scholarly journals Attitude and knowledge about electroconvulsive therapy (ECT) among medical students in Nepal: a pilot survey

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S159-S160
Author(s):  
Suresh Thapaliya ◽  
Shizu Singh ◽  
Shuva Shrestha ◽  
Anoop Krishna Gupta

AimsElectroconvulsive Therapy (ECT) is an important modality of treatment for treatment resistant psychiatric disorders. Young medical students like general public might harbor several misconceptions about ECT. In this pilot survey, we explored the knowledge and attitude about ECT amongst young medical students training in a medical college affiliated to a teaching hospital in Southern Nepal.MethodA 23-item questionnaire in English language with either ‘True’ or ‘False’ response as outcome was developed by reviewing findings from previous studies. Brief information was also taken to record familiarity of medical students with ECT as a treatment procedure. The study was conducted as a departmental pilot survey for quality improvement of Psychiatry Undergraduate Training. A total of 128 medical students in early clinical year enrolled in MBBS curriculum at a teaching hospital in Southern Nepal participated in the survey. The students were not exposed to any specific teaching regarding ECT while participating in the study.ResultThe students were aged between 21 and 28 years with almost equal gender distribution. Among them, 89.1% had heard about ECT before whereas 15.6% knew someone who has received ECT. Although 90.6 % of students believed ECT can be lifesaving many times, a substantial number of students had misconception about ECT such as assuming it as a painful procedure (71.9%). Almost half of them believed ECT can have severe consequences like death or permanent brain damage. Around one fourth to one third believed ECT is inhumane, without scientific proof or a form of punishment for violent angry patients. Surprisingly, a significant higher percentage of male students believed that ‘ECT leads to permanent loss of memory’ (11/34 vs. 3/30, p = 0.04) and ‘ECT is given as a punishment to violent/angry patients’ (15/34 vs. 4/30, p = 0.01).ConclusionSeveral misconceptions about ECT are prevalent in medical students that need to be adequately addressed during their training to develop a positive attitude and basic knowledge about the treatment.

2020 ◽  
Vol 5 (3) ◽  
pp. 1236-1240
Author(s):  
Bipin Koirala ◽  
Sriti Manandhar ◽  
Rajeev Kumar Shah

Introduction: Ear care is a part of social cleanliness. It may not demand much care but proper and adequate care is essential to protect the optimal functions. The knowledge and awareness of ear care practice however is still lacking. Non –hygienic individual behaviors and habits like penetrating foreign objects, exposure to loud noise may affect the human ear. Lack of proper ear care may lead to many diseases and its complications.. Objectives : To assess the knowledge attitude and practice of ear care of pre clinical medical students attending Birat Medical College. To correlate the knowledge, attitude and practice of ear care of pre clinical medical students. Methodology: A descriptive cross sectional study was done in 151 students of pre clinical sciences of Birat Medical College for a period of two months from 15th Sept 2020 to 15 November, 2020. After the ethical clearance a specifically designed semi structured questionnaire containing yes and no questions was prepared in goggle form and distributed among all the pre clinical medical students of Birat Medical College Teaching Hospital students and then their response was evaluated.  Result: Students of pre clinical sciences had good knowledge, attitude and practice of ear care. Significant correlation was seen between knowledge and practice and also between knowledge and attitude. However there was no significant correlation between attitude and practice. Conclusion: Overall knowledge, attitude and practice of preclinical medical students of Birat Medical College was good. Surprisingly students showed poor knowledge, attitude and practice in few individual questionnaires which was hoped that the medical students know more than lay individual in the society


2020 ◽  
Vol 11 (3) ◽  
pp. 62-66
Author(s):  
Renu Yadav ◽  
Nisha Ghimire ◽  
Soumitra Mukhopadhyay ◽  
Subodh Kumar Yadav

Background: Studies have concluded that the medical students of hostels are at high risk of anemia due to inappropriate diet and their long schedules that indirectly affect their performance. Thus, concerning for the long duration of medical studies, it has become a serious medical issue. Aims and Objective: Thus, our objective is to determine the prevalence of anemia among medical students in Nobel Medical College and Teaching Hospital, Nepal. Materials and Methods: This is a descriptive cross-sectional study which was conducted and Teaching Hospital from January 2017 to December 2017 where all the subjects were selected with convenient sampling technique. The total of 150 MBBS students (male=95, female=55), age 18-25 years were included in the study who were clinically healthy. The demographic data (name, age, sex, address) and anthropometric variables (height, weight, body mass index) were recorded and hemoglobin was estimated by Sahli’s acid hematin method. Results: Only 42.1% of total were mild anemic and 11.6 % were moderately anemic. Among female, 1.8% were severely anemic, 9.1% were moderately anemic and 41.8% were mild anemic. Compared to male, anemia in female medical students was found to be more extensive. Conclusions: It has been concluded from the above study that the mild anemia is highly prevalent among medical students regardless of gender. Though the subjects are not severely affected, it is a concerned issue since the cause might be inappropriate food habit or the food facilities available at hostels.


Author(s):  
LN Nagirnaya ◽  
YuV Titova ◽  
VV Skvarnik

Introduction: The realities of today demonstrate high importance of the ability of healthcare professionals to raise awareness of health knowledge in the population. Skills of health promotion develop already in the course of training in medical educational establishments. Our objective was to assess the dynamics of building health knowledge in medical students in the process of studying. Materials and methods: We conducted a targeted questionnaire-based survey of 264 medical students including 167 students of the Faculty of Public Health of the Pacific State Medical University (hereinafter referred to as University) specializing in preventive medicine, clinical psychology, and medical biochemistry and 97 students of medical and nursing departments of the Vladivostok Medical College (hereinafter referred to as College) in the first and final year of study. A specially developed questionnaire included 25 questions on basic knowledge of clinical medicine, health, and health maintenance behavior. Data analysis was conducted using methods of descriptive statistics (cross-tabulation analysis and Student’s t-test). Conclusions: Our findings helped improve the curriculum of hygienic disciplines by including optional classes aimed at consolidating theoretical knowledge gained in the study of hygienic and epidemiological disciplines and at acquiring practical skills in accordance with professional competencies.


2020 ◽  
Vol 9 (1) ◽  
pp. 20-24
Author(s):  
Neelu Hirachan ◽  
Alok Atreya ◽  
Tanuj Kanchan ◽  
Nirmala Shrestha

Background: Medical ethics is a core component in the standardization of medical practice of any nation. Due to this reason, knowledge related to this subject should be imparted to the medical students. Only then, the aim of providing a strong base in the medical field and making of an ideal doctor will be possible. Objective: The study was conducted to compare the status of knowledge and attitude of medical ethics before and after the medical ethics theory class among medical students of Gandaki Medical College, Pokhara. Methodology: This was a cross sectional study conducted in Gandaki Medical College, Pokhara from 1st to 31st August, 2018. A total number of 232 medical students were divided into two groups depending on whether they had attended medical ethics classes or not. Five point Likert scale was used in the responses of the participants and analyzed. Results: The study found that there was significant difference between two groups regarding the importance of consent for all minor operations (p=0.010), general physical examination (<0.001), genital examination of males (p<0.001) and females (p<0.001), treatment of children and adults in emergency and non-emergency without their consent. Similarly, students after medical ethics class compared to the ones not having attended any class strongly disagreed that euthanasia is legalized in Nepal (p-value<0.001). Conclusion: Students after medical ethics theory class had a better understanding of medical ethics compared to the students who did not. Furthermore, active teaching methods like group discussions, role play and pedagogy can be incorporated to have a more effective impact on the students.


Author(s):  
P. Sivagami ◽  
R. Kavitha

Background: Use of animals for various purposes like food, transportation, pets, sports, recreation and companionship is as old as the human beings itself. Animals also serve as a tool for education, research, medical procedures, toxicological screening, for several decades. Since pain, distress and death of animals occur commonly during scientific experiments, various guidelines have been proposed and posed many restrictions over the experimental use of animals.To assess the knowledge and attitude towards alternative to animal experimentation in research and education among interns and postgraduate medical students in a teaching hospital.Methods: A cross sectional study was carried out by self-administered questionnaire among interns (92) and postgraduate medical students (53) in a teaching hospital in July 2018. The data was analysed by descriptive statistics and expressed in percentage.Results: Among 145 participants, interns 92 (63.4%), postgraduates 53 (36.6%). 70.2% interns and 68.8% postgraduates had adequate knowledge about alternative animal experimentation and 67% and 67.1% of interns and postgraduates had knowledge about animal experiments. 69.4% interns and 68.8% postgraduates had positive attitude towards alternative animal experimentation.83.8% interns and 70.9% postgraduates were agreed to have various barriers to alternative animal experimentation.Conclusions: Majority of interns and postgraduates have appreciable knowledge of alternative to animal experimentation, but their attitude is scarce. It is imperative to incorporate continuous training through workshops for budding medical professionals to provide innovative scientific knowledge in research and education towards alternative to animal experimentation.


Author(s):  
Haris Hirani ◽  
Rabia Khurram ◽  
Nasima Iqbal ◽  
Ali Nawaz Bijarani ◽  
Afreen Bhatty ◽  
...  

Aim: To determine the knowledge and attitude of medical undergraduates towards COVID-19. Study Design: Cross-sectional. Place and Duration of Study: Study was conducted at Quaid-e Azam medical college from June 2020 to August 2020. Methodology: The undergraduate students enrolled in 1st year to final year of MBBS were included in the study. A proforma was prepared by using the Google Docs and validated before starting the study. The reliability of the questionnaire was 0.78. Data was analyzed by using Statistical Package for the Social Sciences (SPSS) version-20. All the qualitative variables were presented as frequency and percentages while quantitative as mean and standard deviation. Knowledge score was compared with demographic variables by using independent t-test and one-way ANOVA test, as appropriate. p-value less than 0.05 was considered as significant. Results: About 56% of the participants were female while remaining 44% were male, majority of them i.e. 51.6% were mediocre. Majority were from 3rd year and final year i.e. 25.2% and 24.4% respectively. Looking over the mean knowledge score the final year students having more knowledge about COVID-19 then the other students from different years, among them the female participants were having more knowledge score then their male counterparts with significant highly p-value. Comparing knowledge score with socioeconomic status reported that upper class was having higher score. Over-all 74% of final year students answered correctly to all of the questions regarding knowledge towards COVID-19. Considering specifically the attitude of medical students towards COVID-19, majority of the students including all years of MBBS, like to get more information about COVID-19. Conclusion: It can be concluded that Pakistani undergraduate students of MBBS are having good knowledge about COVID-19. They are also well-aware of the protective measures which should be taken. In comparison, final year students having the higher level of knowledge then the students of other years of MBBS. All the students having positive attitude for stopping COVID-19.


2018 ◽  
Vol 8 (1) ◽  
pp. 08-12
Author(s):  
Asma Abdul Qadeer ◽  
Mirza Inam Ul Haque ◽  
Uzma Hassan ◽  
Sheikh kashif Rahim ◽  
Shakila Bangash

Background: Research plays a prominent role in day to day life. Very little amount of literature is available on students interest and involvement in research in Pakistan, Most of the studies are quite old and new studies are required to identify the changing trends. It is therefore important to understand and highlight the attitudes and barriers of undergraduate medical students come across in conducting quality research. Objective: Our study intended to assess the knowledge and attitude of medical students at RIHS towards research. Methods: A cross sectional study of five months duration was carried out at RIHS. Sample size of 224 MBBS students was taken, with 5% margin of error and 95% confidence level. Response rate was 67%. Data was collected through close ended questionnaire and was analyzed using SPSS version 17/MS excel. Results: Most (65%) of the students only knew about research and its uses. The rest of 35% had no idea what research is about and what is the process. Out of those 65% who had knowledge, 39% students have conducted research in their life time, out of those 39 %, 16% have previous exposure of conducting research at school, and 23% have done it as a part of mandatory training at medical college (RIHS). The rest of students have done it with their teachers as a part of the team. Conclusion: The most important finding in this research was suggestion of enforcement of research project in the curriculum and as a part of their assessment and the preponderance of participating students considered it difficult to conduct research , with the most common barrier being lack of time, research training , schooling background, and the lack of motivation.


Author(s):  
Diwakar Thiagarajan ◽  
Vichithra Mohandoss ◽  
M. Benjamin Sagayaraj

Background: Immunization being the most cost-effective treatment for preventing disease and extending life, is essential to know about its schedule and be aware of vaccines that are available up to date.  Immunization is one of the most important strategies for protecting children from disease. Aim: The aim of the study is to assess the knowledge and attitude of immunization among medical students recommended by Government of India (NIS) and Indian Academy of Paediatrics (IAP). Methodology: A descriptive cross-sectional study was conducted in Saveetha Medical College and Hospital, Chennai among final year MBBS students, Medical Interns using a structured questionnaire. The study was conducted between February 2021 & April 2021. Results: In a total of 259 study participants, around78(65%) of Medical Interns and 74(52%) of final year MBBS students are aware that as per NIS, BCG vaccine in catch up can be given until 1 year of age. Conclusion: The degree of knowledge among medical students should be emphasised and various initiatives regarding the knowledge and awareness about immunization among the interns and the medical students should be introduced.


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