MyMedR

Deva MP

Family Practitioner, 1978;3(3):12-15.

The management of schizophrenias has undergone a revolution with the advent of Electroconvulsive Therapy (ECT) and a whole range of psycho-pharmaceuticals this century. Along with these, the newer trends towards more humane, and psycho-oriented patient-care have resulted in the management of patients in srnall general hospital units hardly different from a surgical or medical ward. The different areas of treatment of the schizophrenic cannot all be accomplished in a general practice clinic but a surprising number of these patients are successfully managed as out-patients. This paper aims to outline the modern methods used in the management of the schizophrenias and their suitability in general practice.

Matched MeSH terms: Outpatients

Outpatient management of diabetes mellitus

Lee YS

Family Practitioner, 1984;7(1):53-56.

Matched MeSH terms: Outpatients

Fulltext Universality and Normativity of the Attachment Theory in Non-Western Psychiatric and Non-Psychiatric Samples: Multiple Group Confirmatory Factor Analysis (CFA)

Alareqe NA, Roslan S, Taresh SM, Nordin MS

Int J Environ Res Public Health, 2021 05 27;18(11).

PMID: 34072158 DOI: 10.3390/ijerph18115770

This study tests for the first time the validity of universality and normativity assumptions related to the attachment theory in a non-Western culture, using a novel design including psychiatric and non-psychiatric samples as part of a comprehensive exploratory and advanced confirmatory framework. Three attachment assessments were distributed to 212 psychiatric outpatients and 300 non-psychiatric samples in Yemen. The results of the fourteen approaches of exploratory factor analysis (EFA) produce a similar result and assertion that the psychiatric outpatients tend to explore attachment outcomes based on multi-methods, while the non-psychiatric samples suggest an attachment orientation based on multi-traits (self-other). The multiple group-confirmatory factor analysis (MG-CFA) demonstrates that the multi-method model fits the psychiatric samples better than the non-psychiatric samples. Equally, the MG-CFA suggests that the multi-traits model also fits the psychiatric samples better than the non-psychiatric samples. Implications of the results are discussed.

Matched MeSH terms: Outpatients*

Minor outpatient surgical procedures

Cheong YL

Family Physician, 1989;1:7-9.

Matched MeSH terms: Outpatients

Is there a role of routine resting ECG at the clinic in early detection of ischaemic heart disease?

Loh KY

Family Physician, 2003;12:23-23.

Matched MeSH terms: Outpatients

Outpatient ENT procedures

Thavarajah GA

Family Physician, 1989;1:10-11.

Matched MeSH terms: Outpatients

3-year defaulters from a tuberculosis out-patient clinic

McDougall C

Med J Malaya, 1954 Dec;9(2):132-8.

PMID: 14355276

Matched MeSH terms: Outpatients*

Outpatient surgical procedures in ophthalmology for the general practitioner

Pall S

Family Physician, 1989;1:15-17.

Matched MeSH terms: Outpatients

Fulltext Children of divorced parents seen in an outpatient child and family consultation clinic

Shariff MA, Kassim K

Family Physician, 1989;1:28-30.

Six cases of children of divorced parents are discussed. Their presentations are described and other relevant findings are mentioned. It is interesting to note that in the majority of the cases, the caretakers had difficulties in looking after the children and hence brought them to seek treatment.

Study site: Psychiatric clinic, Universiti Kebangsaan Malaysia

Matched MeSH terms: Outpatients

Fulltext Standing Up for Frailty: Blood Pressure Changes Do Matter

Tan MP

J Am Heart Assoc, 2020 04 07;9(7):e016222.

PMID: 32223391 DOI: 10.1161/JAHA.120.016222

Matched MeSH terms: Outpatients

The Patient's Charter - Validating actual services provided to the outpatient

Khoo CM, Lim YL, Abdul H, Zaharudin R, Sharipah A, Azirawati J, et al.

JUMMEC, 1997;2:107-110.

The Patient's Charter tells about the rights and standard of service a patient can expect. However, little information is available to gauge the reality of the charter in real practice. This survey was performed to determine the validity of the charter to the services provided and to identify areas of improvement if the charter is to be revised. A questionnaire-based survey was used to seek information from 196 patients who attended the Outpatient Department in Banting District Hospital over a period of four days. The overall waiting time for registration, to be seen by a doctor and for medication were 17.4 ± 2.0 minutes, 25.3 ± 2.6 minutes and 15.8 ± 1.3 minutes respectively. The overall waiting time for the whole consultation was 61.4 ± 4.9 minutes. Only 30.8% respondents knew about the Patient's Charter. The Patient's Charter appears to be valid for the actual services provided. There have to be measures to increase the awareness of the charter to the public perhaps via pamphlets and to provide a multi-linguistic charter.

Matched MeSH terms: Outpatients

Fulltext Interactive virtual medication counselling in outpatient pharmacy: An accessible and safe patient counselling method during the COVID-19 pandemic

Yong WY, Chang CT, Chew CC, Khoo TE

Res Social Adm Pharm, 2021 Oct;17(10):1860-1862.

PMID: 34272201 DOI: 10.1016/j.sapharm.2021.07.002

Matched MeSH terms: Outpatients

Fulltext Therapy-based rehabilitation services for patients living at home more than one year after stroke

Aziz NA, Leonardi-Bee J, Phillips M, Gladman JR, Legg L, Walker MF

Cochrane Database Syst Rev, 2008 Apr 16.

PMID: 18425928 DOI: 10.1002/14651858.CD005952.pub2

BACKGROUND: Current practice of rehabilitation intervention mainly concentrates on the first six months of stroke. At present, there is no agreed consensus about the benefits of such a service more than one year after stroke.

OBJECTIVES: To ascertain whether therapy-based rehabilitation services can influence outcome one year or more after stroke.

SEARCH STRATEGY: We searched the trials registers of the following Cochrane Review Groups: Stroke Group (last searched September 2007), Effective Practice and Organisation of Care Group (last searched October 2006) and Dementia and Cognitive Improvement Group (last searched October 2006). We also searched the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library Issue 4, 2006), MEDLINE (1966 to October 2006), EMBASE (1980 to October 2006), CINAHL (1982 to October 2006), AMED (1985 to October 2006), PEDro (1952 to October 2006), British Nursing Index (1993 to October 2006), DARE (1994 to October 2006), HMIC (1979 to October 2006) and NHS EED (1991 to October 2006). We also searched dissertation databases and ongoing trials and research registers, scanned reference lists and contacted researchers and experts in the field.

SELECTION CRITERIA: All randomised controlled trials of community-based stroke patients, in which at least 75% were recruited one year after stroke and received a therapy-based rehabilitation intervention that was compared with conventional care.

DATA COLLECTION AND ANALYSIS: Two review authors independently selected trials and extracted data on a number of pre-specified outcomes. The primary outcomes were the proportion of participants who had deteriorated or were dependent in personal activities of daily living at the end of scheduled follow up.

MAIN RESULTS: We identified five trials of 487 participants that were eligible for the review. Overall, there was inconclusive evidence as to whether therapy-based rehabilitation intervention one year after stroke was able to influence any relevant patient or carer outcome. Trials varied in design, type of interventions provided, quality, and outcomes assessed.

AUTHORS' CONCLUSIONS: This review highlights the dearth of evidence investigating long-term therapy-based rehabilitation interventions for patients with stroke.

Matched MeSH terms: Outpatients*

Fulltext Flexor pollicis longus zone 2 tendon repair under WALANT with ultrasound assistance

Gueffier X, Lalonde D, Ahmad AA

Trauma Case Rep, 2021 Apr;32:100446.

PMID: 33732858 DOI: 10.1016/j.tcr.2021.100446

A feature of the flexor pollicis longus tendon injury is the frequency of palmar retraction so that a wrist approach is needed for retrieval of the proximal stump. We are reporting on our first outpatient zone T2 flexor pollicis longus tendon repair under WALANT with ultrasound guidance. In the event of zone T2 flexor pollicis rupture, ultrasound location of tendon extremities is used to plan surgical WALANT strategy and to guide the injection of lidocaine with epinephrine whilst limiting the injected volume to what is strictly necessary.

Matched MeSH terms: Outpatients

Fulltext The use of SEBA-MED in the management of eczema in children

Khoo PC

Family Practitioner, 1986;9(2):46-47.

The efficacy of SEBA-MED. a synthetic detergent recommended for use on eczematous skin (especially seborrhoeic eczema), acne vulgaris, furunculosis and mycosis, was evaluated as an adjunctive agent in the management of childhood eczema. 50 patients with eczema from the Paediatric Skin Outpatient Clinic, University Hospital, were studied. Preliminary results of this trial show that SEBA-MED is well-tolerated as a cleansing agent in childhood eczema with no side effects noted. However, as atopic eczema is associated with dry skin in the majority of cases, the concomitant use of 'refatting' agents (such as SEBA-MED cream/lotion) is recommended.
Study site: Skin clinic, University Malaya Medical Centre (UMMC), Kuala Lumpur, Malaysia

Matched MeSH terms: Outpatients

A case of madura foot

O'Connor MP, Samuel J

Malayan Medical Journal, 1932;7:136-7.

Matched MeSH terms: Outpatients

Fulltext Structured periodic rehabilitation intervention sessions to stroke patients. a longitudinal review

Aziz, N.A., Nashrah, H., Fadilah A.Z., Ali, M.F., Zawawi, S., Katijah, A.

Medicine & Health, 2011;6(2):114-122.

MyJurnal

Despite evidence showing that structured rehabilitation after stroke improves functional outcomes, providing seamless rehabilitation from hospital to community has been elusive. The service provided should be able to accommodate variable degree of impairments and needs of the stroke survivors. This study aimed to assess the outcome of a multidisciplinary-based outpatient rehabilitation service for stroke patients living in the community. Patients who were discharged from Universiti Kebangsaan Malaysia Medical Centre after an acute stroke were referred to the Combined Stroke Rehabilitation Clinic (CSRC). Post stroke patients were assigned individually designed programs which were problem based and used task specific activities to achieve desired goals. Patients were reviewed on a regular basis either up to completion of the 2 year program, or are able to be discharged to the community, whichever is earlier. Modified Barthel Index (MBI) and Berg Balance Scores (BBS) were used for monitoring. A total of 68 patients were managed in CSRC for two years since its initiation, with mean age of 62.4 years (SD 12.4) with the mean duration of stroke when first reviewed in CSRC was 11.5 months (SD 11.9). Majority of patients (64.7%) received either two or three types of intervention. Both MBI and BBS demonstrated significant improvement over 12-months period (p value of 0.006 and 0.017 respectively). CSRC proved that structured rehabilitation intervention was beneficial in terms of functional status and improvement in balance to post-stroke patients.
Study site: Combined Stroke Rehabiltation clinics, Pusat Perubatan Universiti Kebangsaan Malaysia (PPUKM), Kuala Lumpur, Malaysia

Matched MeSH terms: Outpatients

A comparison of the prescribing habits and diagnosis made by primary care doctors working in the general outpatient departments of Hospital USM, Kelantan and UHKL

Lane MJ, Zulkifli A

Family Physician, 1995;7:16-20.

The aim of this study was first to analyse the prescribing habits of primary care doctors with a view to providing feedback which may help them to rationalise their prescribing. This analysis was helped by comparing the prescribing practices in two different settings and thus highlighting anomalous differences. The second aim of this study was to obtain data on the diagnoses being made in primary care settings in Malaysia as this information, though available from other countries, is limited here. Lists of the most commonly prescribed drugs and most common diagnoses made are provided, together with tables showing the most commonly prescribed drugs for the ten most common diagnoses. Differences in prescribing habits between the two settings are discussed and possible reasons are suggested.

Matched MeSH terms: Outpatients

Comprehension of antibiotic instructions in an outpatient Malaysian practice

Hassan Y, Abd Aziz N, Sarriff A, Darwis Y, Ibrahim P

Hosp Pharm, 1994 Jan;29(1):48-50, 53.

PMID: 10131493

Patients may not comply with antibiotic instructions because they do not understand them. The aim of this study was to assess outpatients' ability to comprehend their antibiotic prescription labels. Two hundred and five subjects on oral antibiotic regimens from an outpatient clinic and pharmacy of a district hospital were selected in this survey. All patients were interviewed by trained clinical pharmacy students. They were asked to read the labels and then how they would take their antibiotics. The results show that 119 (58.1%) patients could interpret the label. Forty-nine (23.9%) patients knew the name of antibiotics and interpreted the directions of use correctly. One hundred sixteen (56.6%) subjects were able to recall the auxiliary information. However, only 44 (21.4%) patients were able to comprehend complete antibiotic instruction. This study demonstrates that a significant proportion of patients could not interpret the labeling instruction. The comprehension level of patients was low and significantly associated (P < 0.05) with the ability of patient to read the label contents. These observations illustrate the need for physicians and pharmacists to provide antibiotic instructions and review these instructions with the patient.

Study site: outpatient clinic and pharmacy of a district hospita

Matched MeSH terms: Outpatients/psychology*; Outpatients/statistics & numerical data

Fulltext Extensive rectus sheath hematoma secondary to erroneous technique of anticoagulant injection

Hassan, S., Sutton, P.A., Smith, D.C., Kosai, N.R., Reynu, R., Shuhaili, M.A.

Medicine & Health, 2018;13(1):291-295.

MyJurnal

Rectus sheath hematoma (RSH) is a rare clinical entity that has been associated with the use of injectable anticoagulant therapy. Although low molecular weight heparin (LMWH) was proven to have a better safety profile than its predecessor, it is not without its own risk of bleeding. The increase in use of self-injectable LMWH in both in-patient as well as out-patient basis warrants greater awareness among health care providers, patients and caregivers regarding the potential risks and identification of possible complications. We present a fatal case of rectus sheath hematoma in an elderly man that occurred following erroneous technique of Dalteparin injection.

Matched MeSH terms: Outpatients

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