scholarly journals Increased knowledge of thalassemia promotes early carrier status examination among medical students

Author(s):  
Julius Broto Dewanto ◽  
Haryono Tansah ◽  
Sari Puspa Dewi ◽  
Helena Napitu ◽  
Ramdan Panigoro ◽  
...  

BACKGROUND<br />Thalassemia is an autosomal recessive genetic disorder, in which the patient requires life-long blood transfusion. As Indonesia harbors 6 to 10% thalassemia carriers, thalassemia prevention measures such as early screening and education in the community are urgently needed. The aim of this study was to explore the knowledge, attitude and practice about thalassemia among young medical students. <br /><br />METHODS<br />A cross-sectional analytic observational study was conducted on 179 subjects in 2015, using a questionnaire with items on knowledge, attitude and practice about thalassemia for data collection. After signing informed consent, the questionnaire was filled in by the students and a blood test was performed when the students agreed to be examined. Detection of probable thalassemia carrier status was done by determination of hemoglobin, mean corpuscular volume and mean corpuscular hemoglobin. <br /><br />RESULTS<br />The knowledge about thalassemia of the first year medical students (n=179) was good (21.1%), moderate (70.9%) and poor (21.1%). Only 67 (38.3%) of the students agreed to a blood examination for determination of their carrier status after filling-in the questionnaire. The knowledge of thalassemia among first year medical students was statistically related to the timing when they would agree to have their thalassemia carrier status examined (p=0.021, one way ANOVA test). <br /><br />CONCLUSION<br />A higher thalassemia knowledge score causes medical students to be willing to undergo thalassemia carrier status examination at an earlier point in timing. A well-organized educational program focusing on thalassemia and early screening in young adults may enhance the thalassemia prevention program.

2006 ◽  
Vol 15 (4) ◽  
pp. 270-275 ◽  
Author(s):  
Henry James ◽  
Shailendra S. Handu ◽  
Khalid A.J. Al Khaja ◽  
Sameer Otoom ◽  
Reginald P. Sequeira

2020 ◽  
Vol 8 (1) ◽  
pp. 23-33
Author(s):  
Lokeshwar Chaurasia ◽  
Sanjay Chaudhary ◽  
Gita Paudel ◽  
Jitendra Kumar Singh

Background and Objectives: Bacterial resistance has reached an alarming proportion in developing countries because of various reasons like indiscriminate use of antibiotics and its availability as over the counter (OTC) drugs. This study is to get an overview of students understanding of antibiotics and to compare the knowledge, attitude and practice (KAP) on antibiotic use among undergraduate medical students. Material and methods: This was a descriptive cross-sectional study conducted among undergraduate medical students of Janaki Medical College. A structured and customized self-administered questionnaire was used to collect data on socio-demographic and knowledge, attitude and practice (KAP) regarding antibiotic use of medical students. Data were analyzed using SPSS version 20. P < 0.05 was considered statistically significant. Results: Out of 183 undergraduate medical students from first, second and third year of Janaki medical College, 115 (62.8%) were male and 68 (37.2%) were female. Among medical students, mean rank of knowledge on antibiotic use among first year (mean rank = 89.36) and second year (mean rank = 87.50) was lower compared to third year (mean rank = 97.78). The mean rank for attitude among first year (mean rank = 87.75) and second year (mean rank = 94.38) was lower compared to third year (mean rank = 94.56). Likewise, practice of antibiotic use was low among first year (mean rank = 61.27) and second year (mean rank = 105.91) compared to third year students (mean rank = 115.19). There is significant difference of mean rank for the practice (p<0.0001) but not for knowledge and attitude on antibiotic use among the students studying in different years. Conclusion: This study showed varying level of knowledge, attitude and practice on antibiotics use among undergraduate medical students of first, second and third year, suggesting that continuous educational intervention on rational use of antibiotic should be made mandatory in the all the academic years of undergraduate medical curriculum, for promoting judicious use of antibiotics, minimizing self-medication and impacts of antibiotic resistance, and for rational antibiotics prescription by future doctors.


Author(s):  
Sana Rehman ◽  
Zenis Baluja

:Medical training requires continuous efforts and high level of perseverance, patience and commitment from medical students. Due to this performance pressure, students face high level of stress which affects not only their health negatively but also their thinking and learning abilities gets hampered.This study aimsto evaluate the knowledge, attitude and practice of stress management among undergraduate MBBS students at Hamdard Institute of medical sciences & research, Jamia Hamdard attatched to Hakeem Abdul Hameed Centenary hospital, a tertiary care hospital, New Delhi, India.A total of 254 undergraduate students of first year, second year and third first year of MBBS were explained the aims and objectives of the study and written informed consents were obtained from those who were willing to participate in the study. The questionnaire consisted of 12 questions regarding knowledge, attitude and practice on stress management [Annexure attached]. The students were asked to fill the questionnaire by themselves within 30 minutes of time. Out of 12 questions, 4 questions were of knowledge, 3 of attitude and 5 of practice regarding stress management among medical undergraduates. The questionnaires were collected and evaluated for their completeness. The data were recorded in Microsoft Excel Worksheet and analyzed.Out of 254 total undergraduates, 32.3%, 35.8% and 31.8% of students were of first, second and third year MBBS, respectively. 46.5% were male and 53.5% were female students. 28.4% students gave a relevant definition of stress. The most common condition related to stress is anxiety (79.6%). Only 37.4% of students could answer the correct clinical features of stress. Most common stressors were large syllabus (124%), less study time (28.7%) followed by apprehension to viva-voce. 72.7% of students marked that they have faced difficulties in adapting to the new environment and feeling home sickness, which was particularly seen in first-year students. Lack of friends (58.6%) was the most common non-academic cause of stress. 64.9% students had confronted stress because of competition related stress. Most commonly used stress relieving activities by the students was listening to music (63.7%) mostly in female students, followed by watching internet videos (24.1%) particularly in male students. Meditation and prayer were practiced by only 0.8% of students. 2.4% of students indulged themselves in their favorite hobbies when felt stress out and 5.1% students became addicted to smoking and alcohol.There were various stressors among medical students which has an adverse effect on the mental health of the medical students. There is an urgent need to establish and implement some strategies in order to adapt with the prevailing stress factors. Therefore, apart from the academic teaching, extracurricular activities such as meditation/yoga classes, sport activities, psychological counselling etc., should be incorporated in the medical curriculum. This will enhance the ability of students to deal with stress more effectively and this will definitely aid in improving their work efficiency.


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