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Asia Pacific Family Medicine

Yoshio Tokuchi, Yayoi Nakamura, Yusuke Munekata, Fumio Tokuchi
BACKGROUND: Obesity is a major risk factor for obstructive sleep apnea (OSA), and weight loss is necessary in the overall management of obese patients with OSA. However, primary care physicians can provide only limited weight loss with lifestyle interventions, usually reducing a patient's body weight by only 2.5 kg or less after 6-18 months. CASE PRESENTATION: A 45-year-old Japanese man was referred to our clinic owing to obesity, daytime sleepiness, and snoring during sleep...
2016: Asia Pacific Family Medicine
Hiroaki Takenaka, Nobutaro Ban
BACKGROUND: We aimed to clarify what aspects of family function are measured by the Family APGAR by examining its correlations with the fourth edition of the Family Adaptability and Cohesion Evaluation Scale at Kwansei Gakuin (FACESKG IV). Furthermore, we sought to confirm the usefulness of the Family APGAR in general practice. METHODS: We recruited 250 patients (aged 13-76 years) from the general medicine outpatient clinic in a Japanese hospital between July 1999 and February 2000...
2016: Asia Pacific Family Medicine
Michiko Goto, Yousuke C Takemura
BACKGROUND: In medical practice, obtaining information regarding patients' undisclosed "feelings of anxiety" or "depressive feelings" is important. The purpose of this study was to determine which interview skills are best suited for eliciting verbal indications of undisclosed feelings, for example anxiety or depressive feelings in patients. METHODS: Our group videotaped 159 medical interviews at an outpatient department of the Department of Family Medicine, Mie University Hospital (Mie, Japan)...
2016: Asia Pacific Family Medicine
Muhammad Bilal, Abdul Haseeb, Mohammad Hassaan Khan, Muhammad Saad, Sapna Devi, Mohammad Hussham Arshad, Anusha Alam, Abdullah Muneer Wagley, Khawaja Muhammad Ammar Ali Javed
BACKGROUND: Acute asthma is a chronic condition affecting people of all ages around the world and hence, is one of the leading causes of emergency department (ED) visits and hospital admissions globally. Most of them are related to poor patient practices and a weak healthcare system. The aim of our study was to assess the reasons for the increased usage of the ED by asthmatic patients in Pakistan. METHODS: A cross-sectional study was conducted on 600 asthmatic patients reporting to the ED of Civil Hospital Karachi over a 6-month period...
2016: Asia Pacific Family Medicine
Cameron G Shultz, Michael S Chu, Ayaka Yajima, Eric P Skye, Kiyoshi Sano, Machiko Inoue, Tsukasa Tsuda, Michael D Fetters
BACKGROUND: In contrast to many western nations where family medicine is a cornerstone of the primary care workforce, in Japan the specialty is still developing. A number of services within the bailiwick of family medicine have yet to be fully incorporated into Japanese family medicine training programs, especially those associated with sexual health. This gap constitutes a lost opportunity for addressing sexual health-related conditions, including cancer prevention, diagnosis, and treatment...
2015: Asia Pacific Family Medicine
Pankaj Garg, Jennifer A Williams, Vinita Satyavrat
BACKGROUND: Food dislikes in children may result in avoiding particular food/s with major sources of essential nutrients leading to increased risk of impaired growth or cognitive development and compromised immune function. It is necessary to identify conditions contributing to feeding difficulty and associated complications. An instrument was designed to assist diagnosis and management of children with feeding difficulties. The study was conducted to test utility of the "Identification and Management of Feeding Difficulties (IMFeD)" tool in Indian children...
2015: Asia Pacific Family Medicine
Michiko Goto, Shoji Yokoya, Yousuke Takemura, Alberto Alexander Gayle, Tsukasa Tsuda
BACKGROUND: Patients cannot always share all necessary relevant information with doctors during medical consultations. Regardless, in order to ensure the best quality consultation and care, it is imperative that a doctor clearly understands each patient's agenda. The purpose of this study was to analyze the process of developing a shared-agenda during family physician consultations in Japan. METHODS: We interviewed 15 first time patients visiting the outpatient clinic of the Department of Family Medicine in the hospital chosen for the investigation, and the 8 family physicians who examined them...
2015: Asia Pacific Family Medicine
Satoshi Kanke, Takumi Kawai, Naomi Takasawa, Yukiko Mashiyama, Atsushi Ishii, Ryuki Kassai
BACKGROUND: Family physicians should maintain regular contact with obese patients to ensure they effectively reduce their body weight. However, family physicians in Japan have on average only 6 (min) per consultation, and conventional interventions for body weight reduction require a longer consultation or additional manpower. A brief intervention within the limited consultation time available is therefore needed. Here we investigated the effectiveness of a brief weight reduction intervention for obese patients and the related factors for reducing body weight during routine consultations in the primary care setting...
2015: Asia Pacific Family Medicine
Sam Lim, David Chi-Leung Lam, Abdul Razak Muttalif, Faisal Yunus, Somkiat Wongtim, Le Thi Tuyet Lan, Vikram Shetty, Romeo Chu, Jinping Zheng, Diahn-Warng Perng, Teresita de Guia
BACKGROUND: Chronic obstructive pulmonary disease (COPD) is a clinical syndrome encompassing a group of chronic, progressive, and debilitating respiratory conditions, that are characterized by incompletely reversible airflow limitation. Within the Asia-Pacific region, prevalence estimates have been derived using various protocols and study methods, and there is little data on the impact of COPD exacerbations. This study aimed to provide a comprehensive picture of the current prevalence and burden of COPD in this region...
2015: Asia Pacific Family Medicine
Naoto Ishimaru, Ayumi Takayashiki, Takami Maeno, Yurika Kawamura, Hiroshi Kurihara, Tetsuhiro Maeno
BACKGROUND: Many medical students in Japan were brought up in urban areas, thus rural medical practice is often unfamiliar to them. The University of Tsukuba created a one-day early_exposure program to provide freshman students with experience in rural practices. This study was designed to clarify how this one-day early_exposure program affected medical students' attitudes toward and knowledge of rural practices. FINDINGS: First-year medical students (n = 103) were assigned to one of seven rural clinics in which they experienced rural practice for one day...
2015: Asia Pacific Family Medicine
Abdul Rashid Abdul Rahman, Ji-Guang Wang, Gary Mak Yiu Kwong, Dante D Morales, Piyamitr Sritara, Renan Sukmawan
BACKGROUND: Hypertension is one of the world's most common health conditions and is a leading risk factor for mortality. Although blood pressure can be modified, there is a large proportion of patients whose blood pressure remains uncontrolled. The aim of this study, termed Edvantage 360°, was to gain a deeper understanding of hypertension management in Asia from the perspective of patients and doctors, and to propose strategies to improve blood pressure control. METHODS: Conducted in Hong Kong, Indonesia, Malaysia, the Philippines, South Korea, Taiwan, and Thailand, Edvantage 360° was a mixed-methods observational study that used both qualitative and quantitative elements: qualitative interviews and focus groups with patients (N = 110), quantitative interviews with patients (N = 709), and qualitative interviews with doctors (N = 85)...
2015: Asia Pacific Family Medicine
Mahtab Memarpour, Ali Poostforoush Fard, Roghieh Ghasemi
BACKGROUND: Plans to increase the role of students in health research require data on students' knowledge and views of research. The aim of the study was to evaluate these factors toward research among medical science students. METHODS: Undergraduate and postgraduate students of three medicine, dentistry and pharmacy schools in Shiraz were enrolled in a cross-sectional descriptive study using questionnaires to provide details of the parameters of attitude to, knowledge of and barriers toward research for each individual...
2015: Asia Pacific Family Medicine
Rasnayaka M Mudiyanse
BACKGROUND: The practice of family medicine is not well established in many developing countries including Sri Lanka. The Sri Lankan Government funds and runs the health facilities which cater to the health needs of a majority of the population. Services of a first contact doctor delivered by full time, vocationally trained, Family Physicians is generally overshadowed by outpatient departments of the government hospitals and after hours private practice by the government sector doctors and specialists...
January 8, 2014: Asia Pacific Family Medicine
Ngiap Chuan Tan, Chirk Jenn Ng, Mitchell Rosemary, Khan Wahid, Lee Gan Goh
BACKGROUND: Primary care research is at a crossroad in South Pacific. A steering committee comprising a member of WONCA Asia Pacific Regional (APR) council and the President of Fiji College of General Practitioners garnered sponsorship from Fiji Ministry of Health, WONCA APR and pharmaceutical agencies to organize the event in October 2013. This paper describes the processes needed to set up a national primary research agenda through the collaborative efforts of local stakeholders and external facilitators using a test case in South Pacific...
2014: Asia Pacific Family Medicine
Indah S Widyahening, Daniel M Thuraiappah, Tin Myo Han, Dhanasari Vidiawati
BACKGROUND: In Indonesia, Family Medicine as a discipline is being developed through short courses since 12 years ago. A conversion program to become Family Physicians has been introduced recently. Among the 70,000 primary care physicians there are variety of practitioners, from new interns who start general practice to senior general practitioners. This study aims to describe the current Indonesian Primary Care Physicians (PCPs) profile which includes services provided and facilities as well as comparing the profile according to participation in the conversion program and practice hours...
2014: Asia Pacific Family Medicine
Risni Erandie Ediriweera de Silva, Muhamed Ruvaiz Haniffa, Kavinda Dimuthu Kumara Gunathillaka, Inoshi Atukorala, Endahandige Deepthi Prasadth Samantha Fernando, Wagawatta Liyanage Sugandhika Padmini Perera
BACKGROUND: Osteoporosis is a significant problem in rapidly ageing populations in Asian regions. It causes a significant personal and societal impact and increases the burden on health care services. OBJECTIVES: Aim of this study is to determine the knowledge, beliefs and practices regarding osteoporosis among young females entering medical schools in Sri Lanka. METHODS: This is a descriptive cross sectional study conducted amongst 186 female medical school entrants of the Faculties of Medicine, Universities of Colombo and Kelaniya from September to December 2010...
2014: Asia Pacific Family Medicine
Grace Marie V Ku, Guy Kegels
BACKGROUND: The purpose of this study was to investigate differences in diabetes knowledge, attitudes and perceptions (KAP), self-care practices as related to assessment of chronic illness care among people with diabetes consulting in a family physician-led tertiary hospital-based out-patient clinic versus local government health unit-based health centers in the Philippines. METHODS: People with diabetes consulting in the said primary care services were interviewed making use of questionnaires adapted from previously tested and validated KAP questionnaires and the patients' assessment of chronic illness care (PACIC) questionnaire...
2014: Asia Pacific Family Medicine
Decio Ribeiro Sarmento
BACKGROUND: One current strategy to overcome the issue of shortage of qualified health workers has focused on the use of community health workers in the developing countries to deliver health care services specifically to the most vulnerable communities in the rural areas. Timor-Leste is the one of the world's newest developing countries that has incorporated the traditional birth attendance in its health system through a family health promoter initiative in response to reproductive and child health, hence to improve primary health care delivery and increase number of healthcare workforce...
2014: Asia Pacific Family Medicine
Tomoko Ito, Remi Takenoshita, Keiichiro Narumoto, Melissa Plegue, Ananda Sen, Benjamin Franklin Crabtree, Michael Derwin Fetters
AIM: Japan has low rates of cervical cancer screening and Human papilloma virus (HPV) vaccination. This research examines the effectiveness of a family medicine resident-led, intervention in increasing knowledge about HPV and cervical cancer in middle school-girls and increasing knowledge and intention to have cervical cancer screening in their mothers. METHODS: We utilized a pre-test/post-test intervention design in three rural middle schools with 7(th) grade middle school-girls and their mothers...
2014: Asia Pacific Family Medicine
Hwee Sing Khoo, Yee Wei Lim, Hubertus Jm Vrijhoef
It is crucial to adapt and improve the (primary) health care systems of countries to prepare for future patient profiles and their related needs. The main aim of this study was to acquire a comprehensive overview of the perceptions of primary care experts in Singapore about the state of primary care in Singapore, and to compare this with the state of primary care in other countries. Notwithstanding ranked 2(nd) in terms of efficiency of health care, Singapore is facing significant health care challenges. Emails were sent to 85 experts, where they were asked to rate Singapore's primary care system based on nine internationally adopted health system characteristics and six practice characteristics (response rate = 29%)...
2014: Asia Pacific Family Medicine
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