Introduction: Diabetes patients are predisposed to several micro as well as macrovascular complications. One most important and debilitating complication of diabetes are foot problems. However, it is preventable by simple intervention such as foot screening and foot care education to detect early problem so that early intervention can be done. This study aims to assess foot care practice among Type 2 diabetes patient attending primary health clinics in Kuantan. Materials and method:  This was a cross-sectional study conducted at four primary health clinics in Kuantan involving 450 study participants who were selected by using convenient sampling method. Level of awareness and practice towards diabetic foot care was assessed using validated self-administered questionnaire. Multiple logistic regressions were performed to identify factors associated with foot care practice among the respondents. Results: Mean age of respondents involved was 56.36 (SD±10.9) years. About 59.6 % of respondents had poor foot care practice. Multivariate logistic regression analysis identified that, increasing age (aOR 0.97, 95% CI: 0.955-0.993) and good awareness towards foot problem (aOR 0.43, 95%CI: 0.289-0.643) were associated with good foot care practice. However, Malay patients (aOR 1.81, 95% CI: 1.002-3.271) and obese patients (aOR 1.9, 95% CI: 1.225-2.976) were associated with poor foot care practice after controlling other variables. Other factors such as education level, diabetes control as well as overweight did not show any significant association with foot care practice.  Conclusion:  Based on the result, majority of respondents had poor foot care practice. Poor awareness was associated with poor foot care practice. It can be concluded that sustainable patient education and compliance towards foot care practice at primary care level should be emphasized more to ensure good foot care practice implementation.

Introduction: The purpose of this study is to identify the incidence of clavicle fractures in newborn associated with fetal, maternal and process of deliveries in Kuantan General Hospital from June 2012 until January 2014. This study is to determine epidemiological data of clavicle fractures, maternal and baby risk factors associated with clavicle fractures of newborn and its’ outcome. Methods: This is a prospective study. 13 patients were identified to fulfill the inclusion criteria of the study. The data of sociodemographic, associated fetal and maternal risk factors and the outcomes were recorded using proforma. The statistical data analysis was done using SPSS 12.0. Results: Out of 20,257 live births at our centre during the study period, 13 infants were diagnosed to have clavicle fractures, giving an incidence of 0.64 per 1000 live births. There were 5 (38.5%) left, 7 (53.8%) right and one (7.7%) bilateral fracture. All fractures located at the mid shaft of the clavicle and none have associated brachial plexus injuries. All infants were delivered through vaginal delivery (61.5%); five through assisted delivery (instrumental); 2 (15.4%) forcep and 3 (23.1%) vacuum. Two of the babies developed shoulder dystocia. The average birth weight was 3371 grams (SD 0.269) and mean gestational age was 38.7 weeks (SD 1.16). Five of the mothers (38.5%) were primigravida and eight (61.5%) were multigravida in which,7 (53.8%)were healthy without other co-morbidty, 5 (38.5%) having gestational diabetis and one (7.7%) hypertension. The average maternal weight was 62.0 kg and height 1.58 metres with average BMI of 24.16 (3.29SD). All eventually had a complete recovery at 6 weeks with clinical and radiological evident of fracture union. Conclusions: In conclusion, all patients with clavicle fractures were found following vaginal delivery. There were no associations between neonatal clavicle fractures with maternal or baby risk factors. All fractures healed without any complications.

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