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Malaysian Family Physician最新文献

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ChatGPT, medical research and scientific writing. ChatGPT、医学研究和科学写作。
Q3 Nursing Pub Date : 2024-01-06 eCollection Date: 2024-01-01 DOI: 10.51866/lte.545
Somsri Wiwanitkit, Viroj Wiwanitkit
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引用次数: 0
Achieving sustainable development goals with primary care physicians. 通过初级保健医生实现可持续发展目标。
Q3 Nursing Pub Date : 2024-01-01 DOI: 10.51866/ed0008
Ping Foo Wong, Wai Khew Lee, V Paranthaman
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引用次数: 0
Patterns of dyslipidemia and its associated factors among prediabetic subjects. A cross-sectional study at a primary care clinic 糖尿病前期受试者血脂异常的模式及其相关因素。初级保健诊所的横断面研究
Q3 Nursing Pub Date : 2023-12-29 DOI: 10.51866/oa.125
S. Siddiqui, S. N. Harun, S. M. Ghadzi, Normala Abdul Wahid, Azima Hassan, H. Zainal
Introduction: Diabetes is closely linked to cardiovascular diseases, with diabetic dyslipidaemia serving as an established marker of the acceleration of complications, contributing to an increased cardiovascular risk among patients. Timely detection and early characterization of lipid abnormalities can help clinicians in implementing effective preventive measures. This study aimed to determine the patterns and associated factors of dyslipidaemia among Malaysian subjects with borderline diabetes. Methods: A retrospective study was conducted among subjects with borderline diabetes aged ≥18 years who visited a primary healthcare centre at Universiti Sains Malaysia from January 2017 to December 2018. Sociodemographic, clinical and laboratory data were obtained from electronic medical records. Data were analysed using SPSS version 25. Results: A total of 250 participants with borderline diabetes were included in the analysis. Of them, 93.6% (n=234) had lipid abnormalities. Isolated dyslipidaemia characterised by a high low-density lipoprotein cholesterol (LDL-C) level (38.8%, n=97) was the most common pattern found, followed by combined dyslipidaemia of high LDL-C and triglyceride (TG) levels (22.8%, n=57). The male sex was found to be significantly associated with hypertriglyceridemia (adjusted odds ratio [AOR]=1.86, 95% confidence interval [CI] =1.09–3.1)(P=0.02). Diastolic blood pressure ≥90mmHg was significantly associated with a low HDL-C level (AOR=2.09, 95% CI=1.0–4.1) (P=0.03). Conclusion: The majority of subjects with borderline diabetes have lipid abnormalities. Specifically, isolated dyslipidaemia characterised by a high LDL-C level is alarmingly prevalent. Further large-scale robust studies are needed to confirm the present findings.
导言:糖尿病与心血管疾病密切相关,糖尿病血脂异常是加速并发症的既定标志,会增加患者的心血管风险。及时发现并及早确定血脂异常的特征有助于临床医生采取有效的预防措施。本研究旨在确定马来西亚边缘糖尿病患者血脂异常的模式和相关因素。研究方法本研究对2017年1月至2018年12月期间到马来西亚理科大学初级医疗保健中心就诊的年龄≥18岁的边缘型糖尿病患者进行了回顾性研究。社会人口学、临床和实验室数据均来自电子病历。数据使用SPSS 25版进行分析。结果:共有250名边缘糖尿病患者参与分析。其中,93.6%(234 人)有血脂异常。以低密度脂蛋白胆固醇(LDL-C)水平高(38.8%,n=97)为特征的孤立性血脂异常是最常见的模式,其次是低密度脂蛋白胆固醇(LDL-C)和甘油三酯(TG)水平高的合并性血脂异常(22.8%,n=57)。男性与高甘油三酯血症显著相关(调整赔率[AOR]=1.86,95% 置信区间[CI]=1.09-3.1)(P=0.02)。舒张压≥90mmHg与高密度脂蛋白胆固醇水平低显著相关(AOR=2.09,95% CI=1.0-4.1)(P=0.03)。结论大多数边缘型糖尿病患者都存在血脂异常。特别是以高 LDL-C 水平为特征的孤立性血脂异常,其发病率令人震惊。需要进一步开展大规模的可靠研究,以证实本研究结果。
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引用次数: 0
Unravelling the unseen threat of polyhydramnios in patients with gestational diabetes mellitus: A case report 揭开妊娠糖尿病患者多胎妊娠的隐形威胁:病例报告
Q3 Nursing Pub Date : 2023-12-21 DOI: 10.51866/cr.377
Syamimi Nadiah A Wahab, Abdul Hadi Said, Wan Hasmawati Wan Ismail
Polyhydramnios is defined as an increase in the amount of amniotic fluid during pregnancy. This article presents the case of a 35-year-old G4P3 lady at 28 weeks of gestation with suboptimised gestational diabetes Mellitus (GDM). Routine transabdominal ultrasound showed the presence of polyhydramnios, initially thought to be due to suboptimal glucose control. Further evaluation revealed a congenital diaphragmatic hernia with multiple soft markers. Identifying the underlying causes of polyhydramnios can be challenging in primary care settings, which can be attributed to various factors. Although primary care medical officers may not be required to perform detailed scans, they have a crucial role in identifying gross foetal abnormalities. This study highlights the potential for missed diagnoses in primary care settings and the importance of comprehensive prenatal assessments to ensure early detection and appropriate management of polyhydramnios-related conditions in women with GDM.
多羊水是指妊娠期羊水量增加。本文介绍了一位 35 岁 G4P3 女性的病例,她在妊娠 28 周时患有妊娠糖尿病(GDM)。常规经腹超声波检查显示存在多胎妊娠,最初认为是由于血糖控制不理想所致。进一步的评估显示,该产妇患有先天性膈疝,并伴有多个软标记物。在基层医疗机构中,确定多胎妊娠的根本原因具有挑战性,这可归因于多种因素。虽然初级保健医疗人员可能不需要进行详细的扫描,但他们在识别胎儿大体畸形方面起着至关重要的作用。这项研究强调了在基层医疗机构中漏诊的可能性,以及全面产前评估的重要性,以确保及早发现并妥善处理 GDM 妇女的多胎妊娠相关病症。
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引用次数: 0
Perceptions and practices of self-management among adult patients with gout at a primary care clinic: A qualitative study 初级保健诊所的痛风成年患者对自我管理的看法和做法:定性研究
Q3 Nursing Pub Date : 2023-12-18 DOI: 10.51866/oa.428
Suhashini Sivasegaran, Nik Sherina Haidi Hanafi
Introduction: Gout is a chronic disease commonly associated with other comorbidities. Patients’ perceived quality of life empowers them in managing their health. Self-management is imparted as part of management among patients with chronic disease. This study aimed to explore the perceptions and practices of self-management among patients with gout from different ethnic groups in Malaysia. Methods: A qualitative study was conducted among Malay, Chinese and Indian patients with gout via semi-structured in-depth interviews at the primary care clinic of University Malaya Medical Centre in either English or Malay language. All participants had a gout duration of more than 6 months and were either taking urate-lowering drugs or not using them at all. Results: A total of 20 participants were successfully recruited for the study. Among the participants, 18 were men, while two were women. Further, nine were Malays; six, Chinese; and four, Indians. The age ranged from 29 to 81 years, while the gout duration ranged from 1 to 30 years. From the interviews, three themes emerged: experiences with gout, types of self-management of gout and factors influencing self-management of gout. Conclusion: Diet control is the main self-management practice of patients with gout. Traditional medicine practices include natural methods such as consumption of different types of vegetable juices, pineapple and papaya. Each ethnicity has its own unique beliefs and food cultures. By understanding the self-management practices of patients from diverse ethnic backgrounds, healthcare practitioners can tailor the treatment of gout to individual needs.
导言痛风是一种慢性疾病,通常伴有其他合并症。患者对生活质量的感知增强了他们管理自身健康的能力。自我管理是慢性病患者管理的一部分。本研究旨在探讨马来西亚不同种族痛风患者对自我管理的看法和做法。研究方法:在马来亚大学医疗中心的初级保健诊所,对马来人、华人和印度人痛风患者进行了半结构化深度访谈,采用英语或马来语进行定性研究。所有参与者的痛风病程均超过 6 个月,并正在服用或完全未服用降尿酸药物。结果:本研究共成功招募了 20 名参与者。其中 18 人为男性,2 人为女性。此外,9 人为马来人,6 人为中国人,4 人为印度人。年龄从 29 岁到 81 岁不等,痛风病程从 1 年到 30 年不等。访谈中出现了三个主题:痛风的经历、痛风自我管理的类型以及影响痛风自我管理的因素。最后得出结论:饮食控制是痛风患者自我管理的主要方法。传统医学方法包括自然疗法,如饮用不同种类的蔬菜汁、菠萝汁和木瓜汁。每个民族都有自己独特的信仰和饮食文化。通过了解来自不同种族背景的患者的自我管理方法,医护人员可以因人而异地治疗痛风。
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引用次数: 0
Prevalence and burden of diabetes mellitus-related symptoms in patients with type 2 diabetes mellitus: A cross-sectional study 2 型糖尿病患者糖尿病相关症状的患病率和负担:横断面研究
Q3 Nursing Pub Date : 2023-12-05 DOI: 10.51866/oa.416
Jonathan Yuet Han Tan, Chirk Jenn Ng
Introduction: Type 2 diabetes mellitus (T2DM) is a significant non-communicable disease in Malaysia, with a prevalence of 18.1%, per the National Health and Morbidity Survey. This study aimed to determine the prevalence and burden of diabetes mellitus-related symptoms and whether these symptoms were addressed by primary care doctors. Methods: This 1-month cross-sectional study was conducted at an urban hospital-based primary care clinic in Malaysia. Patients with T2DM were recruited using systematic random sampling. Participants answered a self-administered questionnaire adapted from the Diabetes Symptom Checklist-Revised, which evaluated the sociodemographic characteristics, burden of diabetes mellitus-related symptoms in the past month and post-consultation feedback about symptoms. Data were analysed using SPSS. Results: Four hundred eighteen participants were included, yielding a response rate of 97.7%. Hyperglycaemia was the most prevalent symptom, with 48.1% of the participants reporting a frequent need to empty their bladder. Most participants experienced a low symptom burden, so 56.7% did not report their symptoms to their doctors. The participants who reported their symptoms had a higher symptom burden. Among them, 97.5% indicated that their doctors addressed their symptoms. Approximately 78% reported satisfaction and good coping skills when their symptoms were addressed. Conclusion: Hyperglycaemia was the most prevalent diabetes mellitus-related symptom among the patients with T2DM. The symptom burden was generally low, so most patients did not report their symptoms to their doctors. Those who reported their symptoms had a higher symptom burden. Further studies must explore why patients do not report their symptoms and how doctors address patients’ symptoms.
简介在马来西亚,2 型糖尿病(T2DM)是一种严重的非传染性疾病,根据全国健康和发病率调查,其发病率为 18.1%。本研究旨在确定糖尿病相关症状的发病率和负担,以及初级保健医生是否处理过这些症状。研究方法这项为期 1 个月的横断面研究在马来西亚一家城市医院的初级保健诊所进行。研究采用系统随机抽样的方法招募 T2DM 患者。参与者回答了由糖尿病症状核对表(Diabetes Symptom Checklist-Revised)改编的自填式问卷,该问卷评估了社会人口学特征、过去一个月糖尿病相关症状的负担以及就诊后对症状的反馈。数据使用 SPSS 进行分析。结果:共纳入了 418 名参与者,回复率为 97.7%。高血糖是最普遍的症状,48.1%的参与者表示经常需要排空膀胱。大多数参与者的症状负担较轻,因此 56.7% 的参与者没有向医生报告自己的症状。报告症状的参与者的症状负担较重。其中 97.5%的人表示他们的医生处理过他们的症状。约 78% 的人表示,当他们的症状得到处理时,他们感到满意并有良好的应对能力。结论高血糖是 T2DM 患者最常见的糖尿病相关症状。症状负担一般较轻,因此大多数患者没有向医生报告症状。那些报告症状的患者的症状负担较重。进一步的研究必须探讨患者不报告症状的原因以及医生如何处理患者的症状。
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引用次数: 0
Hallucination: A key challenge to Artificial Intelligence-Generated writing. 幻觉:人工智能写作面临的主要挑战。
Q3 Nursing Pub Date : 2023-11-28 eCollection Date: 2023-01-01 DOI: 10.51866/lte.527
Jazlan Jamaluddin, Nadia Abd Gaffar, Nor Shazatul Salwana Din
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引用次数: 0
When was the last time you cried? 你上次哭是什么时候?
Q3 Nursing Pub Date : 2023-11-28 eCollection Date: 2023-01-01 DOI: 10.51866/mol.508
Mohamed-Syarif Mohamed-Yassin
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引用次数: 0
Should ChatGPT be considered a medical writer? ChatGPT 应该被视为医学作家吗?
Q3 Nursing Pub Date : 2023-11-28 eCollection Date: 2023-01-01 DOI: 10.51866/lte.483
Apichai Wattanapisit, Apichat Photia, Sanhapan Wattanapisit
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引用次数: 0
Corrigendum to "Postpartum health of working mothers: A prospective study". 职业母亲的产后健康:前瞻性研究"。
Q3 Nursing Pub Date : 2023-11-24 eCollection Date: 2023-01-01 DOI: 10.51866/cor.001
Janting Majorie Ensayan Anak, Whye Lian Cheah, Hazmi Helmy
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引用次数: 0
期刊
Malaysian Family Physician
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