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  1. Fulltext Incidence, patterns and risk factors of injury & illness among athletes during the Malaysian Higher Education Games (SUKIPT) 2018
    Muhammad Harith, R., Mohamad Shariff, A.H.
    JUMMEC, 2019;22(2):13-23.
    MyJurnal
    Background: Despite regularly participating in international and national level multisport events, there is still
    limited data on the pattern of injuries and illnesses and factors associated with injuries and illnesses in Malaysia.
    Such information is crucial to instil preventive measures because sustaining injuries during competition could
    hamper the athlete’s performance.

    Methods: This cross-sectional study investigated the incidence, patterns and risk factors of injuries and illnesses
    among athletes throughout SUKIPT 2018, from the 2nd to the 10th of February 2018. All injuries and illnesses
    treated by tournament medical personnel were reported using a standardised online injury reporting form.
    This form was adapted from the injury surveillance form used by the International Olympic Committee.

    Results: A total of 6071 athletes from 80 contingents took part in SUKIPT 2018. During the nine days of
    competition 323 injuries and 48 illnesses were reported, resulting in an incidence of 5.3 injuries and 0.8 illness
    per 100 athletes. Approximately 6% of the athletes sustained at least one injury or illness.

    Conclusion: In summary, the incidence of injuries and illnesses among athletes during SUKIPT was 5.3 and
    0.8 per 100 athletes, respectively. Muscle strain/rupture/tear was the most common pattern of injury while
    collision with another athlete was the most frequent mechanism of injury. Meanwhile, the respiratory system
    was the most commonly affected by illness and infection was the most prevalent cause of illness.
    Matched MeSH terms: Cross-Sectional Studies
  2. STROCSS 2019 Guideline: Strengthening the reporting of cohort studies in surgery
    Agha R, Abdall-Razak A, Crossley E, Dowlut N, Iosifidis C, Mathew G, et al.
    Int J Surg, 2019 Nov 06;72:156-165.
    PMID: 31704426 DOI: 10.1016/j.ijsu.2019.11.002
    INTRODUCTION: The STROCSS guideline was developed in 2017 to improve the reporting quality of observational studies in surgery. Building on its impact and usefulness, we sought to update the guidelines two years after its publication.

    METHODS: A steering group was formed to review the existing guideline and propose amendments to the 17-item checklist. A Delphi consensus exercise was utilised to determine agreement across a list of proposed modifications to the STROCSS 2017 guideline. An expert panel of 46 surgeons were invited to assess the proposed updates via Google Forms.

    RESULTS: The response rate was 91% (n = 42/46). High agreement was reached across all the items and the guideline was finalised in the first round. The checklist maintained 17-items, with modifications primarily considered to improve content and readability.

    CONCLUSIONS: The STROCSS 2019 guideline is hereby presented as a considered update to improve reporting of cohort, cross-sectional and case-control studies in surgery.

    Matched MeSH terms: Cross-Sectional Studies
  3. Fulltext Usage of complementary and alternative medicine among primary care clinic attendees, Kuching, Sarawak, Malaysia, January - April 2004
    Lee PY, Abang Taha AB, Lin K, Ghazali SR, Syed Ahmad Al-Mashoor SH
    Asia Pac Fam Med, 2007;6(1).
    Aims: To evaluate the utilization of complementary and alternative medicine (CAM) in Kuching, Sarawak, Malaysia Methods: This was a cross-sectional study of patients who attended three randomly selected primary care clinics over 4 months from January to April 2004. Results: A total of 198 patients were recruited. One hundred and eighty-one (91.4%) patients agreed to participate by answering the anonymous questionnaire. Results: Ninety (51.4%) patients used CAM of which 43 (47.8%) patients used more than one type of CAM. Utilization rates of CAM were found to be associated with employment status but not with other socio-demographic factors. The common types of alternative medicine used were massage (n = 63; 36.2%) and herbal medicine (n = 44; 25.1%). Forty-two (46%) of the CAM users, used CAM for the problems that led to their current clinic visit. Thirty-four (37.8%) were using alternative and modern medicine at the same time. The reasons for CAM usage given by about half of the patients were that CAM was more effective and better for emotional or mental health problems. Conclusions: Usage of CAM was common in patients who visited primary care clinics. It is important to recognize this fact as combined use of CAM can create potentially dangerous interactions with pharmacotherapies Key words: complementary and alternative medicine (CAM), primary care
    Matched MeSH terms: Cross-Sectional Studies
  4. Fulltext Future career in general practice specialty? Will undergraduate course experience make any difference?
    Khoo SB
    Asia Pac Fam Med, 2006;5(2).
    Background: A community-based general practice course has been developed in the Penang Medical College (PMC) (a joint Ireland-Malaysia venture) that simultaneously satisfies the medical regulatory authorities in Ireland and re-orients the current medical education to the health needs of the Malaysian community. Objectives: This paper describes the community-based general practice course in PMC, explores student evaluation of the various course objectives, student perception of general practice in Malaysia, and whether course experience has any influence on their choice of general practice specialty as a future career. Methods: Two consecutive classes of students (n = 78) were invited to complete anonymous, confidential pre-general practice rotation and post-general practice rotation course questionnaires. Results: Overall responses from both classes were 75/78 (96.1%) for pre-course and 73/78 (93.6%) for post-course questionnaire. Although students had minimal knowledge of Irish and Malaysian primary health care before the course, 60% were keen to learn about Irish primary healthcare and 54.7% expected to learn about the Malaysian healthcare system in the course. Overall, there was a slight reduction of 'No' response and increment of 'Maybe' response after the course with regard to working as a general practitioner in both countries but statistical tests show that there is no significance in the difference. Conclusions: An innovative community-based general practice course has been implemented in PMC but course experience of students does not seem to have any influence on their choice of general practice specialty as a future career. Key words: community, general practice course, Ireland, Malaysia, primary healthcare
    Matched MeSH terms: Cross-Sectional Studies
  5. Fulltext Understanding of obesity among registered nurse
    Mohd Ardzi R, Shariff N, Omar NZ, Ramli N, Md Isa KA
    The Malaysian Journal of Nursing, 2014;6(1):38-43.
    This study sought to investigate understanding of obesity among registered nurse e-PJJ student semester 9 UiTM in Puncak Alam, in Selangor, Malaysia. A survey research design was used for the study. 100 nurses were randomly selected from 130 nurses in e-PJJ student semester 9. Study of this population was done by systematic sampling. The target groups for this study are matrons, sisters and staff nurses. 100% nurses showed understanding of obesity. Eating habits of the nurses contributed to this obesity. It was recommended among others, that nurses should practice theoretical knowledge base and the need to more opportunities for physical activities at hospital sites was emphasized.
    Keywords: Obesity, Registered Nurses, Knowledge and attitude
    Matched MeSH terms: Cross-Sectional Studies
  6. Fulltext The prevalence of anxiety among medical students
    Sherina MS, Rampal L, Kaneson N
    Malaysian Journal of Medicine and Health Sciences, 2005;1(1):13-20.
    Objective: This study was conducted to determine the prevalence of anxiety among medical students at a local university in Malaysia and to identify its associated factors.
    Methods: Across-sectional study design was used. Three-hundred and ninety-six medical students at a local university in Malaysia were included in the study. A pre-tested, modified, self-administered Beck Anxiety Inventory (BAI) was used to screen for anxiety.
    Results: Three-hundred-and-ninety-six out of 414 medical students participated (response rate 95.7%).38.4% of the medical students were found to have anxiety.
    Conclusion: The overall prevalence of anxiety among medical students was high (38.4%). Factors found to be significantly associated with anxiety were gender, perceived level of pressure, year of study in medical school, ethnicity and depression(p<0.05).
    Keywords: Anxiety, depression, medical students, prevalence
    Matched MeSH terms: Cross-Sectional Studies
  7. Fulltext Normalisation of the International Normalised Ratio (INR) Prior to Interventional Procedure: is it necessary?
    Mohd Tarmizi Mohamad Mahyedin, Afifah Hassan, Abdul Rahim Hussein
    Malaysian Journal of Medicine and Health Sciences, 2018;14(201):1-7.
    MyJurnal
    The fresh frozen plasma (FFP) is frequently prescribed either for therapeutic or prophylactic transfusion. The international normalised ratio (INR) value of 1.50 and above is frequently reported to be a transfusion trigger for FFP prior to interventional procedure. This study aimed to evaluate the efficacy of prophylactic FFP transfusion in normalising the INR and to determine the post-transfusion outcomes. Methods: A prospective cross-sectional study involved 81 patients who received prophylactic FFP transfusion over a period of three months. All demographic, clinical data and outcomes of FFP transfusion were captured and filled in the research proforma. Results: The proportion of patients achieved posttransfusion INR below 1.51 was 30.30% (n=27). The majority of patients underwent the interventional procedures with posttransfusion INR > 1.50 (n=52) without experiencing any bleeding episodes. Overall, FFP transfusion resulted in significant median INR difference from 1.89 (IQR, 0.53) to 1.60 (IQR, 0.25); p< 0.001. The greater median INR difference was observed in group with pretransfusion INR > 2.00 and who received FFP doses between 10.00 to 20.00 ml kg-1 (p < 0.001). The INR difference showed the significant, positive correlation with pretransfusion INR values (rs= 0.83, p < 0.001) and FFP doses (rs= 0.72, p< 0.001). Conclusions: The interventional procedures were safely carried out despite abnormal posttransfusion INR. The prophylactic FFP transfusions could be avoided in patients with mild coagulopathy (INR 1.50 - 2.00) prior interventional procedures.
    Matched MeSH terms: Cross-Sectional Studies
  8. The Association of Rumination and Perfectionism to Social Anxiety
    Abdollahi A
    Psychiatry, 2019;82(4):345-353.
    PMID: 31112491 DOI: 10.1080/00332747.2019.1608783
    Objective: Evaluative concerns perfectionism is related to both rumination and social anxiety. However, the mediating role of rumination between two types of perfectionism-namely, evaluative concerns perfectionism and personal standards perfectionism-and social anxiety has yet to be studied. Therefore, the objective of this study was to examine the mediating role of rumination on the association between perfectionism and social anxiety. Methods: A cross-sectional study was conducted among 450 Malaysian undergraduate students using self-report questionnaires. Results: Structural equation modeling (SEM) revealed that evaluative concerns perfectionism and rumination were significant positive predictors of social anxiety. Multimodel analysis revealed that rumination partially mediated the association between evaluative concerns perfectionism and social anxiety. Conclusions: The results suggested that evaluative concerns perfectionists were more likely to engage in rumination and were consequently more likely to experience social anxiety.
    Matched MeSH terms: Cross-Sectional Studies
  9. Fulltext Occupational burnout in a sample of geriatric social care professionals in Malaysia
    Rathakrishnan RB, Risalshah L, Swami V
    Jurnal Psikologi Malaysia, 2008;22:83-94.
    The present study was conducted in three old persons' homes located in Kinarut, Sandakan and Tawau, in the state of Sabah (East Malaysia). A total of 59 participants (28 women, 31 men) took part in the study, comprising support staff (administration and nursing) and direct staff (attendants). Participants were instructed to complete a self-reported questionnaire anonymously. The questionnaire consisted of questions on socio-demographic variables, a Bahasa Malaysia (Malay) version of the Maslach Burnout Inventory (MBI), and scales of job clarity and workload.
    Matched MeSH terms: Cross-Sectional Studies
  10. A cross-sectional evaluation on physical fitness of Malaysian firefighters
    Atikah C, Nihayah M, Omar B, Leonard J, Noor Ibrahim M, Zurkarnain M, et al.
    Sains Malaysiana, 2015;44:1461-1466.
    Fire fighting is one of the most strenuous activities in the hazardous fire service industry. Firefighters have to be physically fit in order to provide an effective and safe fire prevention to the afflicted community and as well as to themselves. The aimed of this cross-sectional study was to evaluate the physical fitness among Malaysian firefighters. The hand grip test to evaluate hand and muscular strength was measured using hand dynamometer and one-minute sit ups and one-minute push ups were conducted to measure abdominal muscle endurance. The sit and reach test was carried out to measure lower back and hamstring flexibility. VO2 max was assessed by a 20 meter shuttle run test to measure cardiorespiratory fitness. A total of 385 subjects were participated and the results showed that 77.1% (n=297) and 84.8% (n=325) of them had very poor scores for hand grip strength and VO2 max, respectively. For one-minute sit ups, 40.8% (n=157) of subjects scored excellent. Meanwhile, 32.7% (n=126) subjects scored average for one-minute push ups. For flexibility test, 53.2% (n=205) subjects had poor flexibilty. The results showed there were significantly difference between one-minute sit ups (p<0.001), one-minute push ups (p<0.05), flexibility (p<0.05) and VO2 max (p<0.001) according to age. As a conclusion, this study provides representative data on physical fitness among Malaysian firefighters. These findings suggested the needs to explore the issues behind low physical fitness among Malaysian firefighters and to find ways to improve them.
    Matched MeSH terms: Cross-Sectional Studies
  11. Fulltext Global Adult Tobacco Survey (GATS) Malaysia
    ISBN: 978-963-3887-72-9
    Citation: Global Adult Tobacco Survey (GATS) Malaysia. Kuala Lumpur: Ministry of Health, Malaysia, 2012
    Fact sheet: http://moh.gov.my/images/gallery/Report/GATS_Malaysia.pdf
    Datasets: GATS_Malaysia_National_2011_SPSS.zip
    https://nccd.cdc.gov/GTSSDataSurveyResources/Ancillary/DataReports.aspx?CAID=2
    Study name: Global Adults Tobacco Survey (GATS-2011)
    Matched MeSH terms: Cross-Sectional Studies
  12. Fulltext Mobility and fear of falls measuring tools to predict falls risk among malaysian community dwelling older adults. [Abstract]
    Ajit Singh DK, Ng ES, Ng CP, Ab Rahman NNA, Pannir Selvam SB
    Jurnal Sains Kesihatan Malaysia, 2018;16(101):225-226.
    MyJurnal DOI: 10.17576/JSKM-2018-35
    Falls is a global health issue among older adults. Identifying measuring tools that can predict falls risk among older adults can assist in early falls risk detection and prevention. Best measuring tools that can predict falls risk among Malaysian community dwelling older adults is not known. The objective of our study was to determine if Timed Up and Go (TUG) test and Activities-Specific Balance Confidence (ABC) scale could be used as a falls risk predictor tools among Malaysian community dwelling older adults. Hundred and six (n = 106) community dwelling older adults who were attending Klinik Kesihatan Cheras participated in this cross sectional study. Falls incidence in the past one year was obtained from the participants. TUG test was performed and ABC scale was administered. Data was analysed using binomial logistic regression and receiver operating curves (ROC). The cut off values identified for TUG test and ABC scale were 9.02 seconds (area under the curve, AUC was 0.711; 95% CI 0.577-0.844) and 82.81% (area under the curve, AUC was 0.682; 95% CI 0.562-0.802) respectively. Hence, older adults with a score of above 9.02 seconds for TUG test and a score of below 82.81% for ABC scale were noted to have a higher risk of falls. Results of this study demonstrated that both TUG test (p < 0.001) and ABC scale (p < 0.01) were significant predictors of falls risk. Our study results indicated that both mobility (TUG test) and fear of falls (ABC scale) measuring tools, with the present cut off values can be used to identify community dwelling older adults who are at a higher risk of falls. Identifying older adults with higher risk of falls can assist the health professionals to optimise falls prevention and management approaches.
    Matched MeSH terms: Cross-Sectional Studies
  13. Fulltext Family functioning, cognitive distortion and resilience among clients of Cure and Care Rehabilitation Centre (CCRC) and Cure and Care Clinic (C&C). [Kefungsian keluarga, pengherotan kognitif dan resilien dalam kalangan klien Cure and Care Rehabilitation Centre (CCRC) dan Klinik Cure and Care (C&C)]
    Zainah AZ, Nasir R, Desa A, Khairudin R, Yusooff F, Mohamed Yusoff SH
    Jurnal Psikologi Malaysia, 2013;27:137-49.
    The process of drug rehabilitation is an important agenda for the National Anti-Drug Agency (NADA). Various efforts have been taken to aid NADA in treating drug addicts. This study focuses on identifying the mental health status and psychological factors to design appropriate treatment strategies. Therefore, this research aims to determine the level of family functioning, cognitive distortion and resilience among clients of CCRC and C&C. A total of 495 clients from these institutions took part in this study. The instruments used were FACES III to measure family functioning, CDS to measure cognitive distortion and Resilience Scale to measure resilience. Results indicate that clients’ family functioning is at a moderate level, clients’ cognitive distortion is at a low level, whilst their resilence is at a high level. This indicates that the rehabilitation programs conducted at the institution had an impact on clients’ resiliency and cognitive distortion.The implications of the study can be attributed to the counseling intervention at NADA.
    Matched MeSH terms: Cross-Sectional Studies
  14. Fulltext Source and understanding of the concept of 1Malaysia among teenagers: a survey. [Sumber dan kefahaman konsep 1 Malaysia dalam kalangan remaja: Satu kajian tinjauan]
    Desa A, Yusooff F
    Jurnal Psikologi Malaysia, 2014;28:3-11.
    1Malaysia concept was introduced by Datuk Seri Mohd. Najib Tun Razak on April 3, 2009 with the theme, "People First, Achievement Is Priority", 1Malaysia seen as an attempt to foster unity among the various races in Malaysia with 8 important values as the catalyst for social transformation that leads to the growth and well-being of people. This descriptive study was conducted to investigate the source and extent of the understanding of 1Malaysia concept among the three groups of primary school (n = 100), secondary school (n = 100) and university students (n = 98). Data were collected through a survey method with the use of a set of questionnaires and were then analysed with SPSS software. The results showed that the main source of this concept for all three groups of students is through television, followed by the newspaper. For the understanding of the concept, it was found that almost 70% of the respondents do understand some basic aspects related to it. However, there are still aspects which respondents still do not know about. Thus there is a need for the educators to play an important role to explain in detail to the students so that the concept can be understood and appreciated, and that it is not misinterpreted to cause negative impact on race relations in Malaysia.
    Matched MeSH terms: Cross-Sectional Studies
  15. Fulltext Factors contributing towards high-risk situations in drug relapse. [Faktor-faktor penyumbang kecenderungan situasi berisiko tinggi dalam kalangan penagih dadah berulang di Malaysia]
    Hadijah B, Wan Shahrazad Wan S, Fauziah I, Norulhuda Sarnon K
    Jurnal Psikologi Malaysia, 2018;32(2):26-41.
    The scenario of drug addiction is a chain of threats to individual, families and communities. This is shown through the increasing statistics in addiction relapse causing epidemic to communities. The effects of drug relapse affect individual’s health with problems of comorbidity, psychopathology and psychosocial. After 40 years, Malaysia undertook various efforts in treatment and rehabilitation programs, but these efforts do not indicate success. This situation has led to the study of various factors that contribute towards high-risk situations in drug relapse. Hence this study aims to identify intrapersonal factors consisting of motivation to change and coping strategy as mediator of high-risk situations for drug relapse, which include negative emotions, interpersonal conflict and social pressure. This study employed a cross sectional design which utilized questionnaires administered to 600 clients in the Cure & Care Clinic, Malaysia. The questionnaires used were The Stages of Change Readiness and Treatment Eagerness Scale (SOCRATES), Brief COPE and the tendency of high risk situation for drug relapse scale. Data were analyzed using multiple regression analysis and PROCESS for SPSS. Results showed significant influences of intrapersonal factors and coping strategies towards high-risk situations for drug relapse. In addition, coping strategy mediated the relationship between motivation to change and the tendency of high-risk situations for drug relapse. These findings should be taken into account in establishing treatment and rehabilitation programs for drug relapse in Malaysia.
    Keywords: motivation to change, coping strategy, addiction relapse, high risk situations, mediator
    Matched MeSH terms: Cross-Sectional Studies
  16. Fulltext Tahap keyakinan diri bekas penagih dadah dalam pengawasan di malaysia: ke arah kepulihan menyeluruh (self-esteem among former drug addicts under observation in Malaysia: towards a comprehensive recovery)
    Salina N, Fauziah I, Ezarina Z, Mohd Norahim Mohamed S, Nor Jana S
    Jurnal Psikologi Malaysia, 2017;31:29-39.
    Recovering drug addict is affected by two main factors, namely internal factors (such as resilience and self-confidence) and external (support from families, employers, friends, and community). One of the internal factors that appear to influence the level of recovery of former drug addict is selfconfidence. Therefore this study aims to measure the level of self-confidence among former drug addicts, also known as Orang Kena Pengawasan (OKP) who underwent rehabilitation in 6-11 months and 12-24 months. The study was conducted using cross-sectional surveys. A total of 386 former drug addicts in Peninsular Malaysia were involved in this study with 198 respondents undergoing 6-11 months rehabilitation programme and 197 were respondents who were released within 12-24 months. The data obtained were analyzed using descriptive statistics. This analysis was used to measure the level of self-confidence between respondents who underwent the 6-11 months rehabilitation programme (Group 1) and 12-24 months (Group 2). The study found that the majority of both groups showed no signiticant difference in the level of recovery from the aspect of self-confidence. The study also found the majority of respondents of both groups showed a moderate level of confidence of 58.5 percent. However, Group 1 showed a higher percentage of self-confidence (63.5%) compared to Group 2 of (53.8%). The findings have implications for the development of strategies towards a strong self-confidence among the inmates to reduce recidivism rates in Malaysia.
    Matched MeSH terms: Cross-Sectional Studies
  17. Fulltext Secondhand smoke (SHS) exposure at home and at the workplace among non-smokers in Malaysia: Findings from the Global Adult Tobacco Survey 2011
    Lim KH, Lim HL, Teh CH, Kee CC, Heng PP, Cheah YK, et al.
    Tob Induc Dis, 2018;16.
    DOI: 10.18332/tid/95188
    Introduction: Understanding the prevalence of secondhand smoke (SHS) exposure and the associated factors is beneficial for the formulation of effective measures to reduce exposure to SHS. The purpose of this study was to determine SHS exposure at home and workplace, and its associated factors among non-smoker Malaysian adults. Methods: Data were extracted from the Global Adult Tobacco Survey-Malaysia (GATS-M) that involved a representative sample of 5112 Malaysian adults. Logistic regression analyses were performed to examine the association between SHS exposure, sociodemographic factors, knowledge on the danger of SHS, and smoking restrictions at home and at work among non-smokers. Results: Among non-smoker Malaysians, age ≥15 years, 27.9% (equivalent to approximately 4.21 million non-smokers) and 33.9% (equivalent to approximately 1.37 million non-smokers) reported that they were exposed to SHS at home and the workplace, at least once a month, respectively. Women (AOR=2.12, 95% CI: 1.61.2.78), young individuals (AOR=3.06, 95% CI: 1.48.6.33), Malays (AOR=2.39, 95% CI: 1.56.3.64) or other Bumiputra ethnic groups (AOR=2.40, 95% CI: 1.39.4.19) and those who worked as other than government employees were more likely to report SHS exposure at home (non-government employee: AOR=1.88, 95% CI: 1.06.3.36). Respondents with a total smoking restriction at home did not report any SHS exposure at home. Similarly, those whose workplace had smoking restrictions were less likely to report SHS exposure at the work compared to their counterparts whose workplace had partial (AOR=3.08, 95% CI: 1.84.5.15) or no smoking restrictions (AOR=15.33, 95% CI: 6.75.34.86). Conclusions: A substantial proportion of Malaysian adults were exposed to SHS at home and at work. The findings emphasize the need for policies on smoking restrictions at work and the need to promote the adoption of a completely smoke-free home, among the Malaysian population.
    Study name: Global Adults Tobacco Survey (GATS-2011)
    Matched MeSH terms: Cross-Sectional Studies
  18. Psychological distress of first year medical students who underwent two different admission processes during a stressful period
    Muhamad Saiful Bahri Yusoff, Ahmad Fuad Abdul Rahim, Abdul Aziz Baba, Shaiful Bahari Ismail, Hatta Sidi, Ab Rahman Esa
    Sains Malaysiana, 2013;42:423-428.
    The study of medicine is often regarded by students as a stressful environment particularly during examination period. Studies found a high percentage of medical students experience significant psychological distress during the examination period. This study compared percentage and level of psychological distress between two batches of first year medical students who underwent different selection admission processes during a stressful examination period. A comparative
    cross-sectional study was done on two batches of first year medical students; one group selected based on academic merit (2008/2009 batch) and the other selected based on academic merit, psychometric tests and interview (2009/2010 batch). The psychological distress was measured by the 12-item general health questionnaire (GHQ-12). The data were collected right after the final examinations. A total of 99 (46.05%) medical students of the 2008/2009 batch and 196 (100%) medical students of the 2009/2010 batch participated. The percentage of medical students who had psychological distress of the 2008/2009 and the 2009/2010 batches were 58.59% and 42.3%, respectively. The mean GHQ-12 score and percentage of psychological distress were significantly different between the two batches (p< 0.01). The older batch had 2.01 times higher risk for developing psychological distress compared with the newer batch (p< 0.01). The newer batch
    of medical students had better psychological health status and was less likely to develop psychological distress during the stressful period compared with older batch.
    Matched MeSH terms: Cross-Sectional Studies
  19. Fulltext Exploring cyberchondria and worry about health among individuals with no diagnosed medical condition
    Akhtar M, Fatima T
    J Pak Med Assoc, 2020 Jan;70(1):90-95.
    PMID: 31954030 DOI: 10.5455/JPMA.8682
    Objective: To study the phenomenon of cyberchondria and related worries about health among individuals without any diagnosed medical condition. .

    METHODS: The survey-based, cross-sectional study was conducted from January to July 2018 in the twin cities of Rawalpindi and Islamabad, Pakistan, and comprised graduates of either gender aged at least 35 years with access to internet and means of use, and with no current diagnosed medical condition. The self-reporting Cyberchondria Severity Scale was used data-collection along with a demographic sheet. SPSS 21 was used for data analysis.

    RESULTS: Of the 150 subjects, 90(60%) were men and 60(40%) were women. A total of 40(26.6%) subjects had low level of cyberchondria, while 35(23.3%) experienced a higher level of it. Mean scores of men on total CSS were slightly higher than those of women (p>0.05). Men also scored higher on compulsion, distress, excessiveness and reassurance subsclaes (p>0.05 each), whereas women scored slightly higherthan men on 'mistrust of medical profession' subscale (p>0.05). No significant gender differences werefound on cyberchondria and its subscales (p>0.05 each).

    CONCLUSIONS: Doctors / health professionals may benefit from the findings by focussing on their patients who use internet as a major source of medical information.

    Matched MeSH terms: Cross-Sectional Studies
  20. Fulltext Assessment of self-stigma, self-esteem, and asthma control: A preliminary cross-sectional study among adult asthmatic patients in Selangor, Malaysia
    Ahmad S, Ismail AI, Zim MAM, Ismail NE
    Front Public Health, 2019;7:420.
    PMID: 32039131 DOI: 10.3389/fpubh.2019.00420
    Purpose: The elusive goal of asthma management guidelines is to achieve and maintain good asthma control in asthmatic patients. Against a background of long-term respiratory limitations when living with asthma, stigma and low self-esteem have also been identified as the social phenomenon among adult asthmatics. This study aimed to assess the levels of self-stigma, self-esteem, and asthma control, and to investigate the impact of self-stigma and self-esteem as psychosocial factors on asthma control in Malaysian adults living with asthma.
    Materials and Methods: In this multicenter cross-sectional study, post-ethics approval and patients' consents, 152 stable asthmatic patients (aged > 18 years old; nil cognitive disability; not diagnosed with other respiratory diseases) were recruited from four respiratory clinics in Selangor, Malaysia. The patients' socio-demographic, medical, and psychosocial (self-stigma and self-esteem) data were recorded in a pre-validated, self-designed questionnaire. All data were analyzed descriptively and inferentially (independent t-test/one-way ANOVA, and multiple linear regression) using the Statistical Package for Social Sciences (SPSS®).
    Results: The enrolled patients showed moderate levels of self-stigma (62.12 ± 6.44) and self-esteem (29.31 ± 3.29), and not well-controlled asthma (17.58 ± 3.99). The number of patients' visits to emergency rooms because of asthma [CI (-1.199, 0.317), p < 0.001] was the significant predictor to asthma control among all selected study variables from socio-demographic and medical data. Moreover, from psychosocial factors both self-stigma [CI (-0.367, 0.190), p < 0.001], and self-esteem [CI (-0.007, 0.033), p = 0.041] found to be the significant predictors of asthma control.
    Conclusion: The preliminary evidences presented in this study found that frequent emergency room visits, high self-stigma and low self-esteem in asthma patients becomes more apparent with poor asthma control. Educational interventions to reduce patients' self-stigma and improve self-esteem are needed to achieve optimal control of asthma.
    Study site: Four respiratory clinics in Selangor, Malaysia (UiTM Respiratory specialist Clinic, Hospital Selayang and Hospital Sungai Buloh)
    Matched MeSH terms: Cross-Sectional Studies
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