Oxford Handbook of Psychiatry

Author(s):  
David Semple ◽  
Roger Smyth

The Oxford Handbook of Psychiatry is a new book directed at medical students, doctors coming to psychiatry for the first time, psychiatric trainees, and other professionals who may have to deal with patients with psychiatric problems. It is written by a group of experienced psychiatrists and is designed to provide easy access to the information required by psychiatry trainees on the wards or on-call.

10.2196/17729 ◽  
2020 ◽  
Vol 6 (1) ◽  
pp. e17729 ◽  
Author(s):  
Ido Zamberg ◽  
Olivier Windisch ◽  
Thomas Agoritsas ◽  
Mathieu Nendaz ◽  
Georges Savoldelli ◽  
...  

Background Finding readily accessible, high-quality medical references can be a challenging task. HeadToToe is a mobile platform designed to allow easy and quick access to sound, up-to-date, and validated medical knowledge and guidance. It provides easy access to essential clinical medical content in the form of documents, videos, clinical scores, and other formats for the day-to-day access and use by medical students and physicians during their pre- and postgraduate education. Objective The aim of this paper is to describe the architecture, user interface, and potential strengths and limitations of an innovative knowledge dissemination platform developed at the University of Geneva, Switzerland. We also report preliminary results from a user-experience survey and usage statistics over a selected period. Methods The dissemination platform consists of a smartphone app. Through an administration interface, content is managed by senior university and hospital staff. The app includes the following sections: (1) main section of medical guidance, organized by clinical field; (2) checklists for history-taking and clinical examination, organized by body systems; (3) laboratory section with frequently used lab values; and (4) favorites section. Each content item is programmed to be available for a given duration as defined by the content’s author. Automatic notifications signal the author when the content is about to expire, hence, promoting its timely updating and reducing the risk of using obsolete content. In the background, a third-party statistical collecting tool records anonymous utilization statistics. Results We launched the final version of the platform in March 2019, both at the Faculty of Medicine at the University of Geneva and at the University Hospital of Geneva in Switzerland. A total of 622 students at the university and 613 health professionals at the hospital downloaded the app. Two-thirds of users at both institutions had an iOS device. During the practical examination period (ie, May 2019) there was a significant increase in the number of active users (P=.003), user activity (P<.001), and daily usage time (P<.001) among medical students. In addition, there were 1086 clinical skills video views during this period compared to a total of 484 in the preceding months (ie, a 108% increase). On a 10-point Likert scale, students and physicians rated the app with mean scores of 8.2 (SD 1.9) for user experience, 8.1 (SD 2.0) for usefulness, and 8.5 (SD 1.8) for relevance of content. In parallel, postgraduate trainees viewed more than 6000 documents during the first 3 months after the implementation in the Division of Neurology at our institution. Conclusions HeadToToe is an educator-driven, mobile dissemination platform, which provides rapid and user-friendly access to up-to-date medical content and guidance. The platform was given high ratings for user experience, usefulness, and content quality and was used more often during the exam period. This suggests that the platform could be used as tool for exam preparation.


Author(s):  
Megha Sood ◽  
Jagminder Kaur Bajaj ◽  
Nipunjot Grewal

Background: In our country there is easy availability of drugs over the counter leading to their unintentional misuse and abuse. Over the counter availability of drugs does offer the benefit of easy access to medicines and allows individuals to become in charge of their own health. It is important to understand that medical education can impact the OTC drug use amongst medical students. In order to observe the pattern of OTC drug use among the first and second professional MBBS students we planned this study. The aim of the study was to evaluate use of over the counter (OTC) drugs among medical students in a tertiary care teaching hospital.Methods: Our study was a cross sectional study conducted on first and second professional MBBS students. Authors administered a self structured, prevalidated questionnaire to the students. The data obtained was tabulated, analyzed and the results calculated in percentages.Results: The use of OTC drugs is common amongst undergraduate students.  All (100%) the students who participated in the study had used OTC drugs at some point in their life. The common conditions prompting use of OTC drugs include head ache, body aches (74%), fever (72%), respiratory conditions such as: cold (60%), cough (28.5%), abdominal symptoms such as: abdominal pain (14%), gastritis (7.5%), diarrhea (6%), vomiting (5%) and allergies (10%). Very few students reported adverse drug reactions with these drugs.Conclusions: From our study we have concluded that OTC drugs are commonly used amongst medical students. So, periodic training and talks on self medication are necessary for them. Student knowledge in this aspect will help them in future counseling of their patients.


2019 ◽  
Vol 34 (s1) ◽  
pp. s161-s161
Author(s):  
Eli Jaffe

Introduction:Managing an MCI (Mass Casualty Incident) can be a daunting task for emergency responders. Effective management can be a matter of life and death but can be directly impacted by the feelings of the incident commander.Aim:Students were trained to be incident commanders, then following the course were given a survey. In the days following the training, an MCI occurred involving a train full of passengers. The students were then given another survey to assess their readiness following the practical use of their studies.Methods:Students were given a survey to determine their mean level of confidence in managing MCIs prior to training, and following the training. Following the training, there was an increase in confidence. After the training, there was an MCI in which their theoretical knowledge was put to the test.Results:The pre-training self-efficacy mean scores of younger students (M=3.5, SD+0.23) increased after the training (M=3.8, SD+0.28) and rose even more following the presentation of the Turin train accident (M=4, SD+0.26). While a similar increase in self-efficacy was found among the more mature students post-training compared to the level prior to the training (M=3.7, SD+0.44 versus M=3.4, SD+0.56), the mean self-efficacy score of the mature students decreased following the presentation of the Turin train accident to the pre-training level (M=3.4, SD+0.51).Discussion:Mean scores of self-efficacy and confidence in managing MCIs were found to be higher among medical students that were previously trained in coping with MCIs compared to medical students who participated in such a training program for the first time.


1993 ◽  
Vol 163 (1) ◽  
pp. 111-112 ◽  
Author(s):  
H. G. Morgan ◽  
E. M. Jones ◽  
J. H. Owen

In an attempt to address the low compliance with offers of treatment shown by patients after episodes of non-fatal deliberate self-harm (DSH), patients who had harmed themselves for the first time were offered rapid, easy access to on-call trainee psychiatrists in the event of further difficulties, and they were encouraged to seek help at an early stage should such problems arise. The follow-up data obtained after one year showed a significant reduction of actual or seriously threatened DSH in the experimental group, who also made considerably less demands on medical and psychiatric services, when compared with controls.British Journal of Psychiatry (1993), 163, 111–112


1995 ◽  
Vol 29 (2) ◽  
pp. 278-283 ◽  
Author(s):  
Nathaniel McConaghy ◽  
Ruth Zamir

Masculinity and femininity have been studied by self-ratings in independent areas of research: one investigating personality traits considered masculine (M) or feminine (F); the other, behaviours statistically more common in one than in the other sex (sex-linked behaviours). The two approaches were compared for the first time in the present study of 66 male and 51 female medical students. Consistent with previous findings using the second approach, male but not female subjects' opposite sex-linked “sissy” and “tom-boyish” behaviours correlated significantly with their reported ratio of homosexual to heterosexual feelings (Ho/Het). Ho/Het did not correlate with either sex's M and F scores, but high M scores in women correlated strongly with several “tomboyish” behaviours. As “tomboyish” behaviours are shown more strongly by women exposed prenatally to increased levels of opposite sex hormones compared to controls, the findings have implications for the biological theory attributing Ho/Het to such prenatal hormonal exposure.


2016 ◽  
Vol 2016 ◽  
pp. 1-10 ◽  
Author(s):  
Martin Kuete ◽  
Qiao Huang ◽  
Abid Rashid ◽  
Xiu Lan Ma ◽  
HongFang Yuan ◽  
...  

Although the prevalence of human immunodeficiency virus (HIV) decreased in the last decade worldwide, the number of deaths due to HIV/AIDS and communicable diseases including syphilis, hepatitis, and tuberculosis had dramatically increased in developing countries. Education and behavior are incredibly important factors to prevent these diseases’ spread. This study highlights the range of differences in knowledge, attitude, and behavior of 434 sexually active medical students towards HIV/AIDS and sexually transmitted infections (STIs). Because the surveyed population constitutes the forefront of healthcare providers and was originated from different area of the world, this is the first time a study sought to investigate the behavioral attitude of this group of population irrespective of the three levels of their academic and professional knowledge. Several factors including sociodemographic characteristics, sexual behavior, HIV/AIDS, and STIs related patterns play a key role in medical student attitude and behavior towards people infected with HIV/AIDS and STIs. Our findings add consistent value in prior studies which aimed to stop new infections and also imply further investigations on the management of the studied infections by medical students. The present study arouses much interest among participants and provides evidence of reinforcing medical students’ education on HIV/AIDS and STIs.


Author(s):  
Amullya C. Pednekar ◽  
Padma N. Bhandare ◽  
Shantadurga S. Kerkar

Background: Management of medical ailments requires sound knowledge of diseases and drugs. Medical students are more likely to practice self-medication due to easy access to information. Inappropriate and inadequate treatment can lead to morbidity and mortality. Thus, the current study was carried out to understand the perception and practice of self-medication in medical students so that habit of ethical practice can be inculcated in them.Methods: A self-developed and prevalidated questionnaire was distributed amongst 145 students of second MBBS after approval from Institutional ethics Committee. Data was collected; analysed using MS Excel and the results were expressed as counts and percentages.Results: In this study authors noted 136 (93.79%) out of the 145 students practised self-medication. The commonest reason being effectiveness of medications for similar conditions in the past 92 (69.17%). 111 (81.61%) students reported fever as the most common indication. Analgesics/anti-pyretics 117 (86.02%) were the most frequently used drug groups. Majority 87 (63.97%) obtained information from friends and relatives. Adverse effects of self-medication were noted in 20 (14.70%).Conclusions: This study indicates higher prevalence of self-medication in medical students of Goa. Students can be sensitised and made aware about possible adverse effects and drug interactions with self-medication and how simple looking illness may take an ugly turn. Students being future doctors will continue this chain of spread of awareness of self-medication. Easy access to healthcare can also solve these problems.


2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Kanakapura Nanjundaswamy Shivaswamy ◽  
Arakali Lakshminarayana Shyamprasad ◽  
Tharayil Kunneth Sumathy ◽  
Chandrashekaran Ranganathan ◽  
Shanmugan Praveen Kumar

Background. Acne vulgaris is a disorder of sebaceous glands mainly affecting the adolescent population. There are some misconceptions about acne not only in the general population but also among the medical students. Methods. Second year medical undergraduate students attending dermatology postings for the first time were included in the study. A questionnaire (in yes or no answer format) with 20 questions on acne, each carrying one mark, was to be answered by the students. The students were categorized into 4 grades based on the marks obtained: Grade I 90% marks and above, Grade II 75%–90%, Grade III 50%–74%, and Grade IV <50% marks obtained. Results. Of the 144 students of the batch, 95 (69.5%) completed both pretest and posttest questionnaires. The average pretest score was 14.1 and that of the posttest was 16.9. The percentage of improvement in mean score from pretest to posttest was 16.5. Fischer’s exact test was applied to analyze the improvement in scores between pretest and posttests which is significant at P=0.015 (P<0.05). In the paired t-test the improvement in mean scores between pretest and posttest was significant at P<0.001.


2019 ◽  
Vol 15 (6) ◽  
pp. 669-678
Author(s):  
Patrizia Bocchetta ◽  
Francesca Conciauro ◽  
Filippo Selleri

Background: Ordered arrays of 1D iron(oxyhydr)oxide nanostructures have potential applications in magnetic recording mediums, lithium batteries, supercapacitors, and thermal production of α-, β-, γ-type Fe2O3. Large surface areas with three-dimensional architectures, such as nanotubes, are encouraged because the easy access of ion, gas, liquid and radiation assures high ion exchange capacity, sensing and catalytic activities. Objective: In this work, the morphological evolution of Fe-oxyhydroxide electrodeposition inside AAM pores has been followed for the first time by selecting two relevant electrochemical conditions of synthesis producing high quality morphologies of nanotubes. Methods: Iron(oxyhydr)oxide nanotubes have been synthesized by cathodic electrodeposition at a constant current in classic three-electrode cell. Two different electrolytic baths have been studied: (i) an aqueous bath consisting of 5 mM FeCl3+5 mM KF+0.1 M KCl+1 M H2O2 (H-Fe) and (ii) an ethanolic bath consisting of 0.3 M FeCl3 + 0.1 M KCl (Et-Fe). Results: XRD, Raman and SEM results on the iron(oxyhydr)oxide nanotubes suggest different mechanisms of chemical precipitation mechanisms in Et-Fe alcoholic solution (dehydration and rearrangement within the ferrihydrite aggregates) and H-Fe aqueous solution (dissolution/ reprecipitation). The morphological evolution of the growing nanostructure to nanotubes inside AAM in the two baths agrees very well with the overpotential vs. time curves, the kinetic growth of the nanotubes arrays and a growth mechanism governed by the relative mass transfer processes involving both OH- and Fe ions. Conclusion: The morphological evolution of Fe-oxyhydroxide cathodic electroprecipitation inside AAM pores in two relevant electrochemical baths containing Fe(III) (aqueous/H-Fe and alcoholic/Et- Fe) has been followed for the first time by a comprehensive SEM analysis accompanied by electrochemical, structural and kinetic growth of the nano-electrodeposits. : The detailed SEM results collected in this work allowed to recommend template electrogeneration of base in ethanol solution containing Fe(III) chloride as a relevant procedure to obtain high-quality, compact and well-ordered Fe oxy-hydroxide nanotubes.


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