Displaying all 12 publications

  1. Rajakumar MK
    Fam Pract, 1985 Mar;2(1):55-6.
    PMID: 3988018 DOI: 10.1093/fampra/2.1.55-a
    In developing countries, the family persists as a key institution, the centre of the emotional, spiritual and economic life of the individual and the context of the individual's interactions with the community. The majority of the population still live in rural areas where the family-community interaction is close, indeed intense. This remains true too of peasants migrating to urban slums to exist in a new culture of poverty. The family in developing countries represents a more closely shared, psychological, sociological and economic destiny than is perhaps represented by the family in the wealthy nations of the West.

    'Health for all by the year 2000' is the promise of the Declaration of Alma-Ata to which all our governments have put their signatures. It is a noble ambition which is impossible to achieve unless the issues of poverty and maldistribution of wealth are seriously addressed. Nevertheless, much progress can be made during a campaign to achieve 'Health 2000' because an opportunity presents to discuss the prerequisites to achieving 'Health for all' and there is pressure to make some progress towards this.

    An important opportunity now presents itself to put into effect the new concepts of family practice on a global scale. Hitherto the World Health Organization, (of which WONCA has just become a non-governmental organization affiliate) has not found it necessary to turn to family physicians for advice or expertise whilst organizations of family physicians for their part have shown little interest in the primary health care movement. Family physicians have practised under constraints that have favoured chargeable procedures as against the preventive approach, episodic care as against continuing care, caring for the fee-paying individual as against caring for the family and large panels as against small populations. This practice falls short of our ideals. In developing countries, there is a need for a community-oriented, family-based practice in which the physician and the health care team accept responsibility to work with their community to achieve health for all. We must now give attention to develop this atrophied wing of family practice.

    This is truly a historic opportunity that we must seize to make available the concepts and skills of family practice and to universalize the relevance of our way of delivering primary health care. All of us in a great co-operative endeavour can do much for the health of the people of this small globe that we share.
    'There is a tide in the affairs of men,
    Which, taken at the flood, leads on to fortune;
    Omitted, all the voyages of their life
    Is found in shallows and miseries.
    On such a full sea are we now afloat,
    And we must take the current when it serves,
    Or lose our venture.'
    [Notes added by TCL: Full text of article. The quoted phrase was uttered by Brutus in William Shakespear's Julius Caesar Act 4, scene 3]
  2. Rajakumar MK
    Singapore Med J, 1984 Feb;25(1):1-5.
    PMID: 6463657
    Dr Rajakumar delivered this lecture at the 14th SMA National Medical Convention on 16.4.1983
    Republished in: Republished in: Teng CL, Khoo EM, Ng CJ (editors). Family Medicine, Healthcare and Society: Essays by Dr M K Rajakumar, Second Edition. Kuala Lumpur: Academy of Family Physicians of Malaysia, 2019: 83-90
  3. Rajakumar MK
    Suara Sosialis, 1971 May.
    Excerpts from the first part of a talk delivered by Dr M K Rajakumar on Dec 4th 1970 at a seminar organised by the Academic Staff Association, University of Malaya.
  4. Rajakumar MK
    Family Physician, 1989;1:5-7.
  5. Ismail AM, Balakrishnan R, Rajakumar MK
    J Bone Joint Surg Br, 1969 Aug;51(3):503-5.
    PMID: 5820795
    A case of disruption of patellar ligament is described. An association with previous steroid infiltration is present in this case.
  6. Rajakumar MK, Ton SH, Lim KF, Oorloff KH
    Med. J. Malaysia, 1984 Mar;39(1):65-8.
    PMID: 6513842
    179 heterosexuals, selected for VDRL testing on the basis of a history of involvement in promiscuous sexual activity, mainly prostitution, had their serum also tested for hepatitis B infection markers, HBsAg, HBeAg and anti-HBe. 51 samples (29%) were found to be positive for at least one of the three markers, at levels higher than the already high levels in voluntary random blood donors in Malaysia.
  7. Rajakumar MK, Ngeow YF, Khor BS, Lim KF
    Sex Transm Dis, 1988 1 1;15(1):25-6.
    PMID: 3162781
    Forty-three patients with uncomplicated gonorrhea were treated with 400 mg of ofloxacin. All had cultures negative for Neisseria gonorrhoeae at follow-up within two weeks of treatment. Minimal side effects were reported. Ofloxacin appears to be satisfactory as a single-dose oral drug for the treatment of gonococcal urethritis, including those cases caused by penicillinase-producing strains of N. gonorrhoeae.
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