scholarly journals A study of anxiety, depression and stress symptoms among Fayoum medical students during COVID-19 lockdown, Egypt

2021 ◽  
Vol 57 (1) ◽  
Author(s):  
Mohamed R. Soltan ◽  
Shaimaa S. Soliman ◽  
Mariam E. Dawoud
Keyword(s):  
Medical Students ◽  
Psychiatric Illness ◽  
Psychological Impact ◽  
Previous History ◽  
Road Accident ◽  
Psychological Effects ◽  
Road Accidents ◽  
Online Questionnaire ◽  
History Of ◽  
The Impact

Abstract Background The widespread pandemic of COVID-19 virus carries not only physical hazards, but also major psychological effects especially among medical students. The aim was to investigate the psychological effects of COVID-19 on medical students and the factors affecting them. The study was carried out with an online questionnaire distributed through Google Forms for medical students at Faculty of Medicine, Egypt. The questionnaire included socio-demographic questions, validated psychometric tools for the assessment of depression, anxiety and stress (Depression Anxiety Stress Scales DASS-21) and the Impact of Event Stress Scale-Revised (IES-R) were applied. Results The total number of participants was 282 students. Percentage of participants with clinically significant depression was 75.2%, anxiety was 56.4% and stress was 52.9%. Those showed PTSD probability was 54.3%. The multivariate regression analysis revealed that IES remained significantly associated with gender and previous road accidents, depression and anxiety remained significantly associated with personal history of psychiatric illness, while stress remained significantly associated with gender and previous road accidents. Conclusions Medical students were highly depressed, anxious and stressed during period of COVID-19 pandemic. Being a female, having previous history of psychiatric illness and previous road accident were highly associated with increasing the psychological impact of COVID-19.

The Psychological Impact of Medical Error on Patients, Family Members, and Health Professionals

2017 ◽  
pp. 171-196
Author(s):  
Mary I. Gouva
Keyword(s):  
Medical Errors ◽  
Medical Error ◽  
Health Professionals ◽  
Psychological Impact ◽  
Psychological Effects ◽  
History Of ◽  
Underlying Causes ◽  
The Individual ◽  
The Impact

The current chapter examines the psychological implications emerging from medical errors. Whilst the psychological effects have studied, nonetheless the consequent impacts and the underlying psychological causes have not been sufficiently analysed and/ or interpreted. The chapter will add to the literate by using a psychodynamic approach in analysing the psychological impact of medical errors and provide interpretations of the underlying causes. The chapter concludes that medical errors lead to a series of implications. For the patient the quality of interactions with health professionals are directly affected and usually have immediate consequences. The impact of these consequences in the patient is mediated by the patient's personality, history of the individual and the psychoanalytic destiny of the patient. For the patient's relatives medical errors create emotional cracks leading to regression and eventual transference of the medical errors as a “bad” object. For health professionals medical errors impact upon the psychological defence mechanisms of the psychic Ego.

scholarly journals COVID-19 Psychological Impact on Health Care Workers in Saudi Arabia

2021 ◽  
Vol 18 (11) ◽  
pp. 6076
Author(s):  
Hasan S. Alamri ◽  
Wesam F. Mousa ◽  
Abdullah Algarni ◽  
Shehata F. Megahid ◽  
Ali Al Bshabshe ◽  
...  
Keyword(s):  
Health Care ◽  
Saudi Arabia ◽  
Health Care Workers ◽  
Psychological Impact ◽  
Psychological Outcomes ◽  
Cross Sectional Survey ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Care Workers ◽  
The Impact

Objective: Little is known about the impact of Coronavirus (COVID-19) among the health care workers in Saudi Arabia. Therefore, the present study aimed to assess the psychological impact of COVID-19 among the health care workers. Methods: A cross-sectional survey was conducted from May till mid-July among 389 health care workers from government and private hospitals in Saudi Arabia. Data was collected using a pre-structured online questionnaire that measured adverse psychological outcomes, including the Patient Health Questionnaire-9 (PHQ-9) scale and the Generalized Anxiety Disorder 7-item (GAD-7) scale. The Pearson chi-square test was used to assess the distribution of depression and anxiety among health care workers. Results: A high level of anxiety was recorded among the health care workers, and 69.3% of health care workers below the age of 40 were found to have depression. There was a significant increase in depression among staff with chronic health problems (72.1% vs. 61.9%; p = 0.048). High anxiety levels were detected among young staff compared to others (68.7% vs. 43.8%; p = 0.001). Moreover, 82.1% of the female staff were anxious, as compared to 55.6% of the males (p = 0.001). Conclusions: We found increased prevalence of adverse psychological outcomes among the health care workers in Saudi Arabia during the outbreak of COVID-19. Therefore, there is a need for proper screening and development of corresponding preventive measures to decrease the adverse psychological outcomes.

Outcomes of radiocephalic arteriovenous fistula in octogenarians

2021 ◽  
pp. 112972982110154
Author(s):  
Raffaella Mauro ◽  
Alessia Pini ◽  
Rodolfo Pini ◽  
Mohammad Abualhin ◽  
Chiara Mascoli ◽  
...  
Keyword(s):  
Arteriovenous Fistula ◽  
Previous History ◽  
Venous Catheter ◽  
Dialysis Session ◽  
Old Patients ◽  
Younger Patients ◽  
First Choice ◽  
Clinical Surveillance ◽  
History Of ◽  
The Impact

Background: Current guidelines recommend radiocephalic arteriovenous fistula (RCAVF) as a first choice access for hemodialysis, without specific indication for octogenarians .This study was undertaken to assess the efficacy of RCAVF in octogenarians compared with younger patients. Material and methods: All patients treated by RCAVF from January 2013 to December 2017 were included in a prospective database for a retrospective analysis. Patient demographics, comorbidities, and dialytic treatment data were collected prospectively and compared in patients <80 year-old and ⩾80 years-old. Clinical surveillance was performed during each dialysis session. The main endpoints were primary (PP) and assisted patency (AP). Results: Within the study period, a total of 294 RCAVF were analyzed: 245 (83.3%) RCAVF were performed in <80 year-old and 49 (16.7%) ⩾80 years old. The overall PP and AP at 2-year was 69% ± 2% and 73% ± 3%, respectively. Patients ⩾ 80 years-old had a significantly reduced 2-year PP, AP of RCAVF compared with the younger patients: 50% ± 8% and 62% ± 7% versus 73% ± 3% and 75% ± 3%, p = 0.01 and p = 0.03, respectively. The analysis for possible risk factors for reduction of PP in patients ⩾80 years identified in the central venous catheter(CVC) a predictor of earlier RCAVF failure: HR 3.03(95% CI 1.29–7.13), p = 0.01.Kaplan–Meier curve confirms the reduction of PP in ⩾80 years old patients at 2-year follow-up with previous CVC compared patients without history of CVC: 59% ± 10% versus 24% ± 11%, p = 0.01. A comparison between the two groups was made in order to evaluate the impact of previous history of CVC .In absence of a history of CVC use older patients had a similar 2-year PP compared with younger patients: 59% ± 10% versus 72% ± 4%, p = 0.46. Otherwise, the history of a previous CVC reduced significantly the 2-year PP in ⩾80 years old patients compared the younger: 24% ± 12% versus 75% ± 5%, p = 0.0001. Conclusions: Despite lower overall primary and primary assisted patency, RCAVF are associated with satisfactory results also in octogenarians if performed in absence of history of CVC. Under these circumstances RCAVF can be considered a first choice treatment.

Psychological impact of home confinement due to coronavirus disease on medical students and its relationship with cognitive emotion regulation

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Bochra Nourhene Saguem ◽  
Amel Braham ◽  
Islem Romdhane ◽  
Selma Ben Nasr
Keyword(s):  
Emotion Regulation ◽  
Medical Students ◽  
Psychological Impact ◽  
Cognitive Strategies ◽  
Hierarchical Regression ◽  
Emotion Regulation Strategies ◽  
Cognitive Emotion Regulation ◽  
Online Questionnaire ◽  
Content Type ◽  
Regulation Strategies

Purpose This paper aims to assess the psychological impact of home confinement in Tunisian medical students and analyze the relationship between psychopathology and cognitive emotion regulation strategies. Design/methodology/approach In total, 251 medical students who have been in home confinement accepted to participate in an online questionnaire survey. They completed depression, anxiety and stress scale, beck hopelessness scale and cognitive emotion regulation questionnaire. Findings Moderate to extremely severe levels of depression, anxiety and stress were reported by 57.4%, 51.0% and 31.4% of medical students, respectively. Based on the cut-off value of nine, 31.1% of the participants showed high levels of hopelessness. Hierarchical regression analysis identified four cognitive emotion regulation strategies as significant independent contributors to psychopathology above and beyond home confinement related variables. Self-blame positively predicted stress. Catastrophizing positively predicted anxiety and hopelessness. Refocusing on planning negatively predicted anxiety. Positive reappraisal negatively predicted hopelessness. Practical implications Cognitive emotion regulation strategies may constitute a valuable target of preventive and interventional measures to improve medical students’ mental health. Originality/value A unique feature of this study is the demonstration of the important role played by cognitive emotion regulation strategies in predicting anxiety, stress and hopelessness in medical students. In the context of mandatory home confinement, these cognitive strategies were significant predictors of psychopathology above and beyond home confinement related variables.

scholarly journals The Effects of Ankle Sprain on Balance Tests in Adolescent Volleyball Players with Previous History of Ankle Sprain

2014 ◽  
Vol 2 (11_suppl3) ◽  
pp. 2325967114S0018
Author(s):  
Ceyda Sarıal ◽  
Abdulhamıt Tayfur ◽  
Beyza Kap ◽  
Dılara Donder ◽  
Ozum Melıs Ertuzun ◽  
...  
Keyword(s):  
Ankle Sprain ◽  
Previous History ◽  
Control Group ◽  
Balance Test ◽  
Balance Tests ◽  
Volleyball Players ◽  
History Of ◽  
One Year ◽  
The Right ◽  
The Impact

Objectives: To investigate the impact of having previous history of inversion ankle sprain on balance tests in adolescent volleyball players. Methods: Fourty-five adolescent volleyball players with mean age of 15.26±1.03 participated in our study. Twenty-nine were uninjured (control group) and sixteen had previously experienced inversion injuries on right ankle. 9 players had the injury more than than one year ago and 7 players had it before six to twelf months. Balancing abilities were evaluated by Star Excursion Balance Test (SEBT) and Single Limb Hurdle Test (SLHT). The fact that players with history of injury had the ankle sprain at right foot led us to perform the measurements in the control group also for the right foot. We compared the results of injured and uninjured players on both tests. Results: Uninjured players' reaching distance on right foot was found out to be significantly more than in players with ankle sprain at medial and posteromedial directions of SEBT(p<.05), whereas there were no differences detected for the other directions (p>.05). For comparing athletes' performances with SLHT, finishing time was found significantly better in uninjured players (p<.05). Conclusion: Adolescent volleyball players with history of injury show lower performance on balance tests compared to uninjured players. This demonstrates that they should be given a training including balance and stabilization programs.

scholarly journals Analysis of Factors Influencing the Density of Fatalities on National Roads in Poland

2010 ◽  
Vol 13 (1) ◽  
pp. 221-234
Author(s):  
Wojciech Kustra ◽  
Kazimierz Jamroz
Keyword(s):  
Traffic Safety ◽  
Road Traffic ◽  
Road Accident ◽  
Road Accidents ◽  
Road Traffic Safety ◽  
Eu Directive ◽  
Factors Influencing ◽  
Safety Improvement ◽  
Improvement Measures ◽  
The Impact

Analysis of Factors Influencing the Density of Fatalities on National Roads in PolandIn Poland 20% of the total number of accidents occur on the national roads, which constitute 7% of the length of all roads. In the case of fatalities this share is significantly higher as it constitutes up to 36% of the total casualties. In accordance with the EU Directive (Journal of Laws EU L. 319/59) the level of road traffic safety should be raised by targeting investment on the most dangerous road sections. Finding the dependence between road and traffic factors and the number of accidents and casualties of road accidents may be helpful in predicting safety levels and selecting road traffic safety improvement measures. The paper presents the experience of other countries and preliminary tests results of the impact of the selected factors on the density and the number of road accident fatalities on the national roads in Poland.

Termination of Pregnancy and Psychiatric Morbidity

1995 ◽  
Vol 167 (2) ◽  
pp. 243-248 ◽  
Author(s):  
Anne C. Gilchrist ◽  
Philip C. Hannaford ◽  
Peter Frank ◽  
Clifford R. Kay
Keyword(s):  
Social Factors ◽  
Psychiatric Illness ◽  
Unplanned Pregnancy ◽  
Psychiatric Morbidity ◽  
Previous History ◽  
Termination Of Pregnancy ◽  
Factors Associated ◽  
Confounding Variables ◽  
History Of ◽  
Self Harm

BackgroundWe investigated whether reported psychiatric morbidity was increased after termination of pregnancy compared with other outcomes of an unplanned pregnancy.MethodThis was a prospective cohort study of 13 261 women with an unplanned pregnancy. Psychiatric morbidity reported by GPs after the conclusion of the pregnancy was compared in four groups: women who had a termination of pregnancy (6410), women who did not request a termination (6151), women who were refused a termination (379), and women who changed their minds before the termination was performed (321).ResultsRates of total reported psychiatric disorder were no higher after termination of pregnancy than after childbirth. Women with a previous history of psychiatric illness were most at risk of disorder after the end of their pregnancy, whatever its outcome. Women without a previous history of psychosis had an apparently lower risk of psychosis after termination than postpartum (relative risk RR = 0.4, 95% confidence interval CI = 0.3–0.7), but rates of psychosis leading to hospital admission were similar. In women with no previous history of psychiatric illness, deliberate self-harm (DSH) was more common in those who had a termination (RR 1.7, 95%CI 1.1–2.6), or who were refused a termination (RR 2.9, 95%CI 1.3–6.3).ConclusionsThe findings on DSH are probably explicable by confounding variables, such as adverse social factors, associated both with the request for termination and with subsequent self-harm. No overall increase in reported psychiatric morbidity was found.

scholarly journals PatDoc App (Patient – Doctor Application)

2021 ◽  
pp. 1-9
Author(s):  
Jayen Modi ◽  
Maria Anthony ◽  
Anmol Singh ◽  
Swarup T. Saju
Keyword(s):  
Mobile Technology ◽  
Previous History ◽  
Smart Phone ◽  
Mobile Technologies ◽  
Android Application ◽  
History Of ◽  
Android App ◽  
The Impact

Affordable mobile technologies are introducing newer communication possibilities to the smart phone users every day. Considering the impact of this incredibly popular mobile technology on the users, an android application named “PatDoc App (Patient – Doctor Application)” has been designed and developed, which makes an easy and effective communications with the users to the doctors and hospitals. PatDoc App (Patient – Doctor Application) is an application that provides services to the Doctors and Patients. PatDoc App connects between Doctor and Patients using android app and patients are able to connect a Doctor and ask for his/her appointment as well as for prescription using their Smartphone. This application shows the Doctors the previous history of a particular patient and can prescribe on basis of the history of patient.

scholarly journals Doctors, Dioceses, and Decisions: Examining the Impact of the Catholic Hospital System and Federal Conscience Clauses on Medical Education

2012 ◽  
Vol 6 (2) ◽  
Author(s):  
Stephanie M. Wurdock
Keyword(s):  
Health Care ◽  
Medical Education ◽  
Medical Students ◽  
Human Life ◽  
Hospital System ◽  
Medical Education And Training ◽  
Practice Of Medicine ◽  
History Of ◽  
Catholic Hospital ◽  
The Impact

In a time when health care reform and the limits on First Amendment freedom of religion are persistent subjects of debate, Catholic restrictions on health care have made it to the forefront of public concern. Catholic providers prohibit a variety of medical procedures traditionally viewed by the Church as contrary to the tenet of respect for human life and dignity. Many Americans view this as an unconstitutional restriction on care. As a result, the growing presence of Catholic providers, namely hospitals, has become a major point of contention in many communities. The potential barrier to medical services raises concern not only for potential patients, but also for medical students whose chosen specialty may include a prohibited service. This article identifies some difficulties that may emerge for current and prospective medical students and advocates that both groups should be required to contemplate (1) their personal beliefs as they pertain to religiously-restricted care, and (2) the effects those beliefs will have on their medical education and training. This article also gives a comprehensive background of the history of the Catholic hospital system in America and analyzes the federal "conscience clauses" and their implications for the instruction and practice of medicine. Finally, this article concludes that a mandatory bioethics curriculum is absolutely crucial to ensure adequate ethics training for medical students.

scholarly journals Psychiatry as a career: A survey of factors affecting students’ interest in Psychiatry as a career

2020 ◽  
Vol 12 (1) ◽  
Author(s):  
Mubashir Aslam ◽  
Tahir Taj ◽  
Arif Ali ◽  
Nasira Badar ◽  
Farzan Saeed ◽  
...  
Keyword(s):  
Medical Students ◽  
Family History ◽  
Medical School ◽  
Psychiatric Illness ◽  
P Value ◽  
Factors Affecting ◽  
Medical Graduates ◽  
Significant Difference ◽  
History Of ◽  
Self Administered Questionnaire

The objectives of this study were to determine the characteristics of medical students and graduates interested in choosing psychiatry as a career and the obstacles in choosing this field of medicine. Two private and two public medical institutes were surveyed from June 2007 to August 2007. A self-administered questionnaire was distributed to third, fourth and final year students and to medical graduates doing their internship in these four medical institutes.A total of 909 medical students and graduates participated in the study. Seventeen percent of participants responded positively regarding their interest in psychiatry as a career. Significantly higher proportion belonged to private medical institutes (14% vs. 24%, P-value =0.001). There was no significant difference in reporting interest for psychiatry in regard to age, sex, year in medical school and whether or not the participant had done a psychiatry ward rotation. However significantly higher proportion of participants (22%, n=43) were reporting their interest in the field of psychiatry who had done more than a month long psychiatry ward rotation as compared to those participants (14%, n=54) with less than a month or no psychiatry rotation (P-value=0.01). More students were reporting their interest in psychiatry with a family history of psychiatric illness as compared to without family history (24% vs 16%, P-value=0.03). In conclusion, students and graduates with more than a month long rotation in psychiatry, studying in private medical colleges and with a family history of psychiatric illness were more interested in choosing psychiatry as a career.

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