Ansiedade Versus Alterações do Padrão de Sono-Vigília em Estudantes de Medicina

Author(s):  
Luciana Paes de Andrade ◽  
Alessandra Penteado de Souza ◽  
Ana Fávia Penteado Souza ◽  
Gabriela Tomasi Batiston ◽  
Giovanni Pereira Camacho Roque ◽  
...  

O Curso de Medicina está associado com níveis elevados de ansiedade e de qualidade do sono ruim, refletindo nos profissionais da área daSaúde, que ocupam o terceiro lugar da classificação com maior intensidade de estresse. Estudos relatam que estudantes de medicina dormem menos durante a semana, e por consequência, há diminuição no desempenho acadêmico. Este estudo teve como objetivo avaliar a qualidade do sono e sonolência/insônia relacionadas com a ansiedade entre os estudantes de Medicina das Universidades Anhanguera Uniderp e Federal de Mato Grosso do Sul, em Campo Grande/MS, em 2016. Após a aprovação do CEP, iniciou-se a coleta de dados através de questionários, entre maio a junho de 2016. Foram avaliados 558 alunos da Uniderp e da UFMS do 1º ao 4º ano e se evidenciou que entre os alunos da Uniderp, cursando o quarto período, de acordo com as escalas de Hamilton (Ansiedade) e Epworth (Sonolência), foi significantemente menor do que os alunos que cursavam o primeiro período (teste do qui-quadrado, escala de Hamilton (Ansiedade): p=0,025; escala Epworth (Sonolência): p=0,019, com correção de Bonferroni, p<0,05). O mesmo não foi observado entre os alunos da UFMS (p=0,444 e p=0,392, respectivamente). Em relação ao percentual de alunos com alteração na escala de Pittsburgh (Sonolência), não ocorreu significativamente diferença entre os períodos, em ambas as IES (UFMS: p=0,948; Uniderp, p=0,705). Concluiu-se que, preponderantemente, os acadêmicos das duas instituições apresentam alterações tanto de sono quanto de ansiedade e sonolência excessiva diurna, devendo haver um olhar mais atento a estes quesitos. Palavras-chave: Qualidade de Sono. Sonolência. Aprendizado Baseado em Problemas.AbstractThe Medical school is associated with high levels of anxiety and poor sleeping quality, reflecting in the health professionals’ health, whooccupy the third place of the classification with greater intensity of stress. Studies reported that medical students sleep less during the week, and consequently decreases their academic performance. The purpose of this study was to evaluate the quality of sleeping and anxiety related to sleepiness/insomnia among medical students of Uniderp and the Federal of Mato Grosso do Sul Universities, in Campo Grande-MS, in 2016. The data collection was started through questionnaires between May and June of 2016. The study evaluated a total of 558 students from theboth universities from the 1st to the 4th period. It was evidenced that among the Uniderp students, those in the fourth period obtained resultsof the Hamilton (Anxiety) and Epworth (Sleepiness) scales significantly lower than the students who attended the first period (chi-square test,Hamilton’s scale (Anxiety): p = 0.025; Epworth scale (Sleepiness): p = 0.019, with Bonferroni correction, p <0.05). The same was not observedamong UFMS students (p = 0.444 and p = 0.392, respectively). In relation to the percentage of students with changes in the Pittsburgh scale (Sleepiness), there was no significant difference between the periods in both universities (UFMS: p = 0.948; Uniderp: p = 0.705). It was concluded that the academics of both institutions present alterations in sleeping , anxiety and excessive daytime sleepiness, and there should be a closer look at these questions.Keywords: Sleeping Quality. Somnolence. Problem-Based Learning.

2020 ◽  
Vol 10 (3) ◽  
pp. 49-56
Author(s):  
Türkan SEZEN ERHAMZA ◽  
Kübra A ARSLAN ÇARPAR

Introduction: The study aimed to evaluate the knowledge and awareness of orthodontics, a specialty of dentistry,amongst Medical Students. Materials and Method: A sample of 550 students (279 female, 226 male aged between 18 and 36 years) were attented.Of the subjects, 58.6% (n = 296) were preclinical students, while 41.4% (n = 209) were clinical students. The students were informed about the questionnaire and asked to fill in the questionnaire forms. For the comparison of data between groups (gender, level of education), the chi-square test was used. A chi-square test was used for statistical evaluation and the p-value < 0.05 was considered statistically significant. Result: 385 students (76.2%) had heard the term orthodontics although 41.2% of the subjects knew that orthodonticswas concerned with malocclusions and their treatment. The question about treatment procedures was answeredas scaling by 35.8%, tooth polishing by 40%, tooth aligning by 89.9% of the students. The percentage of knowingorthodontics to be related to tooth aligning showed a significant difference between female and male (p = 0.006), andpreclinical and clinical students (p = 0.033). Of the participants, 42.8% thought that dentures, 83% brackets, 78.8% ofremovable appliances were used by orthodontists. Conclusion: Our results have shown that medical students should have more information about orthodontics, aspecialty of dentistry.


Author(s):  
Ritanjali Majhi

This study identifies factors responsible for customers’ attitudes and perceptions towards emerging internet banking sector. It also reveals the importance of the key variables relating to customers’ demographic and social inputs. A sample of 156 customers is personally surveyed using a structured questionnaire in various cities of Andhra Pradesh. The data are analyzed using descriptive analysis like chi-square test, cross tabulations, t-test and factor analysis, and the proposed hypotheses are tested. Further the effects of psychometric factors are analyzed and the results are compared with those obtained without psychometric input. Extensive analysis of the data reveals that factors such as customer relationship management, word of mouth and the attitudes of the customers play important roles in increasing the productivity with respect to internet banking. Hypothesis tests also demonstrate that significant difference exists in usage of mobile banking and SMS banking with reference to demographic factors. The quality of the service also influences the customers to choose internet banking as a better alternative.


2021 ◽  
pp. 030157422110262
Author(s):  
Tarulatha R Shyagali ◽  
Ayesha Rathore ◽  
Abhishek Gupta ◽  
Anil Tiwari ◽  
Shanya Kapoor ◽  
...  

Introduction: In little more than a decade, social media has gone from being an entertainment source to a fully integrated part of nearly every aspect of daily life. This study aimed to provide an insight into how orthodontics-related social media posts are looked upon by the Indian population. Material and Methods: Orthodontics-related social media posts were analyzed for the number of likes, shares, and comments. Comments were also scrutinized for determining whether they were appreciation comments or enquiries related to orthodontic treatment and procedure. Posts were collected from 3 platforms: Twitter, Facebook, and Instagram. A mixed-methods approach was applied. First, all posts were structured according to a quantitative content analysis. Subsequently, qualitative analysis was performed to detect potential differences between the quality of response to posts on Twitter, Facebook, and Instagram. Using one-way ANOVA test, differences in the data were tabulated. A Chi- Square test was used to analyze the qualitative differences in the comments, which were scrutinized to check if they were appreciation comments or enquiries/doubts related to the posts. Results: There was a significant difference between the numbers of likes, shares, and comments. Appreciation comments were more in number than enquiries. Instagram had the maximum number of likes, followed by Facebook and Twitter ( P < .00001). Facebook had more shares in comparison to Twitter. Upon an analysis done on the number of comments, Facebook was found to have the highest number of comments, followed by Instagram and Twitter. All the results were significant, with P < .00001. Conclusion: It can be concluded that social media awareness related to orthodontics posts among Indians is gaining pace, and a lot can be achieved using these social media platforms to spread awareness related to orthodontic treatment.


2021 ◽  
Vol 9 (207) ◽  
pp. 1-20
Author(s):  
Felipe Queiroz Dias Rocha

Aging brings a series of changes that may result in: adaptation difficulties, need to treat limitations and alters that require treatment. The objective was to verify the quality of life of elders who still do work activities according to their own perspective. We got 36 seniors from São Paulo city to participate in the survey, with an average of 71.5 and ± 5.4. The data were randomly collected. For this, WHOQOL questionnaires were used. To discover if there is a statistically significant difference, the non-parametric Chi-square test was applied. As results: 30.55% of the elderly attend church Weekly; 44.44% classify the rate that pain prevents them of doing anything as Nothing; 41.66% say their daily energy level is Medium and 69.55% say they Totally Agree to having a good feeling about the future. It was verified that the elder workers are satisfied with their quality of life.


Author(s):  
Radhika S. ◽  
Hana Abdul Kareem ◽  
Najma R. A. ◽  
Ira Bharadwaj

Background: Cancer is the second leading cause of mortality worldwide. Amongst the cancers, the three leading cancers in India which causes high mortality and morbidity includes cervical cancer, breast cancer and upper aerodigestive tract carcinoma. High mortality and morbidity due to cancers can be reduced by preventive measures and early diagnosis of cancer, which can be achieved by creating awareness.Methods: A total of 337 medical students from 1st year to 4th year (1st year students-preclinical, 2nd year students-paraclinical and 3rd and 4th year students- clinical students) were included in this study and the results were analysed by descriptive statistics, Pearson’s Chi square test and paired ‘t’ test.Results: Out of 337 students, 120 were males, 204 were females and 13 students have not mentioned their gender. There was significant difference in knowledge of the students between pretest and posttest (following a short lecture) and amongst the preclinical, paraclinical and clinical students. Clinical students were found be more aware about the cancer compared to the preclinical and paraclinical students.Conclusions: Creating awareness to the medical students who are future doctors is the need of the hour. A short talk on cancer awareness can create a great impact on the awareness.


Author(s):  
J Vini Mary Antony ◽  
Pratibha Ramani

The routine procedure to prepare a Pap smear is done by fixing the slides with 95% ethanol immediately after the sample is taken. This study was performed to determine the alternative method of air-drying and rehydration prior to alcohol fixation instead of conventional method. Paired buccal smears were collected from 50 patients who participated in the study. One set was labeled as (Wet fixed in 95% ethanol) WF and the other one Air-dried fixed (ARF) rehydrated and fixed with coconut oil. The staining quality of the slides was assessed with respect to nuclear details and cytoplasmic details, cytoplasmic staining and background staining. Single blinded study was done. The results were analyzed by Chi square test to compare the defined parameters between the two groups. Air-dried fixed (ARF) slides with coconut oil was significantly better with regard to clearance of background. There was statistically significant difference between the air dried smear rehydrated with coconut oil and normal wet fixed smear. So air dried smear rehydrated with coconut oil can be used as an alternative to wet fixed smear.


2000 ◽  
Vol 55 (2) ◽  
pp. 55-60 ◽  
Author(s):  
Marco Aurélio Monteiro Peluso ◽  
Hermano Tavares ◽  
Gilberto D'Elia

INTRODUCTION: Debates about the quality of medical education have become more evident in the recent past, and as a result several different assessment methods have been refined for that purpose. The use of questionnaires filled out by medical students to assess the quality of lectures is one of the most common methods employed in our milieu. However, the reliability of this investigation method has not yet been systematically tested. The authors present the reliability of a specific form applied to the fourth grade medical students during the clinical psychiatry course. METHOD: Eighty-one fourth grade medical students were instructed to complete a form immediately after each clinical psychiatry lecture. Thirty-four students (42%) failed to turn in the forms after the final lecture. These students were given an identical form to assess the lectures in a retrospective fashion. The grades given by both groups of students for each performed lecture and the number of students who have graded an unperformed lecture were compared. Statistical significance for both groups was determined by means of the chi-square test (p< 0.05). RESULTS: Eighteen out of the 34 students who filled out the forms retrospectively (53%) rated the unperformed lecture, whereas only 5 out of the 47 students who filled out the forms during the course (11%) did so. This is statistically significant (p< 0.05). There was no statistical difference for the grades given to the lectures that were actually performed. DISCUSSION: The authors concluded the low reliability rate of the retrospective evaluation warrant a continuous assessment method during the course.


2021 ◽  
Vol 29 ◽  
pp. 1-20
Author(s):  
Solange Campos Vicentini ◽  
Eliane Dantas Rocha ◽  
Andrea Dos Santos Garcia ◽  
André Luis Do Nascimento Ferreira ◽  
Hugo Macedo Ramos ◽  
...  

Objective. To identify the factors associated with the sleep quality of medical students through the subjective indices of Pittsburg and Epworth. Method. It is an observational and analytical study, a sample consisting of 131 students who completed the form, the Pittsburgh Sleep Quality Index questionnaire (PSQI), and the Epworth Sleepiness Scale (ESS). Chi-square test to analyze possible associations between sleep quality and qualitative variables. Results. It found that 60.31% (ESS) of the participants presented daytime sleepiness disorders and 73.28% (PSQI) poor quality disorders. Conclusions. The results demonstrated the need to carry out an educational program among students to improve sleep quality and prevent health issues.


2020 ◽  
Vol 30 (3) ◽  
Author(s):  
Agus Dwi Harso ◽  
Hadjar Siswantoro ◽  
Armaji Kamaludi Syarif

Abstract One of the government’s efforts to reduce MMR, which is still high, is the implementation of the Antenatal Care (ANC) program at the primary health center (PHC). Besides, the government also accredits PHC to improve the quality of health services starting in 2015, so it is hoped that ANC achievements will increase. This study aims to determine the relationship between accreditation status and ANC achievements in PHC. The study design was cross-sectional with a sample of 103 accredited PHC. The distribution of PHC samples is seen based on the 2013 Public Health Development Index (IPKM) categorized as low, medium, and high. Analysis of the relationship between accreditation status and the K4 achievement program used the chi-square test. The results of this study indicate that the majority of the PHC in the sample are distributed in areas with a high and medium IPKM areas. The relationship between accreditation status and K4 achievement showed a value of p = 0.034. The logistic regression results showed that when compared with primary - complete accredited PHC, basic PHC had OR = 0.224 (95% CI: 0.064 - 0.786) with p = 0.020 to the proportion of K4 achievements. Meanwhile, the middle PHC had OR = 0.517 (95% CI: 0.146 - 1.828) with a p-value = 0.306. This study concludes that the accreditation status of PHC is related to the proportion of K4 achievements. The proportion of K4 achievements increases with the increase in the level of PHC accreditation. A basic accredited PHC has a chance to achieve K4 by 0.224, lower than a primary – complete accredited PHC. There was no significant difference between middle accredited PHC with primary - complete PHC for the proportion of K4 achievement Abstrak Salah satu upaya pemerintah menurunkan AKI yang masih tinggi adalah dengan pelaksanaan program Antenatal Care (ANC) di puskesmas. Selain itu, pemerintah juga melakukan akreditasi puskesmas untuk meningkatkan mutu pelayanan kesehatan yang dimulai tahun 2015, sehingga diharapkan capaian ANC meningkat. Penelitian ini bertujuan untuk mengetahui hubungan status akreditasi terhadap capaian ANC di puskesmas. Desain penelitian ini adalah crosssectional dengan sampel penelitian sebanyak 103 puskesmas terakreditasi. Sebaran sampel puskesmas dilihat berdasarkan Indeks Pembangunan Kesehatan Masyarakat (IPKM) tahun 2013 dengan dikategorikan sebagai IPKM rendah, sedang, dan tinggi. Analisis hubungan status akreditasi dengan program capaian K4 digunakan uji chi-square. Hasil dari penelitian ini menunjukkan mayoritas puskesmas yang menjadi sampel terdistribusi pada wilayah dengan IPKM tinggi dan sedang. Hasil analisis chi-square hubungan antara status akreditasi dengan ketercapaian K4 menunjukkan nilai p=0,034. Hasil regresi logistik menunjukkan bahwa jika dibandingkan dengan puskesmas terakreditasi utama-paripurna, puskesmas terkareditasi dasar mempunyai OR = 0,224 (95%CI: 0,064 - 0,786) dengan nilai p = 0,020 terhadap proporsi capaian K4. Sedangkan puskesmas terkareditasi madya mempunyai OR = 0,517 (95% CI: 0,146 - 1,828) dengan nilai p = 0,306. Kesimpulan penelitian ini adalah status akreditasi puskesmas berhubungan dengan proporsi capaian K4. Proporsi capaian K4 meningkat seiring meningkatnya satus akreditasi puskesmas. Puskesmas terakreditasi dasar mempunyai peluang untuk tercapaianya K4 sebesar 0,224 lebih rendah dibandingkan puskesmas terakreditasi utama - paripurna. Tidak ada perbedaan yang signifikan antara puskesmas terakreditasi madya dengan puskesmas terakreditasi utama-paripurna terhadap proporsi capaian K4.


Author(s):  
Mateus Da Silveira Cespedes ◽  
José Carlos Rosa Pires de Souza

Introdução: O prejuízo na qualidade do sono interfere na eficácia acadêmica e na ordem emocional, sendo diretamente proporcional à produtividade. Os estudantes de medicina são expostos a altas cargas horárias curriculares e lhes é demandada produtividade elevada, a qual pode não ser factível dependendo de sua qualidade de sono. Objetivo: Detectar os hábitos e a prevalência de distúrbios do sono nos discentes de medicina da Universidade Estadual de Mato Grosso do Sul. Materiais e Métodos: O presente estudo se deu de modo quantitativo, observacional e transversal, com análise situacional de 128 acadêmicos de medicina voluntários através de questionários aplicados (sociodemográfico, PSQI e Escala de Sonolência de Epworth). Os dados foram tabulados via Excel 2010 e analisados através dos testes T-Student e Anova. Resultados: Dos 128 acadêmicos, 93 aceitaram participar da pesquisa e preencheram adequadamente os questionários. A distribuição entre os 4 primeiros anos do curso foi equivalente. Destes, 74,19% relataram realizar alguma atividade extracurricular. A maioria obteve pontuação no Índice de Qualidade do Sono de Pittsburgh como ruim e a autoavaliação acerca da qualidade subjetiva do sono foi decrescente e significativamente estatística com o decorrer do curso. 48,38% dos alunos apresentou sonolência diurna excessiva. Conclusão: Foi observado que grande parte dos acadêmicos de medicina possuem qualidade ruim de sono, estando diretamente relacionada à progressão do curso.Palavras chave: Sono, Transtornos do sono-vigília, Estudantes de medicina AbstractIntroduction: The impairment in sleep quality interferes with academic effectiveness and emotional order, being directly proportional to productivity. Medical students are exposed to high curricular workloads and are required to have high productivity, which may not be feasible depending on their quality of sleep. Objective: To detect the habits and prevalence of sleep disorders in medical students at the State University of Mato Grosso do Sul. Materials and Methods: The present study was carried out in a quantitative, observational and transversal way, with situational analysis of 128 medical students volunteers through applied questionnaires (sociodemographic, PSQI and Epworth Sleepiness Scale). The data were tabulated via Excel 2010 and analyzed using the T-Student and Anova tests. Results: Among the 128 students, 93 accepted to participate in the research and completed the questionnaires properly. The distribution between the first 4 years of the course was equivalent. Of these, 74.19% reported performing some extracurricular activity. The majority scored in the Pittsburgh Sleep Quality Index as poor and the self-assessment of subjective sleep quality was decreasing and significantly statistical over the course of the course. 48.38% of the students presented excessive daytime sleepiness. Conclusion: It was observed that most medical students have poor sleep quality, being directly related to the progression of the course.Key words: Sleep, Sleep-wake disorders, Medical students


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