Malaysian Family Physician最新文献

{"title":"Development and validation of the Newborn Clubfoot Screening Checklist to improve the detection of postnatal congenital talipes equinovarus among newborns by non-orthopaedic-trained healthcare workers in Sarawak General Hospital: A cross-sectional prospective study.","authors":"Haniza Sahdi, Ravin Prabaharan, Whye Lian Cheah, Ahmad Hata Rasit, Mohamed Ameenudeen B A Sultan Abdul Kader, Mohamad Adam Bujang, Benjamin Abdullah Nur Alyana","doi":"10.51866/oa.697","DOIUrl":"10.51866/oa.697","url":null,"abstract":"<p><strong>Introduction: </strong>Non-orthopaedic-trained healthcare professionals face challenges in identifying postnatal clubfoot deformities due to the lack of suitable assessment tools, resulting in misdiagnosis. Therefore, this study aimed to develop and validate the Neonatal Clubfoot Screening Checklist (NCSC) to assist non-orthopaedic-trained healthcare professionals in postnatal clubfoot assessment.</p><p><strong>Methods: </strong>The NCSC development involved five phases: conceptual understanding of deformity components, creation of pictorial representations, tool structure design, content and face validation, pilot study and field study. A cross-sectional prospective study was conducted in Sarawak General Hospital from January to June 2021. Non-orthopaedic-trained healthcare professionals were randomly assigned to two groups: one utilising the NCSC for newborn screening and another without it. Results were compared with assessments by the paediatric orthopaedic team. Kappa agreement tests and sensitivity and specificity analyses were performed to evaluate the tool's reliability and validity, respectively.</p><p><strong>Results: </strong>The content and face validity were satisfactory. Six hundred twelve feet were screened using the NCSC, and 596 feet were checked without the tool. The kappa agreement tests showed strong concordance (kappa coefficient=0.725-1.000, P<0.001) between the non-orthopaedic-trained personnel and paediatric orthopaedic team for all NCSC items. The NCSC exhibited 100% sensitivity, specificity and positive and negative predictive values.</p><p><strong>Conclusion: </strong>The NCSC is a reliable tool for postnatal clubfoot screening, offering high sensitivity and specificity. It facilitates accurate differentiation of true-positive congenital talipes equinovarus from other foot conditions, reducing misdiagnoses and unnecessary referrals. The NCSC is valuable in resource-constrained settings and for healthcare professionals lacking specialised orthopaedic training.</p>","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"19 ","pages":"68"},"PeriodicalIF":0.0,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11627168/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802628","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":"Poster on the wall: My stint as a scientific committee member.","authors":"Suzane Shiyun Chin","doi":"10.51866/mol.711","DOIUrl":"https://doi.org/10.51866/mol.711","url":null,"abstract":"","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"19 ","pages":"65"},"PeriodicalIF":0.0,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11627167/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802444","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":"Grandparenting practices and their association with physical and mental well-being among older adults with chronic diseases in Malaysia: A cross-sectional study.","authors":"Sajaratulnisah Othman, Vinvie Wei Huo Hee, Clarice Jing Wen Ng, Julia Suhaimi","doi":"10.51866/oa.586","DOIUrl":"10.51866/oa.586","url":null,"abstract":"<p><strong>Introduction: </strong>There is limited understanding of the association of grandparenting with the wellbeing of older adults with chronic diseases. This study aimed to examine grandparenting practices and their association with physical and mental well-being among older adults.</p><p><strong>Methods: </strong>The cross-sectional study was conducted at an outpatient clinic in a tertiary hospital in the Klang Valley, Malaysia. A total of 421 older patients with grandparenting experience were interviewed. The SF-12 Version 2.0 Health Survey was utilised to assess mental and physical wellbeing. Sociodemographic information, chronic disease care and grandparenting practices were evaluated to investigate any potential relationship with physical and mental well-being.</p><p><strong>Results: </strong>Of the participants, 80% were aged 60-74 years; 62.5% were women; and 81.4% completed secondary education. More than half of the participants voluntarily took on the role of grandparenting. The participants showed an impaired physical function but a preserved mental wellbeing. Never missing regular medication due to grandparenting and taking up grandparenting based on the circumstances were related to mental health. However, no factor was significantly associated with physical well-being.</p><p><strong>Conclusion: </strong>Two factors are linked to improved mental well-being. In contrast, there is no significant relationship found between a decline in physical health and grandparenting practices. Further research is needed to determine the causal relationship between physical health challenges and grandparenting practices.</p>","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"19 ","pages":"64"},"PeriodicalIF":0.0,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11627170/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142801510","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":"How the pandemic affected the frequency, type and intensity of migraines in students.","authors":"Sinda Zarrouk, Josef Finsterer","doi":"10.51866/lte.741","DOIUrl":"10.51866/lte.741","url":null,"abstract":"","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"19 ","pages":"62"},"PeriodicalIF":0.0,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11627172/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802301","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":"Response to: How the pandemic affected the frequency, type, and intensity of migraines in students.","authors":"Selvakumar Kiruthika, Lee Fan Tan, Chai Nien Foo","doi":"10.51866/lte.787","DOIUrl":"10.51866/lte.787","url":null,"abstract":"","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"19 ","pages":"63"},"PeriodicalIF":0.0,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11627171/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802455","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":"Integrating palliative care into primary healthcare systems: Advocacy efforts, milestones and challenges in Asia.","authors":"Gvc Fernando, Teguh Kristian Perdamaian","doi":"10.51866/cm0007","DOIUrl":"https://doi.org/10.51866/cm0007","url":null,"abstract":"<p><p>Palliative care is a vital component of primary healthcare systems, especially in Asia, where the ageing population is expected to increase significantly in the coming years. Integrating palliative care into primary healthcare systems is a crucial strategy for achieving universal access to palliative care. It is necessary to take concurrent actions to achieve this integration, including integrating palliative care into public health policies, educating primary healthcare workers, establishing appropriate service structures and ensuring the availability of controlled medications. Healthcare professionals involved with primary care, often led by physicians, play a significant role in driving the implementation of primary palliative care in Asia, as evidenced by their involvement in community- and home-based palliative care in India and primary palliative care for patients with cancer in Indonesia. However, there are challenges associated with implementing these actions in each country. Therefore, it is crucial to examine the ongoing advocacy efforts, milestones, obstacles and strategies that shape this process in the Asian context.</p>","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"19 ","pages":"61"},"PeriodicalIF":0.0,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11556223/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142636133","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":"Mentorship and growth: Reflections from the Asian Medical Students' Association Competition in Japan.","authors":"Abu Hassan Hasliza, Jin Xiang Leong, Ri Hong Ting, Wei Quan Heng","doi":"10.51866/mol.733","DOIUrl":"https://doi.org/10.51866/mol.733","url":null,"abstract":"","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"19 ","pages":"58"},"PeriodicalIF":0.0,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11556220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142628633","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":"Epidemiology of injuries among Malaysian adolescent karate athletes: A cross-sectional study.","authors":"Mohamad Azwan Aziz, Punitha Kunabal","doi":"10.51866/oa.632","DOIUrl":"https://doi.org/10.51866/oa.632","url":null,"abstract":"<p><strong>Introduction: </strong>Despite the wide range of injuries sustained by adolescents during karate, limited studies have investigated the type and frequency of sports injuries among adolescent karate athletes. This study would be the first to examine the epidemiology of injuries among adolescent karate athletes. Its objective was to describe the incidence of injuries throughout the 2023 season and the pattern of injuries among Malaysian adolescent karate athletes.</p><p><strong>Methods: </strong>From 1 January to 31 December 2023, this cross-sectional study examined 119 Malaysian adolescent karate athletes aged 13-19 years. Data on demographic characteristics and patterns of injuries were collected using a standardised form and analysed using SPSS version 26.</p><p><strong>Results: </strong>The incidence of injuries was 22.3 injuries per 1000 athlete exposures. Specifically, the incidence of injuries during training was 15.34 injuries per 1000 athlete exposures, while that during competition was 106.6 injuries per 1000 athlete exposures. The majority of the injuries were mild (n=113, 87.6%), while the minority were severe (n=6, 4.7%). The injuries most commonly occurred in the head and neck (n=31, 24%), followed by the ankle (n=13, 10.1%) and foot (n=14, 10.9%).</p><p><strong>Conclusion: </strong>There is a need to explore the extrinsic and intrinsic risk factors of injuries among adolescent karate athletes in Malaysia, as the incidence of injuries is high during competition. Additionally, it is important to educate athletes and supporting sports science members about injury prevention programmes.</p>","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"19 ","pages":"60"},"PeriodicalIF":0.0,"publicationDate":"2024-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11556221/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142628487","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 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}