Women In Neurosurgery: A Critical Assessment of The State of The Specialty in Turkey

Author(s):  
PELİN KUZUCU ◽  
Demet EVLEKSİZ ◽  
Elif GÖKALP ◽  
PINAR ÖZIŞIK ◽  
Abuzer GÜNGÖR

Abstract BACKGROUND: Although at least half of medical students are women, neurosurgery is not often preferred by women, and the proportion of female neurosurgeons who can participate in the academic platform is very low. OBJECTIVE: In this study, we aimed to show the role of female neurosurgeons in the Turkish Neurosurgical Society.METHODS: We examined the age, academic rank, years of work in the profession, membership rate in society subgroups, h-index parameters, and relationships of certificated female neurosurgeons registered in the Turkish Neurosurgical Society. We examined gender rate differences between society subgroups using chi-square tests. A P value < 0.05 was considered statistically significant.RESULTS: There are currently 94 board-certified female neurosurgeons between the ages of 31 and 92 years; 10 are full professors (10.6%), 16 are associate professors (17 %), 5 are assistant professors (5.3 %), and 63 are neurosurgery specialist physicians (67 %). Female neurosurgeons are present among six of the subfields categorized by the Turkish Neurosurgical Society: 7 in pediatric neurosurgery (11.47%); 8 in spinal and peripheral nerve surgery (2.4%); 3 in neurovascular surgery (2.02%); 7 in functional neurosurgery (5.8%); 11 in neuroanatomy (9.2%); and 23 in neurooncology (6.9%).CONCLUSIONS: The number of female neurosurgeons in Turkey continues to grow each year. To increase the proportion of women in this field, it is important to support female neurosurgeons and enable them to take on more tasks.

2020 ◽  
Vol 3 (1) ◽  
pp. 27-35
Author(s):  
Wen Li ◽  

Background:An alarming proportion of healthcare workers from low- and middle-income countries (LMICs) migrate to foreign countries, especially to high-income countries (HICs), to seek employment. The aim of this study was to explore the role of language capability in migration choice of China-educated international medical students (IMSs), mainly from LMICs in Asia and Africa. Methods:A questionnaire was delivered electronically to final-year IMSs at 4 universities in China from June, 2019 to July, 2019. The questionnaire comprised questions on language capability and migration choices of IMSs. Chi-square test was used to determine whether participants’ English language proficiency, Chinese language proficiency, and capability of speaking multi-languages were associated with their migration choices. Results:A total of 202 valid responses were obtained and 91 (45%) participants showed intention of choosing a foreign country. The intention of staying outside the home country was associated with the capability of speaking multi-languages (speaking at least another non-English foreign language apart from Chinese) by IMSs. Higher-level Chinese proficiency certificate holders were more likely to choose China as the destination country. The capability of speaking a non-English/non-Chinese foreign language did not correspond to the intention of migrating to the country where this language is spoken. Furthermore, the intention of migrating to a non-English/non-Chinese speaking foreign country did not correspond to the capability in the language spoken in this foreign country. Conclusion:The effect of language capability on migration choice of China-educated IMSs was explored in this study. The findings indicate that language capability has played some role in IMSs’ migration choice. However, migration decision-making process is complex and is affected by various factors. Therefore, further studies should be conducted to explore correlations among factors affecting migration choice of IMSs.


2020 ◽  
Vol 33 (2) ◽  
pp. 17-35
Author(s):  
Azwanis Abdul Hadi ◽  
Amirah Amiruddin ◽  
Nurul Fitri Mustapa ◽  
Muhammadi ‘Adil Zainal Abidin

Medicine is one of the most difficult academic course that faces many psychological challenges. A high level of self-esteem is needed to cope with such challenges, and religiosity is seen as one of the approaches to increase one’s self esteem especially among Muslim medical students. This study aims to measure the level of self esteem among medical students and its association with religiosity. This online cross-sectional study was conducted among 178 International Islamic University Malaysia (IIUM) Kuantan medical students using validated 10-items IIUM Religiosity Scale (IIUMReIS), and 10-items Rosenberg Self esteem Scale (RSES). Descriptive statistics was used to measure the level of self esteem while chi-square, Mann-Whitney U test, Spearman’s correlation, univariate and multivariate logistic regression were used to explore the association between self esteem with the predictors. More than half of the students (58.5%) have a high level of self esteem. They scored an average of 35 (IQR = 6) in terms of religiosity. Those with higher religiosity were predicted to have significantly high self esteem (r = 0.345). Other significant factor includes, frequency of voluntary prayer where daily practice has 0.3 lower odds of having low self esteem. (95% CI = 0.11, 0.85, p = 0.05) Majority of the students have a high level of self esteem. Implications suggest the role of religiosity and the impact of voluntary prayer. Early and consistent strengthening of self esteem via motivational, spiritual and religious programs may be advisable.


Author(s):  
Amirah Amiruddin ◽  
Nurul Fitri Mustapa ◽  
Azwanis Abdul Hadi ◽  
Muhammad ‘Adil Zainal Abidin

Introduction: Self-esteem is an essential aspect of wellbeing particularly for medical students who are susceptible to mental disorders. In Islam, self-esteem is built based on both revelation by Allah and human’s effort. With the increasing study in terms of religiosity and self-esteem, the role of religiosity as possible protective factor for Muslim medical students in their life, is a steppingstone towards becoming competent Muslim professionals.Objectives: This study aims to measure the level of self-esteem among medical students and its association with religiosity.Methods: This online cross-sectional study was conducted among 178 International Islamic University Malaysia (IIUM) Kuantan medical students using validated 10-items IIUM Religiosity Scale (IIUMReIS), and 10-items Rosenberg Self-Esteem Scale (RSES). Descriptive statistics was used to measure the level of self-esteem while chi-square, Mann-Whitney U test, Spearman’s correlation, univariate and multivariate logistic regression were used to explore the association between self-esteem with the predictors.Results: More than half of the students (58.5%) have a high level of self-esteem. They scored an average of 35 (IQR = 6) in terms of religiosity. Those with higher religiosity were predicted to have significantly high self-esteem (r = 0.345). Other significant factor includes, frequency of voluntary prayer where daily practice has 0.3 lower odds of having low self-esteem. (95% CI = 0.11, 0.85, p = <0.05)Conclusion: Majority of the students have a high level of self-esteem. Implications of the role of religiosity and the impact of voluntary prayer were suggested. Early and consistent strengthening of self-esteem via motivational, spiritual and religious programs may be advisable.International Journal of Human and Health Sciences Supplementary Issue: 2021 Page: S27


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Emily Magallanes ◽  
Ahana Sen ◽  
Milette Siler ◽  
Jaclyn Albin

Abstract Background Although a poor diet is the number one risk factor for early death in the United States and globally, physicians receive little to no training in dietary interventions and lack confidence counseling patients about lifestyle modifications. Innovative, interprofessional strategies to address these gaps include the emergence of culinary medicine, a hands-on approach to teaching the role of food in health outcomes. We sought to assess the impact of a culinary medicine elective on counseling confidence, awareness of an evidence-based approach to nutrition, and understanding of the role of interprofessional teamwork in dietary lifestyle change among medical students at one undergraduate medical school. Methods We administered pre- and post-course surveys to two cohorts of medical students (n = 64 at pre-test and n = 60 at post-test) participating in a culinary medicine enrichment elective. Chi-square analysis was used to assess the relationship between participation in the course and a positive response to each survey item. Results Compared with the baseline, students participating in culinary medicine were more likely to feel confident discussing nutrition with patients (29% vs 92%; p < 0.001), to feel familiar with the Mediterranean diet (54% vs. 97%; p < 0.001), and to understand the role of dietitians in patient care (37% vs. 93%; p < 0.001). Conclusions Culinary medicine shows promise as an impactful educational strategy among first-year medical students for increasing counseling confidence, promoting familiarity with evidence-based nutrition interventions, and augmenting understanding of the role of interprofessional engagement to address lifestyle-related disease.


Author(s):  
Misbah Riaz ◽  
Fazal Hussain ◽  
Mah Muneer Khan

Background: Objective structured clinical examinations are the gold standard of modern medical assessment for students. The aim of our study was to determine the effect of formative OSCEs on students’ performance in summative OSCEs in final year medical exams.Methods: This observational study was conducted at surgical B Unit, MTI, Khyber teaching hospital, Peshawar from January to December 2019. A total of 297 consecutive students of final year MBBS, studying in Khyber medical college were included in the study. Students who had repeated the year were excluded. Examination scores of formative OSCEs taken in the ward and the subsequent summative OSCEs taken in the subject of surgery were analyzed to determine the effect on summative OSCE performance. Data was analyzed using SPSS 23. Chi square test was used and p>0.05 was taken as statistically significant.Results: Out of 297 students, 188 (63.3%) were males and 109 (36.7%) were females. Of these, 243 (81.8%) students appeared in the formative OSCEs whereas 54 (18.2%) students did not appear in the formative OSCEs. The result of the subsequent summative OSCEs showed that those students who appeared in formative OSCEs showed a better performance in summative OSCEs (p<0.001) with majority of students (53.5%) having scores above 80%.Conclusions: Formative OSCEs enhance students’ performance in summative OSCEs. Repetitive formative OSCE sessions along with regular feedback should be incorporated in the medical curriculum for better performance of medical students in their final year undergraduate exams.  


2019 ◽  
Vol 11 (1) ◽  
pp. 51-56
Author(s):  
RIANI PRADARA JATI ◽  
Sekar Farah Nabila

  Penempatan peran yang baik bagi Family Caregiver sangatlah membantu lansia dalam meningkatkah qualitas hidupnya, meningkatkan motivasi dalam menjalankan hidup Penelitian ini bertujuan Mengetahui hubungan peran Family Caregiver dalam pemenuhan qualitas hidup bagi lansia di Kelurahan Langenharjo Kabupaten Kendal. DesainPenelitianDeskriptifKorelasional menggunakan pendekatan Krosectional,tehnikSamplingStratified Simple Random Sampling dengan karakteristik heterogen, dari populasi mempunyai hak yang sama untuk diseleksi sebagai sampel teknik undianPengambilan data dengan menggunakan kuesioner yang telah diuji validitas dan reliabilitasnya. Uji statistik Chi-square, dengan taraf signifikasi 5%jumlah sampel pada penelitian ini 70 sampel pada Family Caregiver dari 213 populasi yang ada. Hasil penelitian dari 70 responden didapatkan Peran Family Caregiver tidak baik dengan qualitas hidup tidak baik 33 (47,1%), sedangkan Peran Family Caregiver kurang baik dengan qualitas hidup lansia baik 3 (4,3%). Untuk distribusi Peran Family Caregiver kurang baik dengan qualitas hidup lansia tidak baik sebanyak 6 responden (8,6%) sedangkan untuk distribusi Peran Family Caregiver kurang baik dengan qualitas hidup lansia baik sebanyak 23 responden (32,9%). Terakhir, untuk distribusi Peran Family Caregiver baik dengan qualitas hidup lansia tidak baik didapatkan hasil 2 responden (2, 9%) sedangkan untuk distribusi Peran Family Caregiver baik dengan qualitas hidup lansia baik didapatkan hasil 3 responden (4,3%)Menunjukkan nilai ρ value 0,001 (ρ < 0,05) berarti ada hubungan antara dukungan keluarga dengan kepatuhan lansia dalam keikutsertaan posyandu lansia. Disarankan kepada semua Family Cregiver lansia untuk mampu memahami pentingnya perhatian, dukungan bagi lansia dalammeningkatkan qualitas hidup yang lebih baik bagi lansia.   Kata kunci : Peran family caregiver, qualitas hidup, lansia.   ABSTRACT Placement of a good role for Family Caregiver is very helpful for the elderly to improve their quality of life, increase motivation in living life Research Objective: To know the relationship between the role of Family Caregiver in fulfilling quality of life for the elderly in Langenharjo Village, Kendal Regency. Descriptive Correlational Research Design uses a cross sectional approach, Sampling Stratified Simple Random Sampling technique with heterogeneous characteristics, from the population has the same right to be selected as a sample lottery technique Retrieving data using a questionnaire that has been tested for validity and reliability. Test Chi-square statistics, with a significance level of 5% the number of samples in this study 70 samples on the Family Caregiver from 213 populations. Results of the Study Of 70 respondents found the role of Family Caregiver was not good with poor quality of life 33 (47.1%) , while the role of the Family Caregiver is not good with the quality of life of a good elderly 3 (4.3%). For the distribution of the role of Family Caregiver is not good with the quality of life of the poor family as many as 6 respondents (8.6%) while for the distribution of the Role of Family Caregiver is not good with the quality of life of good elderly as many as 23 respondents (32.9%). Finally, the distribution of the Role of Family Caregiver with good quality of life for the poor is obtained by 2 respondents (2, 9%), while the distribution of the Role of Family Caregiver with good quality of life for the elderly is obtained by 3 respondents (4.3%). 0.001 (ρ <0.05) means that there is a relationship between family support and the compliance of the elderly in the participation of the elderly posyandu. It is recommended to all elderly Cregiver families to be able to understand the importance of attention, support for the elderly in improving the quality of life better for the elderly   Keywords: Role of Family Caregiver, Quality of Life, Elderly


2018 ◽  
Vol 9 (02) ◽  
pp. 192
Author(s):  
Wiwid Wahyuningsih ◽  
Atik Setiyaningsih

ABSTRAKLatar Belakang : Keberadaan kader di posyandu sebagai salah satu sistem penyelenggarakan pelayanan sangat dibutuhkan. Mereka adalah ujung tombak  pelayanan kesehatan yang merupakan kepanjangtanganan puskesmas Jawa Tengah tahun 2011 jumlah gizi kurang 5,35% dan gizi buruk 0,10%. Untuk Kabupaten Semarang dari 23.562 balita yang ditimbang pada tahun 2011 gizi lebih 1,13%, gizi baik 93,51%, gizi kurang 4,86% dan gizi buruk 0,49% (DepKes Prov Jateng, 2011). Tujuan Penelitian : Penelitian ini bertujuan untuk mengetahui hubungan peran kader posyandu dengan status gizi balita. Metode Penelitian : Desain penelitian ini adalah survey analitik dengan menggunakan pendekatan cross sectional. Populasi dalam penelitian ini adalah seluruh balita di Posyandu Mawar di Desa Gedangan sejumlah 40 responden, dengan teknik total sampling dan analisa data chi square. Hasil Penelitian : Hasil perhitungan chi square di peroleh X² hitung 10.644 pada df=4, P.value 0.031 dimana probabilitas lebih kecil dari level of significant 5 % (0,001 < 0,05) berarti Ha diterima dan Ho ditolak. Kesimpulan : ada hubungan antara peran kader posyandu dengan status gizi pada balita.Kata Kunci : peran kader , status gizi balitaCADERE ROLE RELATIONSHIP WITH NUTRITIONAL STATUS OF CHILDREN POSYANDUABSTRACTBackground : posyandu cadre in Existence as one of the 56th's service system is urgently needed. They are the tip of the Spear is a kepanjangtanganan health services clinics in Central Java in 2011 the amount of nutrition less 5.35% 0.10% and malnutrition. To Semarang from 23.562 toddler who weighed in 2011 more nutritional 1.13%, 93,51%, good nutrition nutrition less 4.86% and 0.49% poor nutrition (Department of Health Central Java Prov., 2011). Objective : the research aims to find out the relationship role of posyandu cadre with the nutritional status of children. Methods : the design of this research is a survey using the analytic approach of cross sectional. The population in this study are all the toddlers at the Rose in the village of Posyandu Gedangan some 38 respondents, with total sample techniques and data analysis a chi square. The results :. The chi square calculation results in getting X ² count 10.644 on df = 4, P. value 0.031 where probability is smaller than the level of significant 5% (0.001 < 0.05) mean Ha Ho accepted and rejected. Conclusion : there is a connection between the role of cadres of posyandu with nutritional status on toddlers.Keywords : the role of cadres, toddler nutrition status


Author(s):  
Dur-e- Nishat

Background: Family medicine is a field in which complete and detailed set of healthcare services are provided to the patients and their families. In developed countries, freshly graduated students choose family medicine as a priority for their career. However, in Pakistan it is not the case. The present study is undertaken to determine the perceptions of final year medical students’ about Family Medicine as a viable career. Methods: A total number of 504 students participated in the study. This was a cross-sectional study. The study participants were in their final year of medical college. Data was collected using a preapproved questionnaire. Data was entered and analyzed via SPSS version 17 and Chi-Square test was used post-stratification. Results: Only 14.3% (n=72) medical students had heard about Family Medicine. Only 18% (n=92) would select family medicine as a profession. The most frequent rationale for choosing the field of Family Medicine was the variety of patients seen in general practice (55.4% n=51). Conclusion: There is a dire need to focus on increasing awareness about the field of family medicine among medical students. The students should be counseled on the advantages along with the disadvantages of choosing this field as a medical profession.


Author(s):  
Aswathy S. ◽  
Lakshmi M. K.

The study was aimed to assess the breastfeeding practices among mothers of infants in Peringara Gramapanchayat in Kerala. Study was a community based cross-sectional study among mothers of infants in Peringara gramapanchayat using a pretested questionnaire. 142 breastfeeding mothers of infants in Peringara gramapanchayat were studied and mothers who were not present at home during the study were excluded from the study. Study period consisted of 18 days between December 2015 and January 2016. Study variables includes type of delivery, initiation of breastfeeding, breastfeeding practices and role of ASHAs in promoting good breastfeeding practices. Statistical analysis was done using Pearson’s Chi-square test and T test. The study found that exclusive breastfeeding has been done by 68.3% of mothers. There is no practice of giving pre-lacteal feed, 95.8% of mothers have given colostrum to the new born. Statistically significant association was found between the type of delivery and time of initiation of breastfeeding (p less than 0.05). Time of initiation of breastfeeding was prolonged in case of Caesarean section. 49.3% of mothers have breastfed the baby within one hour. 55.6% of mothers were informed about importance of breastfeeding by ASHAs and only 20.4% of mothers were informed about period of exclusive breastfeeding and period of complimentary feeding by ASHAs.


Author(s):  
Gianfranco Pacchioni

This chapter discusses how performance is measured in science, such as through the role of citation metrics. Next, the chapter discusses the pros and cons of bibliometric indexes, and of ‘impact factor’, which was introduced by Eugene Garfield in 1955 but not widely used until twenty years later. The various ways that journals attempt to improve their impact factors, and how this will affect science, are also examined. Besides impact factor, the role played by indicators in evaluating scientists, such as the recently introduced h-index, is explored. Finally, fashions and trends in science are touched upon, illustrated with personal anecdotes from the author.


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