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Fulltext Addictive behaviours among university students in Malaysia during COVID-19 pandemic

Ting CH, Essau C

Addict Behav Rep, 2021 Dec;14:100375.
PMID: 34514077 DOI: 10.1016/j.abrep.2021.100375

INTRODUCTION: Preventative measures to stop the spread of the COVID-19 have affected university students in an unprecedented manner. During the pandemic, their well-being and mental health are being shaped by online learning, home confinement, and uncertainty about their future. The overall aim of this study was to examine the frequency of three addictive-like behaviors (i.e., eating, social media, and online gaming) among university students, and their associations with mental health and self-regulation.
METHODS: This study was an online-based cross-sectional study involving 178 students from a public university in Sarawak. They were asked to complete a set of questionnaires that were used to measure substance, cigarette, and alcohol use, psychological distress, anxiety towards COVID-19, self-regulation, as well as food, online gaming, and social media addiction.
RESULTS: There was a significant increment in the duration of time spent on online gaming and social media during the COVID-19 pandemic. The prevalence of substance use was low, with 3.9% and 12% of the students reported using cigarettes and alcohol, respectively in the last 30 days. Significant positive correlations were found between the three addictive-like behaviors (food, gaming, and social media addiction) and psychological distress. Significant negative correlations were found between self-regulation and the three addictive-like behaviors as well as psychological distress.
CONCLUSION: Multidisciplinary efforts are needed to mitigate potential pre-existing and potential worsening addictive behaviors among university students during the COVID-19 pandemic and future pandemics and natural disasters.
Fulltext Introduction of psychological skills laboratory in medical education

Chen YY, Ting CH

J Postgrad Med, 2023;69(4):221-223.
PMID: 37602634 DOI: 10.4103/jpgm.jpgm_341_23

Depression and anxiety are common psychological issues among university students, yet many of them hesitate to seek professional help due to stigma. Unfortunately, university curricula often lack self-help strategies to manage these challenges and provide timely support to those in need. To address this gap, we introduced the Psychological Skills Lab (PSL) component in the undergraduate medical curriculum, which emphasizes experiential learning to promote self-determination and autonomy in health promotion. The lab allows active interaction among students, lecturers, and peers through activities like presentations, peer reviews, in session practice, gratitude journals, group discussions, and role plays. PSL helps students develop skills, empathy, mindfulness, and self compassion through regular interactions. This innovative teaching approach raises mental health awareness and empowers students to assist others when required. Thus, by incorporating self-help measures into the curriculum, students are better equipped to manage their emotional well-being while supporting those around them.
Fulltext Knowledge, attitude, and practice regarding atrial fibrillation among primary care physicians: the potential role of postgraduate training

Ooi PC, Ramayah G, Omar SR, Rajadorai V, Nadarajah T, Ting CH, et al.

Malays Fam Physician, 2021 Mar 25;16(1):39-49.
PMID: 33948141 DOI: 10.51866/oa0002

Introduction: Atrial fibrillation (AF) is known to lead to stroke and thromboembolism, causing a five-fold increase in the risk of stroke and almost doubling the mortality rate. Optimal anticoagulant therapy is effective in reducing AF-related death. However, prescription of anticoagulants in AF in East Asian countries has been low, ranging from 0.5% to 28%. This study aimed to determine whether vocational training in family medicine improves primary care physicians' knowledge, attitude, and practice in the management of AF.
Method: This investigation was a cross-sectional study carried out during centralized workshops for two groups of trainees using a validated questionnaire: (i) junior trainees were newly enrolled postgraduate trainees in the Graduate Certificate in Family Medicine (GCFM) program, and (ii) senior trainees were postgraduate trainees in Advance Training in Family Medicine (ATFM) programs of the Academy of Family Physicians of Malaysia (AFPM).
Results: A total of 223 trainees (127 junior and 96 senior) participated in this study. Only 55.2% of the trainees passed the knowledge test; senior trainees were more likely to pass the knowledge test compared to junior trainees (69.8% vs. 44.1%, p < 0.001). Female trainees were significantly more likely to pass the knowledge test than male trainees. While the attitude of senior and junior trainees was similar, more of the latter group worked in public clinic that provide better support where there is better support for outpatient anticoagulation treatment (e.g., same-day INR test, direct access echocardiogram, and warfarin in in-house pharmacy).
Conclusion: Vocational training in family medicine appears to improve primary care physicians' knowledge regarding the management of AF. Better knowledge will help vocationally trained primary care physicians to provide anticoagulation treatment for AF within primary care clinics. More optimal AF management within primary care can take place if the identified barriers are addressed and a shared care plan can be implemented.
One-pot furfural production using choline chloride-dicarboxylic acid based deep eutectic solvents under mild conditions

Lee CBTL, Wu TY, Ting CH, Tan JK, Siow LF, Cheng CK, et al.

Bioresour Technol, 2019 Apr;278:486-489.
PMID: 30711220 DOI: 10.1016/j.biortech.2018.12.034

The performances of various anhydrous and aqueous choline chloride-dicarboxylic acid based deep eutectic solvents (DESs) were evaluated for furfural production from oil palm fronds without any additional catalyst. The effects of different carbon chain length dicarboxylic acids and water content in each DES on furfural production were investigated. Oil palm fronds, DES and water (0-5 ml) were mixed and reacted in an oil bath (60-300 min). Reacted oil palm fronds had the potential to be reused as cellulose-rich-valuable by-products. At 100 °C, aqueous choline chloride-oxalic acid (16.4 wt% H2O) produced the highest furfural yield of 26.34% and cellulose composition up to 72.79% in the reacted oil palm fronds. Despite operating at suitable reaction duration for dicarboxylic acid with longer carbon chain length, aqueous choline chloride-malonic acid and aqueous choline chloride-succinic acid performed poorly with furfural yield of less than 1%.