Malaysian Family Physician最新文献

{"title":"Response to: 'The diagnosis of diabetic striatopathy should only be made after careful exclusion of all possible differential diagnoses'.","authors":"Say Yee Loo, Nadiah Abdul Rahim, Hana Azhari, Ezura Madiana Md Monoto, Saharuddin Ahmad","doi":"10.51866/lte.26-00056","DOIUrl":"10.51866/lte.26-00056","url":null,"abstract":"","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"21 ","pages":"51"},"PeriodicalIF":1.2,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13675660/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge and attitudes towards sexually transmitted infections and their associated factors among late adolescents in Kota Bharu, Kelantan: A cross-sectional study.","authors":"Shahrizam Tahir, Aida Maziha Zainudin, Nur Suhaila Idris","doi":"10.51866/oa.1173","DOIUrl":"10.51866/oa.1173","url":null,"abstract":"<p><strong>Introduction: </strong>Sexually transmitted infections (STIs) represent a significant health challenge, particularly for late adolescents in conservative regions including Kota Bharu, Kelantan, where cultural norms may influence health literacy. This study aimed to determine the levels of knowledge and attitudes towards STIs and identify their associated factors among late adolescents in Kota Bharu.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among 228 late adolescents (aged 18-21 years) from four higher-educational institutions. A validated bilingual online questionnaire was used to assess sociodemographic characteristics, high-risk behaviours, religiosity (Malay version of the Duke University Religiosity Index) and knowledge and attitudes towards STIs. Multiple linear regression (MLR) was utilised to identify independent predictors of attitudes.</p><p><strong>Results: </strong>A total of 228 completed responses were analysed. Most participants were women (68.9%) and Muslim (84.2%). The mean knowledge score was 15.15/26 (standard deviation [SD]=5.17), with the human immunodeficiency virus awareness score being high (94.7%); significant gaps existed regarding other STIs. The mean attitude score was 57.10/65 (SD=6.51), indicating a generally protective mindset. MLR identified four independent factors significantly associated with positive attitudes: higher knowledge level (adjusted b=0.616, P<0.001), non-organisational religious activity (adjusted b=0.679, P=0.010), non-Malay ethnicity (adjusted b=-3.205, P=0.002) and maternal primary educational level (adjusted b=-4.085, P=0.021).</p><p><strong>Conclusion: </strong>While late adolescents possess protective values, their functional knowledge of STIs remains superficial. Knowledge and internalised religious practices may contribute to positive attitudes. Targeted culturally sensitive health education and adolescent-friendly primary care services are essential to improve reproductive health outcomes.</p>","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"21 ","pages":"54"},"PeriodicalIF":1.2,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13675662/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of night eating syndrome and associated factors among students at Kolej MARA Kuala Nerang: A cross-sectional study.","authors":"Sook Ching Chan, Sharif Zaidi Nurhannah, Magdalena Alphonso Ribka","doi":"10.51866/oa.977","DOIUrl":"10.51866/oa.977","url":null,"abstract":"<p><strong>Introduction: </strong>Night eating syndrome (NES) is an eating disorder characterised by recurrent episodes of night eating, morning anorexia and insomnia. This study aimed to determine the prevalence and association of NES with depression, anxiety, stress, sleep quality and eating disorders among students in Kolej MARA Kuala Nerang (KMKN).</p><p><strong>Methods: </strong>A cross-sectional study was conducted on 426 students in KMKN. The calculated minimum sample size was 119. A universal sampling method was used, and data on sociodemographic characteristics, NES, depression, anxiety, stress, sleep quality and eating disorders were collected through online self-reported validated questionnaires including the Night Eating Questionnaire; Depression, Anxiety and Stress Scale-21; Pittsburgh Sleep Quality Index; and Eating Attitudes Test- 26. Data were analysed using IBM SPSS version 22. The chi-square test was used to evaluate the association of NES with sociodemographic characteristics and other factors (P<0.05).</p><p><strong>Results: </strong>A total of 275 students responded (men: 55.6%, women: 44.4%), with 50.9% studying at the Foundation of Science and 49.1% at the Foundation of Science and Technology (FIST). The majority had mild-to-severe depression (56.4%) and anxiety (65.5%); 26.2% were stressed, and 10.2% engaged in NES. NES was not significantly associated with sex, age, monthly pocket money or body mass index. A significant number of students with NES were from the FIST (P=0.036). The factors significantly related to NES were depression (P=0.003), anxiety (P=0.021), stress (P<0.001), poor sleep quality (P=0.001) and risk of eating disorders (P=0.003).</p><p><strong>Conclusion: </strong>NES should be screened among at-risk college students to ensure they receive appropriate treatment.</p>","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"21 ","pages":"49"},"PeriodicalIF":1.2,"publicationDate":"2026-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13675661/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prolonged fever with a distinct rectangular rash: What is going on?","authors":"Ingrid Pao Lin Ting, Balqis Yahaya, Min Moon Tang","doi":"10.51866/tyk.26-00004","DOIUrl":"10.51866/tyk.26-00004","url":null,"abstract":"<p><p>We present the case of an older adult man with prolonged fever of unknown origin and a persistent rectangular erythematous plaque, highlighting the diagnostic value of careful skin examination in patients with systemic inflammatory symptoms. This 70-year-old man with adult-onset endogenous eczema, hypertension, stage II upper rectal carcinoma following resection and adjuvant radiotherapy and chemotherapy and left hip avascular necrosis presented with fever persisting for 1 month following an upper respiratory tract infection. He developed generalised arthralgia and bilateral lower limb oedema, accompanied by poor oral intake. Initial treatment with amoxicillin- clavulanate and intravenous piperacillin-tazobactam provided temporary relief. Physical examination revealed generalised xerosis, with an incidental finding of an erythematous, non-tender, mildly indurated, rectangular patch measuring 10x20 cm at the lower back, unnoticeable by the patient. Bilateral inguinal lymph nodes measuring 2x1 cm were palpable. Bilateral pedal oedema with joint bogginess was also present. Laboratory investigations showed leucocytosis with neutrophilia without blasts, normochromic normocytic anaemia, hypoalbuminaemia, transaminitis and elevated inflammatory markers. Imaging (computed tomography and positron emission tomography scans) revealed mild left pleural effusion with multiple subcentimetre lymphadenopathies above and below the diaphragm. Tuberculosis, malignancy and autoimmune markers were negative. Skin biopsy showed scattered single dyskeratotic cells at the upper epidermis, with mild-to-moderate mixed perivascular inflammation including lymphocytes, neutrophils and eosinophils at the upper dermis. Atypical cutaneous manifestations may serve as a valuable clue to adult-onset Still's disease; however, the diagnosis should be established only after careful exclusion of infectious, malignant and autoimmune mimics.</p>","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"21 ","pages":"46"},"PeriodicalIF":1.2,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13675663/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on 'Factors associated with depressive symptoms among adolescents in Indonesia: A cross-sectional study of results from the Indonesia Family Life Survey'.","authors":"Esra Rabia Taşpolat","doi":"10.51866/lte.26-00019","DOIUrl":"10.51866/lte.26-00019","url":null,"abstract":"","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"21 ","pages":"42"},"PeriodicalIF":1.2,"publicationDate":"2026-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13584852/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The diagnosis of diabetic striatopathy should be made only after careful exclusion of all possible differential diagnoses.","authors":"Sounira Mehri, Josef Finsterer","doi":"10.51866/lte.26-00010","DOIUrl":"10.51866/lte.26-00010","url":null,"abstract":"","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"21 ","pages":"43"},"PeriodicalIF":1.2,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13584853/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reframing continuity of care: A family medicine specialist's perspective on occupational therapy for neurodevelopmental disorders.","authors":"Shahira Ismail","doi":"10.51866/mol.26-00008","DOIUrl":"https://doi.org/10.51866/mol.26-00008","url":null,"abstract":"","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"21 ","pages":"44"},"PeriodicalIF":1.2,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13584855/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceived communication skills and barriers among family medicine trainees and effectiveness of a communication workshop in Malaysia: A cross-sectional observational study with pre-post comparisons.","authors":"Isriyanti Mohd Rafae, Irma Izani Mohammad Isa, Khubayb Ahmad Zamil, Mohammad Ariff Mohd Adip, Ni Jing Goi, Shi Ying Tan, Nurul Izzah Alipuddin, Ruziah Ibrahim, David Barron, Anthony G Cummins, Sasikala Devi Amirthalingam","doi":"10.51866/oa.827","DOIUrl":"10.51866/oa.827","url":null,"abstract":"<p><strong>Introduction: </strong>Effective communication skills are an integral part of healthcare provision, as they involve patient safety issues and shared decision-making. This study aimed to assess the perception of family medicine trainees (FMTs) about their communication skills and evaluate the effectiveness of a 2-day communication workshop in improving these skills.</p><p><strong>Methods: </strong>This cross-sectional observational study examined FMTs undergoing postgraduate training. A self-administered, validated questionnaire was utilised to assess conflict when dealing with patients, components of effective communication and barriers to good communication. The questionnaire was administered before and 6 months after the communication workshop.</p><p><strong>Results: </strong>Of 384 participants, most were aged 25-34 years (73.7%), women (75.8%), Malay (52.1%) and employed by the Ministry of Health Malaysia (82.0%). Approximately 82.8% opined that ≥75% of conflicts can be avoided through good communication skills. Among the 81 participants who completed the questionnaire before and after the workshop, the mean scores significantly increased post-workshop (P<0.05) for the following components of effective communication: communication of information and education, communication in complex situations, delivery of bad news and communication as part of team dynamics. The major barrier to practising effective communication was a lack of time (82.1%), while only a quarter of the participants (26.9%) indicated a lack of insight as a barrier.</p><p><strong>Conclusion: </strong>Communication workshops can help improve different aspects of communication among FMTs in Malaysia.</p>","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"21 ","pages":"36"},"PeriodicalIF":1.2,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13584854/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Kerion, an often missed scalp lesion: A case report.","authors":"Sulaiman Suriani, Abdul Rahim Nazatul Shima","doi":"10.51866/cr.719","DOIUrl":"10.51866/cr.719","url":null,"abstract":"<p><p>Kerion is an abscess caused by a fungal infection, commonly occurring on the scalp among children and rarely in adults. This report illustrates the case of a 12-year-old boy who presented with multiple plaques with crusty lesions on the scalp for 2 months, associated with purulent discharge and boggy swelling, initially misdiagnosed as seborrheic dermatitis. Following unsuccessful treatment, his condition was correctly diagnosed as kerion based on clinical appearance, history of contact with domestic animals and Wood's lamp examination findings. The diagnosis was delayed for 2 months, leading to a prolonged disease course. Complete resolution of symptoms and lesions was achieved with systemic antifungal treatment, although permanent scarring alopecia remained. The delay in diagnosis and treatment led to prolonged illness and alopecia.</p>","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"21 ","pages":"41"},"PeriodicalIF":1.2,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13584851/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical outcomes of insulin deintensification in a real-world primary care setting: A retrospective observational study.","authors":"Tiong Lim Low, Yean Yee Loke, Ping Foo Wong","doi":"10.51866/oa.1088","DOIUrl":"10.51866/oa.1088","url":null,"abstract":"<p><strong>Introduction: </strong>This study evaluated the outcomes of a structured insulin deintensification clinic for patients with type 2 diabetes mellitus (T2DM) in a Malaysian public primary care clinic during a national insulin supply shortage.</p><p><strong>Methods: </strong>This retrospective observational study analysed 61 patients with T2DM (≥1-year diagnosis) on insulin (≥6 months). Patients who were pregnant, had type 1 diabetes mellitus, experienced recent diabetic emergencies or had severe target organ damage were excluded. A multidisciplinary team implemented personalised strategies including insulin dose reduction, regimen simplification and lifestyle counselling. The primary outcome was glycated haemoglobin (HbAlc) changes at 3 months (n=58), while the secondary outcomes included changes in the total daily insulin dosage, injection frequency, body weight and prevalence of adverse events.</p><p><strong>Results: </strong>Participants (mean age: 63.2±12.0 years) had high baseline complexity: 80.3% were on four-times-daily regimens, and 44.3% had HbAlc levels of >10%. Deintensification significantly reduced the mean daily insulin dosage by 0.41 unit/kg (95% CI: -0.49 to -0.33; P<0.001) and injection frequency (P<0.001). While the overall HbA1c level remained stable, patients with baseline HbA1c level of >10% significantly improved (-1.3%; P=0.004). Weight decreased by 2.0% (95% CI: -2.8% to -1.2%; P<0.001). The prevalence of hypoglycaemia and hunger pangs dropped from 16.4% to 3.3% (P=0.008) and from 42.6% to 4.9% (P<0.001). No severe hyperglycaemic emergencies occurred.</p><p><strong>Conclusion: </strong>Structured insulin deintensification is a feasible strategy in primary care settings. In patients with T2DM, it reduces treatment burden, hypoglycaemic events and body weight while maintaining glycaemic stability.</p>","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"21 ","pages":"40"},"PeriodicalIF":1.2,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13584856/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}