scholarly journals Perceived Stress in First-Year Medical Students and its Effect on Gut Microbiota

2019 ◽  
Author(s):  
Matthew Revere Rusling ◽  
Joseph Johnson ◽  
Aaron Shoskes ◽  
Chunfa Jie ◽  
Li-Lian Yuan

AbstractMedical students are constantly under stress caused by strenuous medical programs, which may exert persistent physical and psychological effects on their well-being. Using medical students as a model population, this work explores the gut microbiome as a potential contributing mechanism for why individuals exposed to similar stimuli react variably. We evaluated the relationship of gut microbiome composition of first year medical students and stress resilience over a period of 4 months. Our objective was to identify gut microbiome characteristics of individuals that showed long-term stress resilience. Students were voluntarily recruited and screened for lifestyle and environmental factors at 3 timepoints during the first semester. Fecal samples were also collected at each timepoint. In order to identify candidates with stress resilience, their perceived stress and depression levels were normalized and summed to produce a psychologic index score. The most notable finding is a correlation between psychologic resiliency of Bacteriodete:Firmicute abundance as well as a relationship between durable resiliency and microbiome stability. Phylogenetic assembly of participants by microbiome relatedness found that 100% of subjects who were resilient to stress across all timepoints (n=8) were phylogenetically clustered in adjacent positions, showing a high degree of temporal stability. Of participants who were not durably resilient to stress, only 62% of participants (n=8) showed microbiomes that were phylogenetically related across the same 4 month period. We identified 2,102 Operational Taxonomic Units (OTUs) which were unique to the durable resilience group and 94 OTUs which were unique to the susceptible group. Of the 4,794 observed OTUs, 6.1% (n=294) were significantly different between groups. These findings support that the gut microbiome may play an important role in stress resilience at a time scale of 4 months. A better understanding of the role of the gut microbiome in stress resilience may shed light on potential treatment to reduce stress/anxiety in general, as well as to promote wellbeing of our future health care providers and physicians.

Psihiatru ro ◽  
2018 ◽  
Vol 1 (52) ◽  
pp. 23 ◽  
Author(s):  
Carla Costescu ◽  
Andrea Oprea ◽  
Dana-Cristina Herţa ◽  
Bogdan Nemeș

Author(s):  
Kamal Kishore Verma ◽  
Rajeev K. H.

Background: The methods of contraception that can be used to prevent pregnancy in the first five days after sexual intercourse are termed as emergency contraception (EC). Unwanted pregnancy among adolescents and youth poses a major challenge to the reproductive health in developing countries because of illegal and unsafe abortions and leading to maternal death. Since medical students are future health care providers and their correct awareness about EC will help in giving health education to the community. The objective of the study was to assess the awareness about emergency contraception among first year medical students in a private medical college of Tamil Nadu.Methods: A cross sectional study was conducted among first year medical students of a private medical college. A total of 122 students were interviewed using pretested, semi-structured questionnaire. Descriptive statistics were used to analyse the data.Results: Among the study population, 56.6% and 43.4% were males and females respectively. All students heard about EC and 73% were correctly aware about the correct timing of administration of EC. 72% of them felt that they can get EC directly from any pharmacy store without any prescription, 89% of them feel that EC is not an effective routine method of contraception and only 10% said that it will result in more women suffering from STI/HIV.Conclusions: Our study showed that, students were having good knowledge about emergency contraception. Since they are future health care providers giving adequate training to them in acquiring good knowledge will help in dispensing the reproductive health education to the community especially for the adolescents and youth.


2021 ◽  
Author(s):  
Aidos K. Bolatov

Abstract The study aimed to investigate the relationships between academic motivation and the psychological well-being of 1st-year medical students during the COVID-19 pandemic. The total number of respondents in the cross-sectional study was 273. Intrinsic motivation was positively correlated with fear of COVID-19 and negatively correlated with psychological collapse and negative changes in quality of life due to the COVID-19. Extrinsic motivation positively associated with fear of COVID-19. Amotivation positively correlated with psychological collapse and negative changes in quality of life. In conclusion, COVID-19-related changes in quality of life and psychological destruction were predictors of academic motivation among 1st-year medical students.


2020 ◽  
Vol 34 (S1) ◽  
pp. 1-1
Author(s):  
Azmeer Khamisani ◽  
Shouli Tung ◽  
Erica N. Chirico

2014 ◽  
Vol 1 (4) ◽  
pp. 56-60
Author(s):  
S Ranjan ◽  
S Shah ◽  
S Aryal ◽  
TK Aich

Studying medicine is a physically and emotionally demanding course. Several studies have documented that medical students are at high risk for developing psychiatric disorders. Also the risk increases because these students who are the future health care providers may misunderstand and stigmatize psychiatric disorders. This can be potentially tragic. This article reviews the data on prevalence of psychiatric disorders among medical students. PubMed and Medline were searched to identify latest peer-reviewed English-language studies reporting on depression, anxiety, suicide and other psychiatric disorders among medical students from different parts of the world. Searches were done using the key words medical students, psychiatric disorders, depression, burnout and suicide. References of the retrieved articles were inspected to identify relevant additional articles. The studies suggest a high prevalence of burnout, depression, suicide and other psychiatric disorders among medical students, higher than in the general population. Medical students are reluctant to seek psychiatric treatment more than the general population. The environment where they study may make them behave in the unprofessional way rather than the mental illness itself. Medical school is a time of significant psychological distress. Large, prospective, multicenter studies are needed to identify personal and training-related features that influence depression, anxiety, and burnout among students and explore relationships between distress and competency. DOI: http://dx.doi.org/10.3126/jucms.v1i4.9578 Journal of Universal College of Medical Sciences (2013) Vol.1 No.04: 56-60


PRiMER ◽  
2020 ◽  
Vol 4 ◽  
Author(s):  
Catherine F. Pipas ◽  
John A. Damianos ◽  
Leah Montalbano ◽  
Allison L. Matous ◽  
Jianjun Hua ◽  
...  

Introduction: Self-care has not been traditionally taught in medical education, but the epidemic of burnout among health professionals necessitates a change in culture, and consequently a change in curriculum. Burnout begins early in training and negatively impacts health professionals, patients, and institutions. Interventions that prevent and avert burnout are necessary at all stages of a doctor’s career to assure well-being over a lifetime. Evidence-based strategies supporting both personal and system wellness have begun to emerge, but more research is needed. Methods: We present a collaborative and comprehensive wellness program: “A Culture of Wellness.” We offered this pilot jointly for first-year medical students and faculty volunteers at the Geisel School of Medicine at Dartmouth. We gave participants the following: (1) time—60 minutes per week for 8 weeks; (2) tools—weekly cases highlighting evidence-based wellness strategies; and (3) permission—opportunities to discuss and apply the strategies personally and within their community. Results: Pre- and postsurvey results show that dedicated time combined with student-faculty collaboration and application of strategies was associated with significantly lower levels of burnout and perceived stress and higher levels of mindfulness and quality of life in participants. Components of the curriculum were reported by all to add value to personal well-being. Conclusions: This pilot presents a feasible and promising model that can be reproduced at other medical schools and disseminated to enhance personal health and promote a culture of well-being among medical students and faculty.


With the technological progress of different types of portable Ultrasound machines, there is a growing demand by all health care providers to perform bedside Ultrasonography, also known as Point of Care Ultrasound (POCUS). This technique is becoming extremely useful as part of the Clinical Skills/Anatomy teaching in the undergraduate Medical School Curriculum. Teaching/training health care providers how to use these portable Ultrasound machines can complement their physical examination findings and help in a more accurate diagnosis, which leads to a faster and better improvement in patient outcomes. In addition, using portable Ultrasound machines can add more safety measurements to every therapeutic/diagnostic procedure when it is done under an Ultrasound guide. It is also considered as an extra tool in teaching Clinical Anatomy to Medical students. Using an Ultrasound is one of the different imaging modalities that health care providers depend on to reach their diagnosis, while also being the least invasive method. We thought investing in training the undergraduate Medical students on the basic Ultrasound scanning skills as part of their first year curriculum will help build up the foundation for their future career


2015 ◽  
Vol 90 (5) ◽  
pp. 652-659 ◽  
Author(s):  
Julia M. Przedworski ◽  
John F. Dovidio ◽  
Rachel R. Hardeman ◽  
Sean M. Phelan ◽  
Sara E. Burke ◽  
...  

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