scholarly journals Irritable Bowel Syndrome among Medical Students in Jordan: A cross-Sectional Study

Author(s):  
Salsabeel Yousef ◽  
Khaled Jadallah ◽  
Khalid A. Kheirallah ◽  
Mohannad Al Nsour ◽  
Anwar Batieha

Abstract Background Irritable bowel syndrome (IBS) is one of the most common functional gastrointestinal disorders worldwide. IBS is not a life-threatening condition; however, it considerably reduces the quality of life of sufferers. This study aims at assessing the prevalence of IBS, its subtypes, and associated factors among medical students at Jordan University of Science and Technology (JUST).Methods We conducted a cross-sectional study among medical students at JUST from November 2019 to February 2020. A structured, pre-validated, comprehensive, self-administered, and anonymous questionnaire was used. The questionnaire consists of three parts: sociodemographic and behavioral factors related questions, Rome IV diagnostic questionnaire, and Depression Anxiety Stress Scale (DASS-21). A total of 396 students participated in our study.Results The prevalence of IBS among medical students at JUST was 28.5%. The predominant IBS subtype was IBS-mixed (IBS-M), which constituted 42.5% of the cases. Multivariate logistic regression analyses revealed that gender, family history of IBS, academic level, residence, stress level, anxiety level, and depression level were the main predictors of IBS. Males were fifty percent less likely to suffer from IBS compared to females. Students who had a family history of IBS were two and half times more likely to suffer from IBS. Students who had extremely severe stress were five times more likely to have IBS than those with normal stress levels. Students who had extremely severe depression were three and half times more likely to suffer from IBS than those who had normal depression level. Students who had extremely severe anxiety levels were two and half times more likely to suffer from IBS than those of normal anxiety level. The odds of having IBS were highest among fifth-year students, followed by sixth-year students compared to first-year students. The anxiety level regression model revealed that students living with their families have a reduced risk for IBS by 50% than students living in a private house.Conclusion IBS is highly prevalent among medical students at JUST. Sex, family history of IBS, academic level, residence, stress level, anxiety level, and depression level were the risk factors of IBS. Offering emotional and psychological support and stress management courses may be needed to enhance students' ability to deal with stress, reduce anxiety and depression.

2021 ◽  
Vol 10 (2) ◽  
pp. 86-92
Author(s):  
Noortaj Begum ◽  
Jakia Sultana Shila ◽  
Sabreena Mohtarin ◽  
Sharmin Sultana ◽  
Rukhsana Parvin ◽  
...  

Background: Overweight and obesity are recognized as “escalating epidemics” affecting both developed and developing countries. Of the factors contributing to obesity, stress seems to be particularly important as stressful condition leads to irregularity in diet, lack of exercise and addiction. Medical students are exposed to a lot of stress throughout their education. Hence, this study was undertaken to find out the prevalence of overweight and obesity among undergraduate medical students. Objectives: The present cross-sectional study was intended to find out the prevalence of overweight/obesity among medical students of Enam Medical College and its association with their sociodemographic and life-style pattern. Materials and Methods: This cross- sectional study was conducted among medical students in Enam Medical College, Savar, Dhaka from March to July 2017. A total of 283 1st and 2nd year MBBS students were included in the study. After getting permission from college authority and concerned Ethical Committee data were collected using a semi-structured questionnaire containing the variables of interest. Blood pressure and anthropometric measurements (weight and height) were noted. Data were analysed using SPSS (Statistical Package for Social Sciences) version 16.0. Results: In the present study, the prevalence of overweight and obesity was 21.2% and 6.0% respectively. Males were found more overweight or obese (70.1%) compared to females (29.9%) (p=0.041). No other sociodemographic variables were found associated with overweight or obesity. Family history of obesity was observed for evaluation of overweight/obesity among the respondents (p=0.018) although family history of hypertension and/or diabetes did not influence the overweight/ obesity. Systolic and diastolic blood pressures of the overweight/obese group were higher than their normal counterparts (p=0.003 and p=0.002). There was no association between BMI and behavioral variables such as exercise, sleep, entertainment and food behavior. Conclusion: More than one-quarter of the undergraduate medical students are overweight or obese and overweight or obesity are more predominant in males. Overweight and obese students generally have family history of overweight or obesity. Behavioural factors such as taking exercise, time spent on sleep and entertainment and food habit are not associated with BMI. J Enam Med Col 2020; 10(2): 86-92


2017 ◽  
Vol 37 (9) ◽  
pp. 1397-1404 ◽  
Author(s):  
Ajeet S. Bhadoria ◽  
Chandan K. Kedarisetty ◽  
Chhagan Bihari ◽  
Guresh Kumar ◽  
Ankur Jindal ◽  
...  

2020 ◽  
Vol 12 (2) ◽  
pp. 96-101
Author(s):  
Mohammad Ullah ◽  
Suman Kumar Saha ◽  
Md Toufiqur Rahman ◽  
Md Abdul Karim ◽  
Rashid Ahmed

Background: Incidence of noncommunicable disease, specially cardiovascular diseases, is increasing in Bangladesh. Prevalence of risk factors in ischaemic heart disease (IHD) has been studied in different tertiary hospitals and institutes. This study was done in a secondary hospital with a patient population mainly of low socioeconomic condition and was compared with other patient groups of the country and Indian subcontinent. Methods: this cross sectional study was conducted in Manikganj Sadar Hospital from July 2019 to December 2019. All the patients admitted with the diagnosis of myocardial infarction (MI) were included. Cardiovascular risk factors, like smoking, diabetes mellitus (DM), hypertension (HTN), family history of premature cardiovascular diseases, dyslipidaemia and obesity, were evaluated among the patients. Results: This cross-sectional study showed most of the patients were in the age group of 50-59 years. 66% of the male patients and 2% of the female patients were smoker. 66% of the patients were hypertensive, 44% patients were diabetic, 28.5% patients were overweight, 60.4% patients had total cholesterol > 200mg/dl, 73.6% patients had LDL>130 mg/dl, 110 76.3% patients had HDL < 40 mg/ dl, 72.2% had triglyceride >150 mg/dl and 39% patients had family history of premature cardiovascular disease. Ninety (62.5%) patients had anterior MI, 50 (34.7%) patients had inferior MI and 4 (2.7%) patients had NSTEMI. 65 patients had no major risk factor and 57 % had three or more risk factors. Conclusion: The study population was more aged in comparison to other studies conducted in different parts of Bangladesh. Prevalence of smoking habit was lower but the prevalence of HTN, DM and dyslipidaemia were higher than the general population and other cohorts of MI patients. The prevalence of major risk factors was much higher than the general population of Bangladesh. Cardiovasc. j. 2020; 12(2): 96-101


2021 ◽  
Vol 8 (29) ◽  
pp. 2572-2577
Author(s):  
Sumanth Tarikere Parameshwaraiah ◽  
Vishnuvardhan Gopalkrishna ◽  
Vidhyavathi Malyam ◽  
Asha Chandahalli Sannappa ◽  
Amulya Bhaskara ◽  
...  

BACKGROUND Substance abuse is a cause of deaths, global burden of disease and injury. Increasing trends of underage substance abuse have shown to be associated with future substance dependency. Understanding various factors associated with it will help mitigate the severity and extent of use. In this study, we wanted to find out the pattern of substance abuse in patients at a de-addiction centre in Bangalore. METHODS This cross-sectional study was conducted on 500 male patients admitted to a deaddiction centre in Bangalore. Information was collected using pre-tested and structured questionnaire forms and the collected data was analyzed using statistical package for social sciences (SPSS) v 16.0 software. RESULTS The majority of the participants abused alcohol (92.4 %) and nicotine (74.2 %). 40.5 % of the participants initiated alcohol abuse in age groups of 12 – 18 (Years). Peer pressure (40.4 %) and curiosity (19 %) were observed as the most common reason for substance abuse. The common reason to seek de-addiction services was family pressure (22.4 %), physical health problems (14.2 %), family responsibility (12.4 %) fear of being a social outcast in the community (12 %) and psychiatric problems (10.6 %). Among the participants, 39.4 % had a family history of substance abuse and 41 % had a history of psychiatric illness. 47.4 % reported a history of child abuse. CONCLUSIONS Most participants initiated abuse before age of 25 mainly due to peer pressure. Proper enforcement of rules concerning under-aged substance abuse, proper peer and familial support, addressing concerns of psychiatric comorbidity and child abuse can decrease the chances of future dependency and thus lessen the burden of the problem. KEYWORDS De-Addiction Centre, Under-Aged Substance Abuse, Family History, Psychiatric Illness


2021 ◽  
Vol 20 (4) ◽  
Author(s):  
Valliammai Jayanthi Thirunavuk Arasoo ◽  
Nisha Angela Dominic ◽  
Vanassa Ratnasingam ◽  
Md Inzamum Ul Islam ◽  
Erin Ziyi Lee ◽  
...  

Introduction Male medical students globally have difficulty in obtaining consent to perform pelvic examination. We sought to identify independent factors influencing women consenting to male medical students performing general and pelvic examination under supervision. Methods This cross-sectional study conducted at a tertiary hospital and a public health care centre in Johor Bahru, Malaysia recruited 369 women above 18 years old who have had  sexual intercourse before and no prior hysterectomy. A validated self-administered bilingual questionnaire was used to collect data on factors that influence them consenting to male medical students examining them and performing pelvic examination when indicated. Results The respondents were largely below 30 years old (52.9%), Malays (73.4%) and Muslims (75.3%). The consent rates for general and pelvic examination were 27.4% and 18.9%, respectively. Being a Muslim, having an occupation and being introduced by a male medical specialist increased the likelihood of women consenting to general examination. However, a history of being examined by male students decreased the likelihood by 64%. Believing that male doctors should have the skills to treat patients in women's health was the only independent factor that increased the likelihood for women to consent for pelvic examination to be conducted by male medical students.  Conclusion Believing that male doctors should be skilled in treating women positively influences decision to consent. Explaining earnestly to women on how they aid in developing the skills of future doctors should be prioritised. Keywords: patients’ perception; male medical students; pelvic examination


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