Current status of international medical education in China: A cross-sectional study

Objective: This study aims to understand the current learning state, curriculum evaluation, and career planning of international Bachelor of Medicine, Bachelor of Surgery (MBBS) students in China in order to support educators and policy makers in developing interventions to support international MBBS students. Methods: A cross-sectional survey was conducted at Fudan University from March 2017 to May 2018. A self-administered questionnaire regarding medical teaching and evaluation methods and recommendations was used to collect the data from international MBBS students ([Formula: see text]) and native Chinese medical students ([Formula: see text]) currently at the school as well as teachers directly involved in teaching activities with these students ([Formula: see text]). Data were analyzed using GraphPad Prism 6, and all results are presented as frequencies (percentages). Results: Most of the international MBBS students had never studied at a university before (76%). The first and second most common reasons for choosing the MBBS program were an interest in medical science (79%) and relieving patients’ sufferings and realizing self-value (61%). The learning motivation of international MBBS students came mainly from the interests in medicine (90%). A total of 74% of international MBBS students considered the course setting to be appropriate or neutral. The top biggest problem in clinical practice reported by international MBBS students was communication barriers caused by the lack of language proficiency. The first choice of future work after graduation for international MBBS students was studying or working abroad. The top two recommendations among teachers for improving academic achievement were providing textbooks in students’ native languages (64%) and reading more medical books (47%). Conclusions: International MBBS students generally thought that the course setting was rational, and were mostly satisfied with the international MBBS program. The use of textbooks in the international MBBS students’ native languages was reported to be helpful for improving these students’ academic achievements.

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Professional Commitment and Career Maturity of Full-Time Nursing Postgraduates in China: A Cross-Sectional Study

10.21203/rs.3.rs-55952/v1 ◽

2020 ◽

Author(s):

kejimu sunzi ◽

cheng lei ◽

jun pan ◽

mei ju

Keyword(s):

Response Rate ◽

Career Planning ◽

Survey Design ◽

Career Maturity ◽

Cross Sectional Study ◽

Professional Commitment ◽

Full Time ◽

Cross Sectional Survey ◽

Cross Sectional ◽

The Status

Abstract Background: Nursing is becoming ever more demanding, and is regarded as a stressful occupation because of manpower shortages and various other challenges associated with nursing practice.This article describes the students’ professional commitment and career maturity, and students establish their career objectives during the early stages of their graduate study. Methods: A cross sectional，survey design was conducted at universities in China. A sample of 184 students was selected using the professional commitment scale and career maturity scale to investigate the status quo of professional commitment and career maturity of full-time nursing postgraduates. Data was collected using self-designed demographic characteristics of the student, professional commitment scale, career maturity scale in 2019.Data was analyzed using correlation coefficient test(α < 0.05 ).Results: Participants returned 184 surveys (response rate, 100%) . Career maturity (105.12±11.13), Specialty commitment(90.0 ±12.09),Career maturity was positively correlated with Professional Commitment (r=0.20).Conclusions: The career maturity and professional commitments of full-time nursing postgraduates were of an average level. Career planning courses could be useful to strengthen the vocational education of the post-graduate students.

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Disease awareness and dietary habits of patients with epilepsy in western China: a cross-sectional study

Acta Epileptologica ◽

10.1186/s42494-021-00065-x ◽

2021 ◽

Vol 3 (1) ◽

Author(s):

Qi Zhang ◽

Wenjing Li ◽

Enzhi Li ◽

Xiao Yang ◽

Nanya Hao ◽

...

Keyword(s):

Antiepileptic Drugs ◽

Seizure Control ◽

Dietary Habits ◽

Cross Sectional Study ◽

Western China ◽

Chinese Patients ◽

Cross Sectional Survey ◽

Cross Sectional ◽

First Choice ◽

Patients With Epilepsy

Abstract Background The optimal management of epilepsy includes engaging patients through education on knowledge of the disease, its treatment and diet control. Methods This was a cross-sectional survey-based cohort study, aimed to investigate the awareness of epilepsy in Chinese patients and to understand their dietary habits. Participants were consecutively enrolled from epileptic patients treated in a single epilepsy center from October 1, 2019 to February 29, 2020. A self-reported questionnaire (Cronbach’s α = 0.758) consisting of 3 parts was sent to 407 patients with epilepsy. The questionnaire included items on demographic information, epilepsy features, awareness of epilepsy treatment and dietary habits. Results About half of the patients (53.8%, 219/407) thought epilepsy was curable and only 80% knew that the first choice of treatment is medication. While 58.6% of the patients with low educational level preferred the use of antiepileptic drugs (p = 0.014), 52.7% believed that the medication should not be stopped immediately after seizure control (p = 0.026), especially after surgery (40.5%, p = 0.011). Patients with lower household monthly incomes had less awareness of the use of antiepileptic drugs than patients with higher incomes: only 39.2 and 49.8% of patients with lower incomes thought that the drugs could be stopped after epilepsy surgery or seizure control, respectively, compared to 51.6 and 66.1% with higher incomes. Alcohol (86.2%), caffeine (56.8%) and strong tea (49.1%) were top three foods considered by the patients to be avoided to prevent seizures. Approximately 30.2% of patients identified at least one food that made them susceptible to seizures. Conclusions Patient education on epilepsy, antiepileptic drugs and diet for management of seizures should be provided especially to patients with less education, lower income or inaccurate beliefs of epilepsy in Western China.

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Parent-based self-medication in Pakistani children: a qualitative cross-sectional survey

Bangladesh Journal of Medical Science ◽

10.3329/bjms.v15i1.22055 ◽

2016 ◽

Vol 15 (1) ◽

pp. 33-38 ◽

Cited By ~ 3

Author(s):

Muhammad Aslam Solangi ◽

Muhammad Ali ◽

Daniyal Mushtaq ◽

Muhammad Zaid ◽

Muhammad Riaz ◽

...

Keyword(s):

Sampling Method ◽

Medical Science ◽

Cross Sectional Study ◽

University Graduates ◽

Cross Sectional Survey ◽

Self Medication ◽

Cross Sectional ◽

Private Hospitals ◽

Care Workers ◽

Utilization Patterns

Background: A large percent of the population in developing countries is comprised of children. Drug utilization patterns in children is of great concern universally and has gained a lot of attention.Objectives: The aim of this study was to test the Pakistani parents knowledge, attitudes and practice (KAP) towards self-medicating their children.Methods: A cross-sectional study was designed and the data collection was carried out in several government and private hospitals in Karachi, Pakistan. Non probability convenient random sampling method was employed to select the participants.Results: In our study, 45 (44.55%) parents were university graduates. The most frequent medicines used were Panadol (paracetamol) 84 (83%). The most common self-treated symptom was cough & cold 73 (72.27%). In case of self-treatment failure most of the parents in the present study tend to consult general practitioners in private clinics 62 (61%), while 31 (31%) of them seek advice from child specialists in hospitals. Doctors were the first favourite source for 92 (91.0%) of parents. The most common reasons were the expensive consultation fees and long waiting time in the clinics. A large portion of parents disagreed that health care workers attitudes were bad, or that information relayed to them was insufficient. Another important finding was 52 (51.4%) of parents were convinced that they can diagnose their childs illnesses by the symptoms.Conclusions: The study uncovered that parents knowledge was lacking, and their parental self-medication practice demonstrated to be unseemly. Based on the results of our study, we conclude that there is a critical need of appropriate interventions to tackle this issue.Bangladesh Journal of Medical Science Vol.15(1) 2016 p.33-38

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Knowledge, attitude and practices among the inhabitants of Lahore, Pakistan towards the COVID-19 pandemic: an immediate online based cross-sectional survey while people are under the lockdown.

Bangladesh Journal of Medical Science ◽

10.3329/bjms.v19i0.48169 ◽

2020 ◽

Author(s):

Kanwal Ashiq ◽

Sana Ashiq ◽

Mayyda Asif Bajwa ◽

Samreen Tanveer ◽

Mehwish Qayyum

Keyword(s):

Local Population ◽

Medical Science ◽

Healthcare Providers ◽

Cross Sectional Study ◽

Cross Sectional Survey ◽

Allied Health Professionals ◽

Cross Sectional ◽

Diagnostic Facility ◽

The People ◽

Respiratory Droplets

Background: COVID-19 is an emerging infectious disease and has reached a status of global health emergency. It is widespread in Pakistan causing morbidity and mortality amongst masses. Objectives: Undertaken study aims at investigating knowledge, attitude and practices of the people residing in Lahore, Pakistan whilst the global crisis with sparse data available previously. Methodology: Following lockdown announcement, an immediate online cross sectional study was conducted from the 31st March to 6 April 2020. Data was analyzed by using SPSS IBM version 22. 00. Results: A total of 316 responses were received. Our study has shown that people 95.80% were well familiar with COVID-19, informed via news channels 46.2%. 91.7% believed the virus is contagious, 95.8% reported that the virus is spread by the respiratory droplets, 89.2% believed that all ages are at risk while 62.3% believed it risky for geriatrics only. 60.4% believed in its prevention with 91.7% respondents agreeably quarantined themselves while 6.6% didn’t. 99.7% participants were aware of social/physical distancing and 75.6% found it affecting mental health i.e. cause anxiety, depression etc. 59.2% of respondents were optimistic expecting it to end soon while 32.3% were uncertain. 49.1% said they have diagnostic facility and 89.6% acknowledged efforts of researchers/healthcare providers (doctors, pharmacist, nurses, allied health professionals and paramedical staff) for the society. 94.3% believed that there is need of awareness regarding COVID-19. Conclusion: An ever increasing need of awareness amongst the local population regarding COVID-19 is needed. It will lend hands in preventing spread of COVID-19 with minimal secondary transmission. It is recommended that extensive survey studies are required that can provide supportive data in developing and implementing public health policies regarding COVID-19 pandemic. It would further control and arrest the spread of COVID-19 in country. Bangladesh Journal of Medical Science Vol.19(0) 2020 p. S 69-S 76

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Acne and One‘s Self Confidence: Cross-sectional study on Malaysian Student population

Bangladesh Journal of Medical Science ◽

10.3329/bjms.v18i1.39555 ◽

2018 ◽

Vol 18 (1) ◽

pp. 83-86

Author(s):

Abhinitha P ◽

Ravina Suloshini Gengatharan ◽

Sarah Zulkiflee ◽

Purveena Ganisan ◽

Sitharrthen Arumugam ◽

...

Keyword(s):

Social Life ◽

Medical Science ◽

Cross Sectional Study ◽

Public Affairs ◽

Student Population ◽

Clinical Severity ◽

Skin Defect ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Self Confidence

Introduction: Self-confidence of an individual must be motivated by self without the inference of any internal or external consequences. Acne is a common skin defect among adolescents, and even in adults that can cause psychological weakness affecting one’s self-confidence level. The objective of this study is to investigate the effect of acne on the self-esteem of young adults of Malaysian student population. Materials and Method: A cross-sectional survey was done using a newly developed questionnaire having majorly close ended (in 2-point scale) questions. Total of 185 Malaysian MBBS students were randomly chosen, and only 171 valid responses from the victims of acne were analyzed. Results: Among the students with acne problems, 88% of them opine that they lose their self-confidence due to the effect of acne. Out of this, 78% of them were preferred to associated with the people where as 22% of the students do not prefer to be involved with the individuals. Conclusion: From the results, it was found that acne significantly reduces self-confidence of a majority of students whereas a small group of participants does believe that acne does not describe them. Students with acne problems are more self-conscious and perform poorly in social life. It is regardless of the clinical severity of their acne. In conclusion, acne influences students’ ability in public affairs. Bangladesh Journal of Medical Science Vol.18(1) 2019 p.83-86

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Issues and dilemmas in career planning of medical students in Surat, India

Bangladesh Journal of Medical Science ◽

10.3329/bjms.v12i4.13336 ◽

2013 ◽

Vol 12 (4) ◽

pp. 385-391

Author(s):

RA Jariwala ◽

DB Kanpurwala ◽

KT Desai ◽

RK Bansal

Keyword(s):

Medical Students ◽

Career Guidance ◽

Career Planning ◽

Medical Science ◽

Cross Sectional Study ◽

Junior Resident ◽

Graduate Degree ◽

Cross Sectional ◽

Medical Background ◽

Human Need

Background: In recent time issues of career choices in medical student has been gaining mounting attention. Aim: The current study was planned with an aim to understand issues and dilemmas in career planning of medical students in Surat city, India Methods: This is a cross-sectional study comprising of personal interviews using a self -designed structured questionnaire among 400 simple randomly selected medical students, interns and junior residents of Surat Municipal Institute of Medical Education and Research covering issues associated with their career concerns and future life. Data analysis was done with help of Epi Info 7. The study sample comprised of students 46.5%, intern doctors 36%, junior resident doctors 17.5%. Results:Females were more content with either a graduate or a post graduate degree, whereas males were more inclined towards pursuing super specialty degrees (P<0.001). Majority 62% of the respondent stated that given another chance, they would again like to choose for medical studies only. The percentages of females interested in a non clinical career abroad as compared to clinical career in India were lower. Majority 89% of respondents agree that there is more struggle for the students who enter M.B.B.S. from a non medical background. Percentages of males in favor of increasing the postgraduate/super specialty seats far exceeded females (P<0.0001). The vast majority of the respondents wanted the specialty and super specialty seats to increase as they wanted an equal ratio of Undergraduate: Postgraduate seats (70%). Those who did not favor the increase in the seats perceived that the quality of treatment may actually worsen rather than improve if the number of seats increased (60%). Conclusion: Freshly graduating doctors do face a severe dilemma regarding their future career after graduation, which is a very perplexing situation for them and their parents, as there is absence of any career guidance cell; absence of the culture and avenues of campus placement; and there is human need to be materialistically comparable to their counterparts who are already in a job as an engineer. DOI: http://dx.doi.org/10.3329/bjms.v12i4.13336 Bangladesh Journal of Medical Science Vol. 12 No. 04 October 13 Page 385-391

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MORBIDITY PATTERN AMONG ADOLESCENT SCHOOL GIRLS IN RURAL AND URBAN SCHOOL OF JHANSI (U.P.)- A COMPARATIVE CROSS-SECTIONAL SURVEY

International Journal of Medical and Biomedical Studies ◽

10.32553/ijmbs.v3i9.582 ◽

2019 ◽

Vol 3 (9) ◽

Author(s):

Shubhanshu Gupta ◽

Sanjeev Kumar ◽

Piyush D Swami ◽

Anjana Niranjan

Keyword(s):

Health Status ◽

Adolescent Girls ◽

Low Socioeconomic Status ◽

Optimal Level ◽

Cross Sectional Study ◽

World Health ◽

World Population ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Rural And Urban

Background: According to World Health Organization, adolescents constitute about one fifth of the world population, and in India they constitute about 21% of the total population. Most of the surveys show that health status of adolescent girls is at sub-optimal level. Objectives: To assess nutritional status and morbidity pattern among the adolescent girls and to suggest measures for improvement of health status of adolescent girls. Method: A community based cross-sectional study was carried out among 250 adolescent schoolgirls in Rural and urban field practice area of Jhansi school from January 2017 to July 2014. Results: Among the various morbidities eye problem was seen in maximum no of adolescent girls. Eye problem was present in 44.8% of adolescent girls followed by respiratory 14.7% and ear 13.06% disease. Skin disease was present in 3.2% of adolescent girls, which was more in rural girls 6.7% than in urban girls 1.7%, may be due to better hygienic practice in urban schoolgirls. Conclusions: Rural background, low socioeconomic status, illiteracy, birth rate and order, income and number of members in a family have shown to be significant determinants of morbidity pattern in the adolescent girls. Keywords: Adolescent, anemia, morbidity, vaginal discharge.

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Suppurative Infections in Hospitalized Patients – An Ongoing MRSA Threat

Pakistan Journal of Medicine and Dentistry ◽

10.36283/pjmd9-1/012 ◽

2020 ◽

Author(s):

Sadaf Razzak

Keyword(s):

Staphylococcus Aureus ◽

Medical Science ◽

Great Influence ◽

Antibiotic Sensitivity ◽

Skin Lesions ◽

Cross Sectional Study ◽

Cross Sectional ◽

Inducible Clindamycin Resistance ◽

Empiric Antibiotic ◽

Medical Wards

Background: Penicillin resistance among Staphylococcus aureus commonly encountered in the hospital admitted patients. Detection of antibiotic sensitivity in hospital acquired methicillin resistant Staphylococcus aureus infections is important as it has great influence on empiric antibiotic prescription, successful control of infection, prevention of spread of disease and successful patient management. This study aimed to detect the frequency of HA-MRSA from pus samples in a hospital setup with assessment of their antibiotic susceptibility patterns. Method: A cross-sectional study was conducted in the Microbiology department of Basic Medical Science Institute, JPMC, Karachi from January 2015 until December 2015. Pus samples from surgical site wounds, skin lesions, abscesses from surgical and medical wards and ICUs were collected. According to the standards given by CLSI 2014, MRSA testing of the samples was done and susceptibility testing for antibiotics was performed. Inducible clindamycin resistance was detected by D-Test; E Test. determined MIC (minimum inhibitory concentration) for vancomycin. The data was analyzed by SPSS version 16. Result: Out of the 149 MRSA identified from the pus samples, 106 (71.14%) samples were HA-MRSA. The number of male patients was more than the female patients (67.66%). Out of the 106 HA-MRSA, 91(85.8%) were sensitive to TMP/SMX, 98(92.5%) to rifampicin, 12(11.6%) to gentamicin, 85(80.2%) to tetracycline, 11(10.4%) to erythromycin, 37(34.9%) to clindamycin, 20(18.9%) to ciprofloxacin, 106 (100%) to both vancomycin and linezolid. Conclusion: HA-MRSA showed sensitivity to TMP/SMX and vancomycin making them effective drugs to use in combination in superficial infections. The drug linezolid also showed 100% sensitivity.

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Anaesthesiology in China: A cross-sectional survey of the current status of anaesthesiology departments

The Lancet Regional Health - Western Pacific ◽

10.1016/j.lanwpc.2021.100166 ◽

2021 ◽

Vol 12 ◽

pp. 100166

Author(s):

Changsheng Zhang ◽

Shengshu Wang ◽

Hange Li ◽

Fan Su ◽

Yuguang Huang ◽

...

Keyword(s):

Current Status ◽

Cross Sectional Survey ◽

Cross Sectional

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Psychiatrists and homicidal threats: a cross-sectional study

Irish Journal of Psychological Medicine ◽

10.1017/ipm.2021.14 ◽

2021 ◽

pp. 1-5

Author(s):

Musaab Elzain ◽

Ahmed Bashir ◽

Noreen Moloney ◽

Colum P. Dunne ◽

Brendan D. Kelly ◽

...

Keyword(s):

Cross Sectional Study ◽

Frequency Characteristics ◽

Specific Method ◽

Professional Lives ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Personal Lives ◽

Urban Rural ◽

History Of ◽

Outpatient Settings

Objectives: To investigate the frequency, characteristics and impact of death threats by patients towards psychiatrists. Methods: A cross-sectional survey of psychiatrists (n = 60) was undertaken to investigate the frequency, characteristics and impact of death threats by patients in one Irish healthcare region serving a mixed urban–rural population of 470,000. Results: Forty-nine responses (82%) were received. Thirty-one per cent of respondents experienced death threats by patients during their careers. Victims were more likely to be male and in a consultant role. Patients making the threats were more likely to be males aged 30–60 with a history of violence and diagnosis of personality disorder and/or substance misuse. A majority of threats occurred in outpatient settings and identified a specific method of killing, usually by stabbing. Prosecution of the perpetrator was uncommon. Of the victimised psychiatrists, 53% reported that such threats affected their personal lives, and 67% believed their professional lives were impacted. In half of the incidents, there were adverse incidents subsequent to the threats, involving either the patient or the clinician. Conclusions: Death threats by patients have significant psychological and professional impacts on psychiatrists. Early liaison with employers and police and transferring the care of the patient to another clinician may be useful measures.

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