The number of patients with antimicrobial resistance is growing as a result of new emerging microbes or overuse of antibiotics. A new substitute to the existing antimicrobial agents is important in time to come to control the mortality rate in the global population. Natural substances, like biosurfactants or commonly known as microbial surfactants

Liberal ideology seems to be spreading in the Muslim world. One of the criteria of liberalism is challenging and rejecting the established institution that is seen to control the religious understanding and how to interpret it. In Malaysia, one of the established institutions that become the object of criticism and attack of the liberalists is the

Do you realise, that all of us are “Smokers”? What should we do? Do you feel that the number of smokers in the world, in general, and specifically in Malaysia, is shrinking? Are you confident that the world community is becoming more aware of the dangers of smoking? Are you sure the struggle to prevent smoking is effective? Do you feel that sta

Essential thrombocythemia is one of the myeloproliferative neoplasms. Palpable purpura is a rare manifestation that may delay diagnosis and treatment. We report a case of essential thrombocythemia in a 50-year-old man, who presented with recurrent thigh pain for the past one year with nonspecific localized purpura. His full blood count revealed iso

As primary care providers, it is part of our routine job scope to review laboratory result of patient come for medical screening or chronic disease follow up. It is quite common to receive a medical report of mildly deranged liver enzymes that most of us tend to treat conservatively in low risk and asymptomatic patients. The dilemma is how mildly e

Fasting in Ramadhan is a religious obligation for every Muslim with its well-known good benefits for health.1 However, there is no specific guideline in terms of precaution for patients at risk to develop nephrolithiasis.  Nephrolithiasis and acute kidney injury may occur concomitantly due to its common risk factors which is dehydration. Poor or

 Patient satisfaction is of increasing importance and recognized as an important indicator for quality of care. It is influenced by the patients, physicians and practice's characteristics. 1,2  The literature on diabetes has increasingly focused on the quality of care and its measurement. Long waiting time is a common issue brought up by

Essential hypertension in adolescence is increasing in trend worldwide in view of increasing prevalence of childhood obesity and sedentary lifestyle. Generally, the younger the onset of the hypertension, the more likelihood of secondary causes is suspected. It is a dilemma among primary care providers to decide which case should be assessed further

 Lung carcinoma typically presents with haemoptysis and constitutional symptoms on a background history of chronic cigarette smoking.  A chest X-ray can pick up these lesions in view of its radio-opacity and nodular appearances that are manifested in more than 90% of cases.1  However it can be mistakenly interpreted as normal if it is obsc

Essential thrombocythemia (ET) is one of the myeloproliferative neoplasms which typically presents with thrombotic vasomotor symptoms or bleeding tendencies. Papular rash is a rare manifestation of ET and may cause delay in making the diagnosis and hence institution of the treatment. We report a case of ET in a 50- year-old gentleman, who presented