scholarly journals A study on assessment of depression and factors associated with it among medical students of Raichur Institute of Medical Sciences, Raichur

Author(s):  
Rahul C. Kirte ◽  
M. A. Fahim

Background: Depression among medical students represents a neglected public health problem in India. Early onset depression among medical students interferes with psychological, social, and academic functioning. Clearly, depression in medical students is of paramount importance and warrants serious study to detect early symptoms of depression. This study was conducted to find out the prevalence and the risk factors associated with depression among medical students of RIMS, Raichur.Methods: Cross-sectional study conducted among medical students from 1st year to final year of RIMS, Raichur who gave consent. Socio-demographic and risk factors details were collected using pre-tested, semi-structured questionnaire and beck depression inventory scale was used to assess the depression level. Data was analyzed using Epi-Info 7 software and appropriate statistical tests were applied. Level of significance was set at a p<0.05.Results: Of the 421 medical students participated in the study, 214 (50.83%) were males and 207 (49.17%) were females. The overall prevalence of depression was found to be 22.09%. Statistically significant association of depression was found with family history (χ2=4.23, p<0.05), family problems (χ2=61.98, p<0.001), relation with parents (χ2=51.82, p<0.001), high expectations from parents (χ2=22.76, p<0.001), those who regret joining MBBS (χ2=30.44, p<0.001), relationship status (χ2=4.63, p<0.05).Conclusions: Our findings emphasize the importance of screening for depression of medical students on a regular basis for early detection and appropriate intervention like group counseling, stress management training, support services etc. to protect this valuable future human resource. 

2019 ◽  
Vol 15 ◽  
Author(s):  
Bekalu Getachew Gebreegziabher ◽  
Tesema Etefa Birhanu ◽  
Diriba Dereje Olana ◽  
Behailu Terefe Tesfaye

Background: Stroke is a great public health problem in Ethiopia. According to reports, in-hospital stroke mortality was estimated to be 14.7% in Ethiopia. Despite this, in this country researches done on factors associated with stroke sub-types were inadequate. Objective: To assess the Characteristics and risk factors associated with stroke sub-types among patients admitted to JUMC. Methods and materials: A retrospective cross sectional study was conducted from May 2017 to May 2018 in stroke unit of Jimma University Medical Center. A total of 106 medical charts of patients diagnosed with stroke were reviewed. Checklist comprising of relevant variables was used to collect data. SPSS version 21 was employed for data entry and analysis. Chi-square test was used to point-out association and difference among stroke sub-types. The data was presented using text, tables and figures. Result: From a total of 106 patients, 67(63.2%) were men. The mean ± SD of age was 52.67±12.46 years, and no significant association was found. Of all the patients, 59(55.6%) had ischemic strokes and 47(44.4%) had hemorrhagic strokes. The most common risk factor in the patients was alcohol use with a prevalence of 69.9%. Of all the risk factors, only sex, cigarettes smoking and dyslipidemia were significantly associated to sub-types of stroke. Conclusion: Ischemic stroke was the most common subtype of stroke. Sex of patient, cigarette smoking and dyslipidemia are significantly associated with the two stroke subtypes.


2020 ◽  
Vol 70 (6) ◽  
pp. 1919-24
Author(s):  
Maryam Noshad ◽  
Muhammad Hammad Butt ◽  
Tooba Mehboob ◽  
Irfan Bashir ◽  
Rabia Aslam ◽  
...  

Objective: To track the trends and patterns of psychoactive substance abuse among medical students. Study Design: Cross-sectional questionnaire based study. Place and Duration of Study: Medical Colleges and Universities of Lahore, from Aug to Sep 2019. Methodology: Total 200 medical students from Medical Colleges and Universities were included. The data wereanalyzed and computed using SPSS-21. Frequencies and percentages related to all the factors were computed. Results: Among study participants, 96 (48%) of males and 104 (52%) of females with 154 (77%) of these students belong to 21-25 years of age group. The observed prevalence of substance abuse among students was 42 (21%). Joy seeking and a friend’s offer was the initiation of psychoactive substance use among these students. Tobacco was the most highly consumed substance among students, followed by marijuana. Besides, the results also revealed that students also consumed cocaine and methamphetamine. Among 21% abusers, 4 (9%) and 5 (11%) of the students experienced side effects and withdrawal symptoms respectively. Conclusion: The increasing consumption of tobacco and indulgence in psychoactive drugs are concerning issues because of uncontrolled consumption can cause serious brain damage. Academic burden and stress are the mediators of drug abuse among students. Therefore, stress management training and workshops should be conducted in institutes.


2019 ◽  
Vol 6 (4) ◽  
pp. 522-526
Author(s):  
Mihika Aggarwal ◽  
Pramila Yadav ◽  
Satyendra Badhe ◽  
Pradnya Deolekar ◽  
◽  
...  

Author(s):  
Rock B. ◽  
Ronald R. ◽  
Elamparithi T. ◽  
Zakeena S. ◽  
Susin M. ◽  
...  

Background: Studying medicine is stressful. Stress may cause serious health problems and affects their professional life. Hence establishing a database on the extent of the problem will help in the planning of measures to reduce stress. The aim of the study was to determine the prevalence and risk factors of stress among the medical students. Methods: Cross-sectional study was done using 40 item medical student stressor questionnaire (MSSQ) to evaluate the level of stress and the stressors and hence finding the factors associated with it. Data were analysed using EPI INFO. Results: Of the medical students who were administered questionnaire, 250 (83%) participated in the study. About 17.2% are from Tamil medium. 37.2% were first child in the family. 64.4% and 57.6% have responded that 6-8hrs sleep needed and the actual sleeping hours respectively. About 74%, 75.2%, 62.8% and 56.4% have less focus, less energy and motivation, negative mood and poor academic performance due to decreased sleep. Academic and group related activities contribute to about 29.2%, 20.8% of the total stress respectively. Conclusions: The prevalence of stress among medical students is moderate to high. The second and final year students are having high stress levels. Academic and group related activities were the major stressors among medical students. Year of study and being the first doctor in the family were the best predictors of a medical student’s stress level. 


2021 ◽  
Vol 10 (12) ◽  
pp. 2740
Author(s):  
Efrat L. Amitay ◽  
Tobias Niedermaier ◽  
Anton Gies ◽  
Michael Hoffmeister ◽  
Hermann Brenner

The success of a colonoscopy in detecting and removing pre-cancerous and cancerous lesions depends heavily on the quality of bowel preparation. Despite efforts, 20–44% of colonoscopy participants have an inadequate bowel preparation. We aimed to assess and compare risk factors for inadequate bowel preparation and for the presence of advanced colorectal neoplasms in routine screening practice. In this cross-sectional study, among 8125 participants of screening colonoscopy in Germany with a comprehensive assessment of sociodemographic factors, lifestyle and medical history, we examined factors associated with inadequate bowel preparation and with findings of advanced neoplasms using adjusted log-binomial regression models. Among the identified risk factors assessed, three factors were identified that were significantly associated with inadequate bowel preparation: age ≥ 70 years (adjusted prevalence ratios, aPR, 1.50 95%CI 1.31–1.71), smoking (aPR 1.29 95%CI 1.11–1.50) and abdominal symptoms (aPR 1.14 95%CI 1.02–1.27). The same risk factors were also associated with the prevalence of advanced neoplasms in our study (aPR 1.72, 1.62 and 1.44, respectively). The risk factors associated with inadequate bowel preparation in this study were also associated with a higher risk for advanced neoplasms. Inadequate bowel preparation for colonoscopy might lead to missed colorectal cancer (CRC) precursors and the late diagnosis of CRC. People at high risk of advanced neoplasms are in particular need of enhanced bowel preparation.


Author(s):  
Abdullah Nimer ◽  
Suzan Naser ◽  
Nesrin Sultan ◽  
Rawand Said Alasad ◽  
Alexander Rabadi ◽  
...  

Burnout syndrome is common among healthcare professions, including resident physicians. We aimed to assess the prevalence of burnout among resident physicians in Jordan, and a secondary aim was to evaluate the risk factors associated with the development of burnout syndrome in those residents, including gender, working hours, psychological distress, training sector, and specialty. In this cross-sectional study, 481 residents were recruited utilizing multistage stratified sampling to represent the four major health sectors in Jordan. Data were collected using an online questionnaire, where the Copenhagen Burnout Inventory (CBI) was used to assess the prevalence of burnout. The prevalence, group differences, and predictors of burnout were statistically analyzed using STATA 15. Overall, 373 (77.5%) residents were found to have burnout. Factors associated with higher levels of burnout were psychological stress (β = 2.34, CI = [1.88–2.81]), longer working hours (β = 4.07, CI = [0.52–7.62], for 51–75 h a week, β = 7.27, CI = [2.86–11.69], for 76–100 h a week and β = 7.27, CI = [0.06–14.49], for >100 h a week), and obstetrics/gynecology residents (β = 9.66, CI = [3.59–15.73]). Conversely, medical sub-specialty residents, as well as private and university hospital residents, had lower burnout levels. We concluded that decreasing the workload on residents, offering psychological counseling, and promoting a safety culture for residents might help in mitigating burnout consequences.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Kai Saito ◽  
Hitoshi Sugawara ◽  
Tamami Watanabe ◽  
Akira Ishii ◽  
Takahiko Fukuchi

AbstractRisk factors associated with 72-h mortality in patients with extremely high serum aspartate aminotransferase levels (AST; ≥ 3000 U/L) are unknown. This single-centre, retrospective, case-controlled, cross-sectional study obtained data from medical records of adult patients treated at Saitama Medical Center, Japan, from 2005 to 2019. We conducted a multivariate logistic after adjusting for age, sex, height, weight, body mass index, Brinkman Index, vital signs, biochemical values, updated Charlson Comorbidity Index (CCI) score, CCI components, and underlying causes. A logistic regression model with selected validity risks and higher C-statistic for predicting 72-h mortality was established. During the 15-year period, 428 patients (133 non-survivors and 295 survivors [cases and controls by survival < 72 and ≥ 72 h, respectively]) with AST levels ≥ 3000 U/L were identified. The 72-h mortality rate was 133/428 (31.1%). The model used for predicting 72-h mortality through the assessment of alkaline phosphatase, creatine kinase, serum sodium, potassium, and phosphorus levels had a C-statistic value of 0.852 (sensitivity and specificity, 76.6%). The main independent risk factors associated with 72-h mortality among patients with AST levels ≥ 3000 U/L included higher serum values of alkaline phosphatase, creatine kinase, serum sodium, potassium, and phosphorus.


2020 ◽  
pp. bmjmilitary-2020-001564
Author(s):  
Raina D Brooks ◽  
T Grier ◽  
B H Jones ◽  
M C Chervak

IntroductionFalls/near falls are the second leading cause of hospitalisation and outpatient visits among US Army soldiers. While numerous studies have evaluated fall-related or near fall-related injuries among elderly adults, few have evaluated this association among young adults. The objective of this study is to describe the characteristics and risk factors associated with fall-related or near fall-related injuries among male US Army soldiers.MethodsThis is a cross-sectional study of male US Army Airborne Division soldiers (n=5187). Electronic surveys captured demographic, lifestyle, physical training (PT), fitness and injury data during spring/summer of 2016. Multiple logistic regression was used to identify independent risk factors of fall-related or near fall-related injuries, adjusting for potential confounders.ResultsPrimary findings indicated that activities and risk factors associated with fall-related or near fall-related injuries among soldiers included younger age (≤35 years), holding a job that required minimal lifting activities, slower 2-mile run times and not running during personal PT.ConclusionsThe findings from this study suggest that male US Army soldiers and other physically active men may benefit from (1) obtaining and/or maintaining higher aerobic endurance and muscular strength, and (2) training focused on preventing fall-related injuries during PT, road marching and sports/recreational activities. Moreover, prevention strategies and education should further target younger soldiers (≤35 years old), as younger age is not modifiable.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hlma Ismail ◽  
Mosa Shibani ◽  
Hanaa Wael Zahrawi ◽  
Ali Fouad Slitin ◽  
Mhd Amin Alzabibi ◽  
...  

Abstract Background Breast cancer is the most common cancer among women and the second leading cause of cancer death globally. Since early diagnosis is crucial to reducing mortality, high levels of knowledge regarding general information, risk factors, and symptoms are required among healthcare professionals to deliver breast cancer care. This study aimed to determine Syrian medical students’ knowledge about breast cancer in the fields of general knowledge, common clinical features, and risk factors. Methods This cross-sectional study was conducted at the Syrian Private University in October 2019 (Breast Cancer Awareness Month), Damascus, during the Syrian war crisis. Data were collected through self-administered surveys and analyzed using the Statistical Package for Social Sciences version 25.0 (SPSS Inc., United States). The chi-square test was applied to assess the relationship between the level of knowledge and gender. One way analysis of variance was performed to assess the overall differences in mean knowledge score by study year, GPA, mother’s education, and source of information. Unpaired Student’s T-test was used to analyze the differences in mean knowledge scores (continuous variable) based on smoking status and alcohol consumption. Results Of 320 students, 301 completed the questionnaire (response rate = 94.0%), of which 179(59.5%) were males. The study revealed above-average knowledge scores (total mean = 68.4%) regarding breast cancer, general information (71.9%), common clinical features (71.6%), and risk factors (71.6%). Clinical students (4th, 5th, and 6th years) scored higher compared with pre-clinical students (1st, 2nd, and 3rd years). Conclusion This study showed above-average knowledge scores regarding breast cancer. More efforts to correct misinformation, through reassessing the university curriculum and promoting awareness about breast cancer are required.


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