physicians; Physicians, Family
  2. McKay AB
    Family Practitioner, 1977;2(8):101-105.
    Matched MeSH terms: Physicians; Physicians, Family
  3. Catterall RA
    Family Practitioner, 1976;2:13-17.
    Matched MeSH terms: Physicians; Physicians, Family
  4. Goh CS
    Family Practitioner, 1982;5:78-78.
    Matched MeSH terms: Physicians; Physicians, Family
  5. Krishnan R
    Family Physician, 1997;10:1-1.
    Matched MeSH terms: Physicians; Physicians, Family
  6. Ammar A, Nawabi NLA, Hamzah R, Berger C, Jaweed M, Park KB, et al.
    World Neurosurg, 2023 Jan;169:110-117.e1.
    PMID: 36270595 DOI: 10.1016/j.wneu.2022.10.048
    BACKGROUND: Afghanistan has suffered through conflicts that have detrimentally impacted its health care systems. The countries' neurosurgeons have worked through wars and political upheavals to build solid practices and handle large caseloads with minimal supplies and almost no modern tools. Understanding the current state of neurosurgery in Afghanistan and the challenges faced by Afghan physicians and patients is critical to improving the country's healthcare capacity.

    METHODS: To assess neurosurgery research in Afghanistan, searches were conducted in databases for articles originating from Afghanistan neurosurgeons and/or neurosurgery departments. We developed a 30-question English-language survey to assess the current state of neurosurgical capacity. Surveys were distributed to neurosurgeons throughout Afghanistan via email with the assistance of our English-speaking Afghan neurosurgical colleagues.

    RESULTS: The neurosurgical disease burden of Afghanistan is poorly understood due to the lack of centralized and accessible databases. There are an estimated 124 neurosurgeons in the country based on modeled data. Surveys showed that government hospitals are poorly equipped, with private and military hospitals having access to slightly more modernized equipment but less accessible to the general population. The country lacks neurosurgery research with only 15 papers discovered through database searches deemed relevant to neurosurgery with Afghan affiliations.

    CONCLUSIONS: Afghanistan is facing existential humanitarian threats. Developing the country's neurosurgical capacity and general health care capabilities is crucial. Emphasis on training physicians and establishing communication routes, and aid deliverance with the country and its leaders is key to overcoming the many crises it faces.

    Matched MeSH terms: Physicians*
  7. H SNF, Manoharan A, Koh WM, K M, Khoo EM
    BMC Health Serv Res, 2023 Aug 29;23(1):914.
    PMID: 37644513 DOI: 10.1186/s12913-023-09937-z
    BACKGROUND: Healthcare workers (HCWs) have an increased risk of active and latent tuberculosis infection (LTBI) compared to the general population. Despite existing guidelines on the prevention and management of LTBI, little is known about why HCWs who tested positive for LTBI refuse treatment. This qualitative study sought to explore the facilitators and barriers to LBTI treatment uptake among primary HCWs in Malaysia.

    METHODS: This qualitative study used a phenomenological research design and was conducted from July 2019 to January 2021. A semi-structured topic guide was developed based on literature and the Common-Sense Model of Self-Regulation. We conducted one focus group discussion and 15 in-depth interviews with primary care HCWs. Interviewees were 7 physicians and 11 allied HCWs who tested positive for LTBI by Tuberculin Skin Test or Interferon Gamma Release Assay. Audio recordings were transcribed verbatim and thematic analysis was used to analyse the data.

    RESULTS: We found four factors that serve as barriers to HCWs' LTBI treatment uptake. Uncertainties about the need for LTBI treatment, alongside several other factors including the attitude of the treating physician towards treatment, time constraints during clinical consultations, and concerns about the treatment itself. On the other hand, facilitators for LTBI treatment uptake can be grouped into two themes: diagnostic modalities and improving knowledge of LTBI treatment.

    CONCLUSIONS: Improving HCWs' knowledge and informative clinical consultation on LTBI and its treatment benefit, aided with a definitive diagnostic test can facilitate treatment uptake. Additionally, there is a need to improve infection control measures at the workplace to protect HCWs. Utilizing behavioural insights can help modify risk perception among HCWs and promote treatment uptake.

    Matched MeSH terms: Physicians*
  8. Akhtar A, Khan AH, Zainal H, Ahmad Hassali MA, Ali I, Ming LC
    Front Public Health, 2020;8:601961.
    PMID: 33324603 DOI: 10.3389/fpubh.2020.601961
    Background: Unnecessary antimicrobial use is an emerging problem throughout the world. To design future interventions to ensure rational antimicrobial use and decrease the risk of antimicrobial resistance, physician's knowledge and prescribing practices of antimicrobials should be assessed. Therefore, the main objective of this study is to investigate the physician's knowledge along with their prescribing patterns of antimicrobials in their health care system. Methods: The present qualitative study was conducted in a tertiary care public hospital located at Penang island, situated in Northwest of Malaysia. A total of 12 semi-structured, face to face interviews were conducted with purposive sampling technique. Physicians recruited had different specialties. All interviews were audio recorded, then transcribed into English language and analyze by thematic content analysis. Results: Four major themes were identified: (1) prescribing patterns of physicians regarding antimicrobials; (2) physician's knowledge about antimicrobials; (3) antimicrobial resistance; (4) satisfaction with management of infections. Physicians believed in regular educational activities and updates about the latest antimicrobial guidelines may change the prescribing behavior of physicians to optimize the use of antimicrobials. This may lead to decrease in burden of antimicrobial resistance in their health care system. Physicians emphasized that stricter rules and regular monitoring of antimicrobial use should be implemented to overcome the main challenges of antimicrobial resistance. Conclusion: Different factors were identified to assist optimized use of antimicrobials and decrease the risk of antimicrobial resistance. The present study helps to design targeted future interventions to ensure rational antimicrobial use and decrease the impact of antimicrobial resistance in Malaysia.
    Matched MeSH terms: Practice Patterns, Physicians'; Physicians*
  9. Al-Ashwal FY, Sulaiman SAS, Sheikh Ghadzi SM, Kubas MA, Halboup A
    PLoS One, 2022;17(5):e0269002.
    PMID: 35617266 DOI: 10.1371/journal.pone.0269002
    BACKGROUND: Risk evaluation of atherosclerotic cardiovascular disease (ASCVD) remains the cornerstone of primary prevention. The cardiovascular risk assessment can guide the decision-making on various preventive measures such as initiating or deferring statin therapy. Thus, our study aimed to assess the physicians' knowledge, attitude, and practices regarding atherosclerotic cardiovascular diseases risk assessment. Also, we evaluated the physician-patient discussion and counseling practices before statin therapy initiation in concordance with recommendations from the latest clinical practice guideline.

    METHODS: A cross-sectional study was conducted between November 2020 and January 2021. A self-administered questionnaire was distributed to 350 physicians (GPs, residents, specialists, and consultants). Two trained pharmacists distributed the questionnaires in 5 major tertiary governmental hospitals and more than ten private hospitals. Also, private clinics were targeted so that we get a representative sample of physicians at different workplaces.

    RESULTS: A total of 270 physicians filled the questionnaire out of 350 physicians approached, with 14 being excluded due to high missing data, giving a final response rate of 73%. Participants had suboptimal knowledge and practices with a high positive attitude toward atherosclerotic cardiovascular diseases risk assessment. The knowledge and practices were higher among consultants, participants from the cardiology department, those with experience years of more than nine years, and those who reported following a specific guideline for cholesterol management or using a risk calculator in their practice. Notably, the risk assessment and counseling practices were lower among physicians who reported seeing more patients per day.

    CONCLUSION: Physicians had overall low knowledge, suboptimal practices, and a high positive attitude toward cardiovascular risk assessment. Therefore, physicians' training and continuing medical education regarding cholesterol management and primary prevention clinical practice guidelines are recommended. Also, the importance of adherence to clinical practice guidelines and their impact on clinical outcomes should be emphasized.

    Matched MeSH terms: Practice Patterns, Physicians'; Physicians*
  10. Hassali MA, Wong ZY, Alrasheedy AA, Saleem F, Mohamad Yahaya AH, Aljadhey H
    SAGE Open Med, 2014;2:2050312114555722.
    PMID: 26770747 DOI: 10.1177/2050312114555722
    To investigate the impact of an educational intervention on doctors' knowledge and perceptions towards generic medicines and their generic (international non-proprietary name) prescribing practice.
    Matched MeSH terms: Physicians
  11. Md Shajahan MY
    Family Physician, 1994;6:3-3.
    Matched MeSH terms: Physicians, Family
  12. Jegathesan M
    Family Practitioner, 1987;10:18-20.
    Matched MeSH terms: Physicians, Family
  13. Abdul Rashid, K., Gomathy, S., Ab Manan, A.
    MyJurnal
    Majority of doctors show no interest in research although research is now a requirement and is being done in every field of medicine. The objective of this survey was to describe the involvement in research activities among doctors in Penang and Seberang Jaya hospitals in Penang. A self-administered questionnaire was used. A total of 302 doctors participated in the survey. The differences in age (p=
    Matched MeSH terms: Physicians
  14. ISBN: 978-967-0538-17-4
    Citation: Teng CL, Khoo EM, Ng CJ (editors). Family Medicine, Healthcare & Society: Essays By Dr M K Rajakumar, Second Edition. Kuala Lumpur: Academy of Family Physicians of Malaysia, 2019

    First edition: 2008

    Contents of second edition:
    Preface to the Second Edition iii
    Acknowledgements iv
    Contents vi
    Foreword by Dr Harbaskh Singh vii
    Foreword by Professor Chris van Weel (in the First Edition) viii
    Foreword by Datuk Dr D M Thuraiappah (in the First Edition) ix
    Section 1: Primary Health Care and Family Medicine 1
    1 Put not New Wine into Old Bottles 3
    2 The Importance of Primary Care 6
    3 Primary Health for all the People 11
    4 The Evolution of General Practice 16
    5 Future of Family Medicine in Developing Countries 23
    6 Family Practice: Uniting Across Frontiers 27
    Section 2: Training for Family Medicine 31
    7 Specialisation in Primary Healthcare training for the new General Practice in Malaysia [summary] 32
    8 A Proposal for the Training of Physicians in Primary Care for the Rural Areas of Malaysia 34
    9 The Family Physician in Asia: Looking to the 21st Century 40
    10 Training Family Doctors in a Developing Country 46
    Section 3: Family Medicine journals 51
    11 Family Physician [inaugural issue of Family Physician] 52
    12 Our journal [inaugural issue of Malaysian Family Physician] 56
    Section 4: Healthcare Improvement 58
    13 The Future of the Health Services in Malaysia. [summary] 59
    14 Quality in Family Practice 68 15 Foreword, In: Chee HL, Barraclough S (ed). Health Care in Malaysia 75 Section 5: Ethics and Professionalism 81
    16 Ethical Consequences of Technological Change 83
    17 Dr Sun Yat Sen Oration. Between Faith and Reason 91
    18 Ethics, Professionalism and the “Trade” 99
    19 Rural Health and Global Equity: Am I My Brother’s Keeper? 103
    20 Achieving Equity Through a Primary Care-Led Health System 108 Section 6: Civil Society 112
    21 Looking Back, Looking Forward 113
    Appendix 1: Dr M K Rajakumar: A brief curriculum vitae 120
    Appendix 2: Books and articles about Dr M K Rajakumar 124
    Appendix 3: Reflections and comments 125
    Matched MeSH terms: Physicians, Family
  15. Harris N P
    Malays Fam Physician, 2009;4(1):6-7.
    Note by TCL: The Rajakumar Movement is the Wonca Asia Pacific Region Working Party for Young and Future Family Doctors. It was named in honour of Dr M K Rajakumar.
    Matched MeSH terms: Physicians, Family
  16. Teng CL
    ISBN: 978-983-3909-42-1
    Citation: Teng CL. Family Practice: Is It For Me? In: Ong HT (editor). The Life of a Doctor. Petaling Jaya: Unipress Medical & Healthcare; 2008, p115-119
    Matched MeSH terms: Physicians, Family
  17. Kwa SK
    Family Physician, 2000;11(1):12-3.
    Matched MeSH terms: Physicians, Family
  18. Chua WT
    Family Practitioner, 1987;10(2):36-41.
    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.
    Matched MeSH terms: Physicians, Family
  19. Sachithanandan A, Badmanaban B
    Med J Malaysia, 2011 Jun;66(2):164.
    PMID: 22106707
    Matched MeSH terms: Physicians*
  20. Lee YY, Medford AR, Halim AS
    J R Coll Physicians Edinb, 2015;45(2):104-7.
    PMID: 26181523 DOI: 10.4997/JRCPE.2015.203
    Increasing numbers of doctors are experiencing burnout now more than ever before and the worrying part is that what we see is just the tip of the iceberg. Burnout, a state of mental exhaustion caused by the doctor's professional life, is characterised by emotional exhaustion, depersonalisation and a reduced sense of accomplishment or success. Burnout has been largely ignored or under-recognised previously. This paper provides a perspective on burnout among doctors, including an overview of symptoms, the scale of the problem, the implications and causes of burnout and, finally, a strategic framework to provide a basis for managing it. Most importantly, professional bodies are urged to start taking steps to help troubled doctors. Medical Colleges should provide essential assistance, support and guidance as well as ensuring fair management and promotion policies.
    Matched MeSH terms: Physicians/psychology*
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