Malaysian Family Physician最新文献

{"title":"Prevalence and associated factors of internet addiction among adolescents during the COVID-19 pandemic in Kota Bharu, Kelantan, Malaysia: A cross-sectional study.","authors":"Lena Nanditha Sangaran, Azidah Abdul Kadir, Lili Husniati Yaacob","doi":"10.51866/oa.469","DOIUrl":"https://doi.org/10.51866/oa.469","url":null,"abstract":"<p><strong>Introduction: </strong>The study aimed to determine the prevalence and associated factors of internet addiction (IA) among early adolescents during the COVID-19 pandemic in Kota Bharu, Kelantan, Malaysia.</p><p><strong>Methods: </strong>A cross-sectional online survey was conducted from February to April 2021 among adolescents in Kota Bharu, Kelantan. Participants completed the Malay Version of the Internet Addiction Test, the Depression, Anxiety and Stress Scale-21 and a sociodemographic information form. A multiple logistic regression analysis was performed to determine the associations between variables.</p><p><strong>Results: </strong>A total of 535 adolescents participated in this study. Among them, 65.9% were girls. The prevalence of IA among the participants was 48.6%. Male sex [adjusted odds ratio (AOR)=2.15, 95% confidence interval (CI)=1.30-3.57], internet usage at home (AOR=6.17, 95% CI=1.94-19.58), internet usage to watch/download music (AOR=2.50, 95% CI= 1.52-4.12), internet usage to engage in social networking (AOR=2.29, 95% CI=1.19-4.40), inadequate parental/guardian bonding (AOR=2.19, 95% CI=1.31-3.65), depression (AOR=2.03, 95% CI=1.07-3.85), anxiety (AOR=2.79, 95% CI=1.64-4.76) and stress (AOR=4.67, 95% CI=2.00-10.91) were significantly associated with IA.</p><p><strong>Conclusion: </strong>IA was prevalent among Malaysian adolescents during the COVID-19 pandemic. Sex, internet usage profile and psychological factors were significant predictors of IA.</p>","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"19 ","pages":"59"},"PeriodicalIF":0.0,"publicationDate":"2024-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11556222/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142628901","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":"Association between medication adherence and blood pressure control and factors associated with antihypertensive medication adherence in the Melaka Tengah District: A cross-sectional survey.","authors":"Siti Zaleha Suleiman, Mila Nu Nu Htay, Htoo Htoo Kyaw Soe, Li Ying Cherlynn Low, Siti Hawa Alias, Syamimi Yussof, Wei Xiong Keng, Karleen Chong, Mohammad Faiz Sahiran, Muhamad Hafiz Harun, Azman Othman, Rosmiza Abdullah, Nadratulmazlyna Mohd Mansor, Nor Haslinda Ishak, Ahmad Fithri Azam Abdul Rahman, Soe Moe","doi":"10.51866/oa.651","DOIUrl":"https://doi.org/10.51866/oa.651","url":null,"abstract":"<p><strong>Introduction: </strong>The burden of cardiovascular disease and early morbidity and mortality is exacerbated by hypertension. According to the 2019 National Health and Morbidity Survey, 30% of adults in Malaysia aged over 18 years had hypertension. Our study aimed to investigate the association between medication adherence and blood pressure control and the factors associated with antihypertensive medication adherence.</p><p><strong>Methods: </strong>This cross-sectional study was conducted among adult patients with hypertension who had been under treatment at public primary health clinics in the Melaka Tengah District. A self-administered questionnaire was used, and blood pressure was measured. Descriptive and multivariate logistic regression analyses were conducted using the Statistical Package for the Social Sciences (version 28).</p><p><strong>Results: </strong>A total of 1531 patients were recruited in this study. Among them, 74.1% had good antihypertensive medication adherence, and 51.4% had their blood pressure controlled. Medication adherence was significantly associated with blood pressure control (P<0.005). The multivariate analysis showed that the determinants for antihypertensive medication non-adherence were Malay ethnicity, secondary education, farther distance from the clinic, experience of side effects of antihypertensive medications, concern about long-term side effects and usage of alternative medicine (P<0.05). Taking multiple antihypertensive medications was the only factor associated with uncontrolled blood pressure (P<0.05).</p><p><strong>Conclusion: </strong>Addressing issues on medication adherence is important to ensure blood pressure control. The factors associated with non-adherence should be closely monitored to improve blood pressure control and prevent adverse health outcomes. Single-pill combination antihypertensive medications are encouraged to reduce pill burden and improve blood pressure control.</p>","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"19 ","pages":"56"},"PeriodicalIF":0.0,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11556229/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142628087","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":"Feasibility of quick response-based quality improvement projects in an urban primary care setting: A cross-sectional survey.","authors":"Zi-Yi Yeoh, Hooi Chin Beh, Megat Mohamad Amirul Amzar Megat Hashim, Abdul Hadi Haireen, Deik Roy Chuan, Sajaratulnisah Othman","doi":"10.51866/oa.653","DOIUrl":"https://doi.org/10.51866/oa.653","url":null,"abstract":"<p><strong>Introduction: </strong>Using quick response (QR) codes to disseminate information has become increasingly popular since the declaration of COVID-19 as a pandemic. We aimed to investigate the feasibility of implementing QR-based quality improvement projects in our clinic to improve patients' medical knowledge, experience and access to care.</p><p><strong>Methods: </strong>We utilised systematic random sampling by recruiting every 25th patient registered in our clinic during data collection. Participants answered a self-administered printed questionnaire regarding their smartphone usage and familiarity with QR code scanning at the patients' waiting area. Data were analysed using the Statistical Package for the Social Sciences version 26.</p><p><strong>Results: </strong>A total of 323 patients participated (response rate=100%). The participants' median age was 57 years (interquartile range=4l-67). Most participants were women (63.1%). Approximately 90.4% (n=282) used smartphones, with 83.7% (n=261) reporting average or good usage proficiency. More than half (58.0%) accessed medical information via their smartphones, and 67.0% were familiar with QR codes. Multiple logistic regression analyses revealed that familiarity with QR codes was linked to age of <65 years [adjusted odds ratio (AOR)=4.593, 95% confidence interval (CI)=2.351-8.976, P<0.001], tertiary education (AOR=2.385, 95% CI=1.170-4.863, P=0.017), smartphone proficiency (A0R=4.703, 95% CI= 1.624-13.623, P=0.004) and prior smartphone usage to access medical information (AOR=5.472, 95% CI=2.790-10.732, P<0.001).</p><p><strong>Conclusion: </strong>Since smartphones were accessible to most primary care patients, and more than half of the patients were familiar with QR code scanning, QR code-based quality improvement projects can be used to improve services in our setting.</p>","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"19 ","pages":"57"},"PeriodicalIF":0.0,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11556228/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142628628","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":"Characteristics of smear-positive pulmonary tuberculosis with normal chest radiographic findings during a tuberculosis outbreak in northeast Malaysia: A cross-sectional study.","authors":"Abdul Muin Mohd Redhuan, Mohd Yusof Abu Bakar, Ahmad Fuat Mohd Shahriman, Amri Nur Syafiqa, Amirudin Noor Faizah, Wan Mohd Zohdi Wan Wahida, Ibrahim Idora, Ahmad Arfah, Muhammad Irham Nordeena, Ahmad Abdul Jalil, Abdul Majid Jasmaniah, Ibrahim Mohd Zukri Bin","doi":"10.51866/oa.595","DOIUrl":"10.51866/oa.595","url":null,"abstract":"<p><strong>Introduction: </strong>Tuberculosis (TB) remains a highly prevalent disease in Malaysia. Early identification using cost-effective methods such as chest radiography can reduce the health burden of a TB epidemic. However, normal chest radiographic findings are common. This study aimed to evaluate the characteristics of smear-positive pulmonary TB with normal chest radiographic findings during an outbreak.</p><p><strong>Methods: </strong>A cross-sectional study was conducted by reviewing the medical records of 56 pulmonary TB cases registered at Kodiang Health Clinic from April to October 2022. Smear-negative and extrapulmonary TB cases were excluded. Relevant information was extracted from the medical records and recorded in a case report form for data management and analysis.</p><p><strong>Results: </strong>Approximately 60.7% of the cases had symptoms lasting >2 weeks, and 89.3% showed abnormal findings upon clinical examination. Additionally, 73.2% had sputum acid-fast bacilli counts of ≥1+, and the sputum <i>Mycobacterium tuberculosis</i> culture and sensitivity test findings were positive in 82.1% of the cases. The proportion of smear-positive pulmonary TB with normal chest radiographic findings was 42.9%. The factors associated with smear-positive pulmonary TB with normal chest radiographic findings included being under 18 years old (P=0.021), being a student (P=0.010), being single (P=0.012) and being asymptomatic (P=0.04).</p><p><strong>Conclusion: </strong>Normal chest radiographic findings may lead to a misdiagnosis of smear-positive pulmonary TB, especially during an outbreak. Therefore, active case detection among close contacts with risk factors for normal radiographic findings should consider additional supportive tests.</p>","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"19 ","pages":"52"},"PeriodicalIF":0.0,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11464131/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394100","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":"Trypanophobia: Traumatic spondylolisthesis following phlebotomy - A case report.","authors":"Chitra Suluraju, Alidahani Mohamad Yusof","doi":"10.51866/cr.313","DOIUrl":"10.51866/cr.313","url":null,"abstract":"<p><p>Injuries to the cervical spine following phlebotomy have not been reported in the literature. Herein, we report the case of a 27-year-old lady with major depressive disorder and trypanophobia who experienced a syncopal episode during a blood test, resulting in a C2 Hangman's fracture. After the application of a halo vest, she recovered without any long-term pain or neurological impairments. The concept of needle phobia is important for healthcare professionals to understand, since patients' fear of needles can lead to detrimental injuries during panic attacks. Greater attention should be paid to alleviate this fear, with the ultimate goals of improving health and preventing unwanted injuries following phlebotomy.</p>","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"19 ","pages":"55"},"PeriodicalIF":0.0,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11464132/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394102","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":"Before leg pain and paraparesis are attributed to vitamin C deficiency alone, comorbidities and cocausalities must be considered and ruled out.","authors":"Sounira Mehri, Josef Finsterer","doi":"10.51866/lte.7l4","DOIUrl":"10.51866/lte.7l4","url":null,"abstract":"","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"19 ","pages":"53"},"PeriodicalIF":0.0,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11464130/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394099","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":"Communication issues between caregivers and patients with concealment of advanced-stage cancer: A qualitative study.","authors":"Sanhapan Wattanapisit, Apichai Wattanapisit, Pornnapat Laksanapiya, Arunee Tipwong","doi":"10.51866/oa.574","DOIUrl":"10.51866/oa.574","url":null,"abstract":"<p><strong>Introduction: </strong>Communication is a key element of palliative care. The concealment of advanced-stage diseases is a communication challenge. This study aimed to explore the patterns and difficulties in communication regarding the concealment of advanced-stage cancer between caregivers and patients. Methods: This qualitative study employed an interpretive phenomenological approach and was conducted at a district hospital in Thailand. Semi-structured in-depth interviews were performed to collect data from caregivers (i.e. family members) of patients regarding the concealment of advanced-stage cancer. The data analysis followed an inductive thematic approach.</p><p><strong>Results: </strong>Ten in-depth interviews were conducted among the caregivers of patients aged 57-97 years. Four themes emerged: (i) reasons for concealing the diagnosis and prognosis (personality of patients and concerns about negative effects), (ii) communication patterns between caregivers and patients (communicating symptoms/signs instead of the diagnosis/prognosis and distorting information), (iii) difficulties and challenges in maintaining concealment (feelings of guilt, hesitation in sharing the information and suspicion of patients' awareness of their diagnosis/prognosis) and (iv) communication support from healthcare professionals (avoiding informing patients about their diagnosis/prognosis, supporting decision-making and disclosing the information).</p><p><strong>Conclusion: </strong>The concealment of advanced-stage cancer is perceived as an appropriate communication approach among some caregivers. Communicating information about advanced-stage cancer is dynamic. Some caregivers and families consider disclosing the information in the future. Healthcare professionals can support communication throughout care. Future studies should focus on decision-making and communication processes for better handling of information concealment or the conspiracy of silence in palliative care.</p>","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"19 ","pages":"54"},"PeriodicalIF":0.0,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11464133/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394101","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":"A rare convergence: Gangrenous bowel secondary to closed-loop obstruction with elevated urine amylase levels - A comprehensive case report.","authors":"Hassan Ahmed Abrizan, Sani Mohamad Ikhwan, Wan Mokhter Wan Mokhzani, Hashim Merican Isa Siti Rahmah, Maya Mazuwin Yahya, Syed Abd Aziz Syed Hassan","doi":"10.51866/cr.624","DOIUrl":"10.51866/cr.624","url":null,"abstract":"<p><p>Urine amylase levels are usually used to diagnose acute pancreatitis. However, there are reported cases where urine amylase levels are slightly increased in individuals without pancreatitis. Herein, we report the case of a young lady who presented with acute abdominal pain for 3 days. Her urine amylase level was 1717 U/L upon admission, and her condition was initially treated as acute pancreatitis. Unfortunately, the patient demonstrated abdominal guarding after 24 h; thus, urgent computed tomography (CT) was performed. CT revealed the presence of a dilated small bowel. She underwent emergency laparotomy, wherein a gangrenous small bowel with no evidence of saponification at the lesser sac was noted. Due to the non-specific nature of hyperamylasaemia, an alternative diagnosis other than acute pancreatitis should be considered if the clinical symptoms are not suggestive of pancreatitis or the condition worsens despite conservative management.</p>","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"19 ","pages":"50"},"PeriodicalIF":0.0,"publicationDate":"2024-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11366275/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113132","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":"Poncet disease in a patient with smear-negative pulmonary tuberculosis: A case report.","authors":"Poh Siang Ooi, Hartini Ismail, Gayatherri Meganathan, Nurfathehatul Nabila Saidi, Yeogeashweary Dhamotharan, Hui Heng Chua","doi":"10.51866/cr.581","DOIUrl":"10.51866/cr.581","url":null,"abstract":"<p><p>Pulmonary tuberculosis poses a diagnostic dilemma to clinicians especially in the absence of typical presentation. The hypersensitivity to tuberculosis infection in other parts of the body can lead to nondestructive, para-infectious arthritis. This is known as Poncet disease, one of the clinical syndromes of musculoskeletal tuberculosis. Herein, we report a case of smear-negative pulmonary tuberculosis presenting with atypical features. It started with multiple joint pain, followed by the presence of multiple tender nodular skin lesions over the bilateral shins and wrist. Subsequent investigations led to the diagnosis of smear-negative pulmonary tuberculosis. Joint pain and erythema nodosum disappeared soon after antituberculosis therapy, supporting the diagnosis of Poncet disease.</p>","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"19 ","pages":"49"},"PeriodicalIF":0.0,"publicationDate":"2024-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11366276/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113136","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":"Short-term effect of a moderate-potency topical corticosteroid on epidermal biophysical parameters in patients with mild-to-moderate atopic dermatitis: A randomised controlled study.","authors":"Zainal Abdullah Zainal Adlishah, Adawiyah Jamil","doi":"10.51866/oa.611","DOIUrl":"10.51866/oa.611","url":null,"abstract":"<p><strong>Introduction: </strong>Skin barrier dysfunction is an important component of atopic dermatitis (AD) pathophysiology. Topical corticosteroids (TCSs) are the mainstay therapy, but steroid phobia is emerging due to potential side effects. We aimed to determine the short-term effect of clobetasone butyrate on patients with AD.</p><p><strong>Methods: </strong>This investigator-blinded, randomised, moisturiser-controlled study evaluated patients with stable mild-to-moderate AD. Clobetasone butyrate ointment plus aqueous cream (Aq) or Aq alone was applied on randomised sites twice daily for 6 weeks. The itch score, modified Eczema Area and Severity Index (M-EASI) and epidermal biophysical parameters were assessed at baseline and 1 h, 3 h, 2 weeks and 6 weeks after application.</p><p><strong>Results: </strong>Sixteen patients, among whom 14 (87.5%) were women and two (12.5%) were men, participated in the study. There were no significant differences in pH, transepidermal water loss (TEWL) and hydration between TCS + Aq and Aq from 1 h to 6 weeks. A non-significant trend of pH increment was observed with TCS + Aq from baseline to 6 weeks. TEWL and hydration improved at 6 weeks for both treatment arms. The difference in TEWL from baseline was significant with Aq (P=0.01). The M-EASI at 6 weeks was comparable between the two arms. TCS + Aq improved itch and erythema better than Aq (P=0.02). No cutaneous adverse effects were observed at both sites.</p><p><strong>Conclusion: </strong>Short-term application of clobetasone butyrate with Aq is safe with no significant changes in epidermal biophysical parameters while controlling the symptoms and signs of eczema faster than Aq alone.</p>","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"19 ","pages":"48"},"PeriodicalIF":0.0,"publicationDate":"2024-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11366279/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113138","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}