Malaysian Family Physician最新文献

{"title":"Corrigendum to \"Sleep Quality, Sleep Hygiene Practices and Influencing Factors Among Malaysian University Students\".","authors":"Shree Vijayan Lakshme, Raja Sharranesh, Yeoh Yong Khang, Harbaksh Singh Arvinder-Singh","doi":"10.51866/cor.003","DOIUrl":"https://doi.org/10.51866/cor.003","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.51866/oa.717.].</p>","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"21 ","pages":"19"},"PeriodicalIF":0.0,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13070305/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677466","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 abortion among young adults in Pahang, Malaysia: A descriptive cross-sectional study.","authors":"Nurhazirah Zainul Azlan, Nur Anisah Ashila Safari, Noratikah Othman, Muhammad Lokman Md Isa","doi":"10.51866/oa.871","DOIUrl":"https://doi.org/10.51866/oa.871","url":null,"abstract":"<p><strong>Introduction: </strong>Abortion remains a sensitive issue in Malaysia due to sociocultural and religious factors. Young adults with limited reproductive health awareness and support are vulnerable to unintended pregnancies and unsafe abortion. Therefore, this study aimed to assess young adults' knowledge and attitudes towards unsafe abortion and their association with sociodemographic characteristics in Kuantan, Pahang.</p><p><strong>Methods: </strong>A descriptive cross-sectional study using stratified random sampling was conducted among 230 young adults aged 15-24 years in Kuantan, Pahang. Data were collected through questionnaires and analysed using the Statistical Package for the Social Sciences version 28.0.</p><p><strong>Results: </strong>Most respondents were aware that unsafe abortions are performed by unskilled individuals and within unsafe environments and include swallowing harmful chemical, inserting foreign objects/substances into the uterus and ingesting caustic substances. The respondents agreed that government-provided abortion services can increase inappropriate sexual behaviours (63.0%) and that legal restrictions can lead to unsafe abortions (61.7%). Many respondents believed that abortion should be allowed for cases including foetal abnormalities (58.4%) and rape (40.9%) but not for Down syndrome (40.4%) and unmarried pregnant adolescents (45.2%). Additionally, age and educational level as well as religion and educational level were associated with knowledge and attitudes towards unsafe abortion, respectively (P<0.05).</p><p><strong>Conclusion: </strong>Enhanced awareness programmes are needed, as many young adults demonstrated knowledge towards unsafe abortion yet mixed attitudes influenced by sociocultural and religious beliefs. Targeted interventions are crucial to address gaps in age, education and religious beliefs for ensuring equitable access to reproductive health services among young adults.</p>","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"21 ","pages":"14"},"PeriodicalIF":0.0,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13070302/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147676727","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 'Family support for children with learning disabilities to attain good academic performance: A qualitative study'.","authors":"MelikŞah Safa Üçok","doi":"10.51866/lte.1124","DOIUrl":"https://doi.org/10.51866/lte.1124","url":null,"abstract":"","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"21 ","pages":"20"},"PeriodicalIF":0.0,"publicationDate":"2026-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13070300/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677524","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":"Diabetic striatopathy: A case report of haemichorea in an older adult woman with poorly controlled diabetes.","authors":"Nadiah Abdul Rahim, Say Yee Loo, Saharuddin Ahmad, Ezura Madiana Md Monoto, Hana Azhari","doi":"10.51866/cr.1013","DOIUrl":"https://doi.org/10.51866/cr.1013","url":null,"abstract":"<p><p>Uncontrolled type 2 diabetes (T2D) is associated with numerous microvascular and macrovascular complications. While clinical focus has often been on acute emergencies such as diabetic ketoacidosis and hyperosmolar hyperglycaemic state, rarer neurological complications also warrant attention. One such under-recognised complication is diabetic striatopathy (DS), also referred to as chorea-hyperglycaemia-basal ganglia syndrome or hyperglycaemia-induced chorea. We present the case of an older adult woman with poorly controlled T2D who developed progressive right-sided involuntary limb movements with twitching of the mouth. Clinical assessments and investigations confirmed DS, and her symptoms resolved completely with glycaemic optimisation and short-term risperidone for symptom relief. This case highlights the importance of recognising this uncommon presentation of uncontrolled T2D in the primary care setting, where timely diagnosis, as well as effective glycaemic optimisation, can lead to full recovery and a good prognosis.</p>","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"21 ","pages":"15"},"PeriodicalIF":0.0,"publicationDate":"2026-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13070304/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147676414","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 stress, anxiety and depression and their association with coping mechanisms among primary healthcare doctors in Petaling District, Selangor, during the transition to the endemic phase of COVID-19: A cross-sectional study.","authors":"Abdul Rahim Ilyas, Mohamad Senin Muʼizuddin, Mohamad Nazir Syafiq, Augustina Chie Ing Wong, Hussin Sakina, Karunakaran Parimala, Abdul Hadi Said, Salziyan Badrin","doi":"10.51866/oa.686","DOIUrl":"https://doi.org/10.51866/oa.686","url":null,"abstract":"<p><strong>Introduction: </strong>Following Malaysia's transition to the endemic phase of COVID-19, primary healthcare doctors (PHDs) experienced a substantial increase in workload , which combined with workforce shortages and continued exposure to infection risk, contributed to sustained psychological distress among PHDs. Assessing the mental health status and coping strategies of healthcare professionals during the recovery phase is essential to ensure the continuity of national healthcare services.</p><p><strong>Methods: </strong>This cross-sectional study assessed the prevalence of stress, anxiety and depression among PHDs in private and public primary care clinics in Petaling, Selangor. It also analysed the relationship between these mental health conditions and coping mechanisms over 5 months. Selfadministered questionnaires containing sociodemographic items, as well as English versions of the Depression Anxiety Stress Scale-21 (DASS-21) and Brief COPE were utilised. Multiple logistic regression was applied to determine the associated factors of depression, anxiety and stress.</p><p><strong>Results: </strong>A total of 230 participants were included. The median age was 35 years. The prevalence of depression, anxiety and stress was 28.7%, 23.0% and 20.4% respectively. Workplace conflict was significantly associated with higher odds of depression (AOR=2.497; 95% CI=1.230-5.070), anxiety (AOR=5.337; 95% CI=2.329-12.232) and stress (A0R=3.078; 95% CI=1.339-7.075). Avoidant coping strategies were associated with higher odds of depression (AOR=2.743; 95% CI=1.150-6.544) and anxiety (AOR=5.776; 95% CI=2.010-16.598).</p><p><strong>Conclusion: </strong>Current trends underscore the need to implement evidence-based coping strategies that directly address underlying factors contributing to depression and anxiety. Additional targeted interventions are required to improve the mental health of physicians post COVID-19 pandemic.</p>","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"21 ","pages":"13"},"PeriodicalIF":0.0,"publicationDate":"2026-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13070303/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147676679","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":"Prof. Dr. Liew Su-May's Inaugural Lecture.","authors":"Jeffery Freddy Abdullah Saini","doi":"10.51866/mol.1135","DOIUrl":"https://doi.org/10.51866/mol.1135","url":null,"abstract":"","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"21 ","pages":"16"},"PeriodicalIF":0.0,"publicationDate":"2026-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13070301/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677320","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":"Patient education for improving the quality of life among community-dwelling survivors of stroke: A scoping review.","authors":"Muhammad Arif Razak, Nor Azlin Mohd Nordin, Nor Faridah Ahmad Roslan, Alia A Alghwiri, Haidzir Manaf","doi":"10.51866/rv.694","DOIUrl":"https://doi.org/10.51866/rv.694","url":null,"abstract":"<p><strong>Introduction: </strong>Survivors of stroke frequently encounter difficulties with self-care and self-management, adversely affecting their long-term quality of life (QoL). Patient education is vital in enhancing their QoL, but its overall efficacy must be established. This scoping review aimed to elucidate the efficacy of patient education interventions in improving the QoL of community-dwelling survivors of stroke.</p><p><strong>Methods: </strong>A scoping review was performed by querying four databases (PubMed, Scopus, Cochrane Library and PEDro) for papers that fulfilled the inclusion criteria. The search terms included ('stroke' OR 'CVA' OR 'cerebrovascular accident') AND ('patient education' OR 'self-care') AND 'quality of life'. Publications published in English, subjected to peer review and including human participants were included in the review. Research pertaining to alternative neurological disorders or lacking relevance to the specified subjects of interest was excluded. Two reviewers independently evaluated the full-text papers to determine which ones satisfied the qualifying requirements.</p><p><strong>Results: </strong>Five studies were included. Patient education interventions demonstrated a consistent trend toward improved quality of life (QoL) among community-dwelling stroke survivors, particularly when programmes were structured, multi-component, and delivered over time. Benefits were observed across domains of functional independence, participation, self-efficacy, and emotional well-being. However, substantial heterogeneity in intervention design and outcome measures limited determination of definitive active components or optimal delivery models.</p><p><strong>Conclusion: </strong>Patient education interventions hold potential in improving QoL after stroke, but effectiveness is highly dependent on programme design, duration and delivery. Comprehensive, personalised and longitudinally supported interventions are more effective than brief or one-off programmes. Future research should identify core active components, assess subgroup effects and develop adaptable models that can be integrated into routine community-based stroke rehabilitation.</p>","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"21 ","pages":"11"},"PeriodicalIF":0.0,"publicationDate":"2026-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12967490/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147391395","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":"Perception of Malaysian primary care practitioners towards patients with substance use disorders in Selangor and its associated factors: A cross-sectional study.","authors":"Shamsul Bahrin Nasehah Sakeenah, Aneesa Abdul Rashid","doi":"10.51866/oa.845","DOIUrl":"https://doi.org/10.51866/oa.845","url":null,"abstract":"<p><strong>Introduction: </strong>Substance use disorders (SUDs) represent a significant public health concern, with an estimated 36.3 million people affected worldwide and approximately 100,000 active drug users in Malaysia. As individuals with SUDs frequently disengage from treatment, the cultivation of non-judgemental attitudes among healthcare professionals is critical. This study aimed to assess the perceptions of primary care practitioners (PCPs) in Selangor towards patients with SUDs and identify the associated factors.</p><p><strong>Methods: </strong>A cross-sectional study was conducted from June 2021 to November 2023 among 235 PCPs in Selangor, utilising convenience sampling. Data were collected via an online, self-administered questionnaire. Perceptions were measured using the Drug and Drug Problems Perception Questionnaire (DDPPQ) with lower scores indicated more positive perceptions. Multiple linear regression was employed to identify the associated factors.</p><p><strong>Results: </strong>The participants were predominantly women (76.8%) and medical officers (46.8%), with a median experience of 8 years. While the majority (73.4%) reported clinical encounters with patients with SUDs, only 24% had received specific SUD training and 23.2% had experience in methadone maintenance therapy (MMT). The mean total DDPPQ score was 45.38±6.91 reflecting generally negative perceptions. The regression model (R²=0.268) showed that favourable perceptions were significantly associated with prior MMT experience (B=-4.91, P<0.001) and higher frequency of clinical interaction (e.g. never vs always interaction: B=12.53, P<0.001).</p><p><strong>Conclusion: </strong>The PCPs in this study exhibited a predominantly negative perception towards patients with SUDs. More negative perceptions were significantly associated with a lack of experience in MMT and less frequent clinical contact with this patient population.</p>","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"21 ","pages":"10"},"PeriodicalIF":0.0,"publicationDate":"2026-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12967419/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147391398","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":"Affirming generative artificial intelligence as a co-pilot, not a co-author, in medical and scientific writing.","authors":"Apichai Wattanapisit, Sanhapan Wattanapisit, Christian Mallen","doi":"10.51866/lte.1083","DOIUrl":"https://doi.org/10.51866/lte.1083","url":null,"abstract":"","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"21 ","pages":"12"},"PeriodicalIF":0.0,"publicationDate":"2026-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12967415/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147391405","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":"Neck swelling in a patient with gout - What is the cause?","authors":"Siew Houy Chua","doi":"10.51866/tyk.537","DOIUrl":"https://doi.org/10.51866/tyk.537","url":null,"abstract":"<p><p>We describe the case of a 55-year-old man with underlying tophaceous gout who presented with a 6-month history of multiple joint pains and associated constitutional symptoms. Physical examination revealed firm and non-tender swelling measuring 3x4 cm adjacent to the left clavicular head. This swelling did not move with deglutition. Neck imaging showed bilateral heterogeneous soft tissue lesions at the sternoclavicular, first costochondral and acromioclavicular joints. Multiple lytic lesions with cortical destruction involving the upper manubrium and distal ends of both clavicles were seen. Fine needle aspiration of the sternoclavicular joint yielded a small amount of synovial fluid, and its histopathological analysis confirmed the presence of monosodium urate crystal deposition. This case demonstrates a rare manifestation of tophaceous gout at the sternoclavicular joint, underscoring its ability to mimic other pathologies and the consequent challenges in diagnosis.</p>","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"21 ","pages":"8"},"PeriodicalIF":0.0,"publicationDate":"2026-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12967412/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147391410","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}