scholarly journals Non-medical use of methylphenidate by medical students: prevalence and motivations. Integrative review

2021 ◽  
Vol 11 (2) ◽  
pp. 24-34
Author(s):  
Leticia Batista da Costa ◽  
Jiliélisson Oliveira de Sousa ◽  
Samillys Valeska Bezerra de França Silva ◽  
Valéria Duarte de Almeida ◽  
Thales Allyrio Araújo de Medeiros Fernandes

Objective: This study performed a literature review evaluating aspects of prevalence and motivations on the non-medical use of methylphenidate by medical students. Methods: We searched the Scopus, PubMed, SciELO, and Web of Science databases and the Google Scholar search tool using the keywords "Methylphenidate" and "Medical Student" and their correlates in Portuguese. A total of 472 articles were recovered, of which 24 were included for full reading and discussion after the application of the pre-established inclusion and exclusion criteria. Results: It was observed that the prevalence of non-prescribed use of methylphenidate ranged from 0.51% in Lithuania to 35% in Colombia. The main motivations reported for using the drug were academic outcomes improvement and increase in concentration during studies, although research shows no significant improvement in academic performance with the use of medication by healthy individuals. Conclusion: The non-prescribed use of methylphenidate presents a high and worrying frequency. Also, scientific studies questioning the use of psychostimulant medications for cognitive improvement by healthy students make the practice illegal and unfounded.

Author(s):  
Nohman Khan ◽  
Muhammad Imran Qureshi

<p>The aim of the study reviews online medical services in Malaysia. The paper reviews the improvement in Malaysian Medical services in the past five years. In this paper, we systematically reviewed literature from the year 2014 to 2018. We selected the web of science database for the literature search to make the process more transparent and clearer, every process is recorded on the excel sheets and all studies were screened through rigorous inclusion and exclusion criteria. Final 48 papers were selected for this systematic literature review and all irrelevant papers are excluded from the study. For the selection and exclusion process, PRISMA 2009 is used. The results revealed that Literature is heavily focusing on the medical services towards the urban areas, but rural areas were largely neglected. Many studies are discussing the importance of online medical services; However, implementation mechanisms have not been discussed. The systematic review recommends that future research should be focused more on holistic patterns of implementations of the online medical services in Malaysia.</p>


2021 ◽  
Vol 12 ◽  
Author(s):  
Karina Polanco-Levicán ◽  
Sonia Salvo-Garrido

Cyberbullying has progressively increased due to the massive use of the internet and social networks. Bystanders constitute the largest group, occupying a key role in the evolution of the cyberbullying situation and its consequences for the victim. Research shows different ways in which bystanders behave, suggesting different types of sub-roles associated with different study variables. The objective of this literature review is to identify and characterize the roles of bystanders in cyberbullying situations that involve adolescent students. To achieve this objective, a systematic search was carried out in the Web of Science, PubMed, and Scopus databases for articles published between 2015 and 2020, resulting in 233 articles. Articles were then selected by relevant title and summary. Subsequently, the inclusion and exclusion criteria were applied, resulting in a total of nine articles. The findings of this review allowed us to identify two to five types of bystanders, the largest type representing outsiders and the smallest type representing assistants of the aggressor. The identified types of bystanders are characterized for variables such as sex, age, previous experience, and empathy. The results are discussed considering the available theoretical and empirical evidence.


2021 ◽  
Vol 10 (3) ◽  
pp. 289-295
Author(s):  
Euridice Ladisu Mejía-Argueta ◽  
Jonnathan Guadalupe Santillán-Benítez ◽  
Miriam V. Flores-Merino ◽  
Claudia Cervantes-Rebolledo

Studies on bioactivities of numerous essential oils (EOs) and herbal extracts compounds against diseases are crucial. Microencapsulation methods development might be an alternative to obtain bioactive compounds for cosmetics and pharmaceutical uses. In this study, we carried out a literature review of 219 503 data articles using ScienceDirect, Redalyc, Web of Science, Scopus, SciELO, and Google Scholar databases in English and Spanish, after with inclusion (original articles, book chapters, and theoretical references) and exclusion criteria (frameworks description), we found 1854 restricting the publication years between 2004 and August 2020 and 35 relevant articles with our scope research. References found contained a collection of methods that could be utilized to create microcapsules, including coacervation, extrusion, polymerization, and spray drying. This article analyzed the most recent and advanced microencapsulation techniques and their applications in the food, cosmetic, and pharmaceutical industries. Herbal extracts and EOs have many applications, depending on the wall materials and microencapsulation methods that could help know about selective release and efficacy to ensure optimal dosing and other advantages; thus, improving the profitability of these product manufacturers.


2021 ◽  
Vol 10 (16) ◽  
pp. 3749
Author(s):  
Valentin Varlas ◽  
Yassin Rhazi ◽  
Eliza Cloțea ◽  
Roxana Georgiana Borș ◽  
Radu Mihail Mirică ◽  
...  

Background: Combined hysteroscopy and laparoscopy is a valuable method for diagnosing and treating infertility and benign uterine pathology. Both procedures are minimally invasive, reliable, and safe, with a low complication rate. Aim: In this review, we expose the efficiency and safety of hysterolaparoscopy in the management of infertility and other benign uterine pathologies. Method: We performed a systematic literature review on several databases: PubMed®/MEDLINE, PMC, Crossref.org, and Web of Science in the last 10 years. Inclusion criteria: Women of reproductive age with primary or secondary infertility and/or benign uterine pathology. Exclusion criteria: pre-puberty, menopause, couple with male infertility. Conclusion: Hysterolaparoscopy is a useful tool to assess infertility and simultaneously diagnose and treat pelvic and uterine lesions.


BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e029980 ◽  
Author(s):  
Monique Simone Pisaniello ◽  
Adon Toru Asahina ◽  
Stephen Bacchi ◽  
Morganne Wagner ◽  
Seth W Perry ◽  
...  

ObjectivesWith the high and rising total cost of medical school, medical student debt is an increasing concern for medical students and graduates, with significant potential to impact the well-being of physicians and their patients. We hypothesised that medical student debt levels would be negatively correlated with mental health and academic performance, and would influence career direction (ie, medical specialty choice).DesignWe performed a systematic literature review to identify articles that assessed associations between medical student mental health, academic performance, specialty choice and debt. The databases PubMed, Medline, Embase, Scopus and PsycINFO were searched on 12 April 2017, for combinations of the medical subject headingsMedical StudentandDebtas search terms. Updates were incorporated on 24 April 2019.Results678 articles were identified, of which 52 met the inclusion criteria after being reviewed in full text. The majority of studies were conducted in the USA with some from Canada, New Zealand, Scotland and Australia. The most heavily researched aspect was the association between medical student debt and specialty choice, with the majority of studies finding that medical student debt was associated with pursuit of higher paying specialties. In addition, reported levels of financial stress were high among medical students, and correlated with debt. Finally, debt was also shown to be associated with poorer academic performance.ConclusionsMedical student debt levels are negatively associated with mental well-being and academic outcomes, and high debt is likely to drive students towards choosing higher paying specialties. Additional prospective studies may be warranted, to better understand how educational debt loads are affecting the well-being, career preparation and career choices of physicians-in-training, which may in turn impact the quality of care provided to their current and future patients.


2021 ◽  
Vol 3 (1) ◽  
pp. 83
Author(s):  
Mercy C. K. Parauba ◽  
Joudy Gessal ◽  
Christopher Lampah

Abstract: COVID-19 could cause respiratory, physical and psychological dysfunctions. These dysfunctions reduce the patient's functional capacity ultimately. Changes in physical function over a period of hospitalizations and critical illness are more common occurr in patients with more severe or pre-existing disease comorbidities which often lead to mobility disabilities and restrictions in activities of daily life. Physical medicine and medical rehabilitation play an impor-tant role in increasing the functional capacity of COVID-19 patients. This study was aimed to eva-luate the rehabilitation of COVID-19 patients. This was a literature review study using databases of Clinical Key, Web of Science, Pub Med, and Google Schoolar. The keywords used were rehabilitation COVID-19 OR rehabilitation SARS-CoV-2. Based on inclusion and exclusion criteria, eight literatures were selected. The result showed that early rehabilitation should be grant-ed to inpatients with COVID-19. Patients with restricted mobility due to quarantine or lockdown should receive exercise programs to reduce the risk of frailty, sarcopenia, cognitive decline, and depression. Telerehabilitation may represent the first option for individuals at home. In conclusion, proper rehabilitation can reduce the consequences of decreasing functional capacity.Keywords: rehabilitation; COVID-19 patients Abstrak; COVID-19 dapat menyebabkan disfungsi pernapasan, fisik, dan psikologis yang menurunkan kapasitas fungsional pasien. Perubahan fungsi fisik selama periode rawat inap dan penyakit kritis lebih umum dialami oleh pasien dengan penyakit COVID-19 yang lebih parah atau disertai komorbiditas dan dapat berakibat cacat mobilitas dan pembatasan dalam aktivitas kehi-dupan sehari-hari. Kedokteran fisik dan rehabilitasi medik memiliki peran penting dalam mening-katkan kapasitas fungsional pasien COVID-19. Penelitian ini bertujuan untuk mengetahui peran rehabilitasi medik pada pasien COVID-19. Jenis penelitian ialah literature review menggunakan database Clinical Key, Web of Science, PubMed, dan Google Scholar. Kata kunci yang digunakan yaitu rehabilitasi COVID-19 OR rehabilitasi SARS-CoV-2. Seleksi data berdasarkan kriteria inklusi dan ekslusi mendapatkan delapan literatur. Hasil penelitian menunjukkan bahwa rehabilitasi dini harus diberikan kepada pasien rawat inap dengan COVID-19. Pasien dengan mobilitas terbatas karena karantina atau lockdown harus menerima latihan program untuk mengurangi risiko kelemahan, sarkopenia, penurunan kognitif, dan depresi. Telerehabilitasi mungkin merupakan pilihan pertama bagi individu di rumah. Simpulan penelitian ini ialah rehabilitasi dini yang tepat dapat mengurangi konsekuensi penurunan kapasitas fungsional.Kata kunci: rehabilitasi; pasien COVID-19


Author(s):  
Muhammad Yousaf ◽  
Petr Bris

A systematic literature review (SLR) from 1991 to 2019 is carried out about EFQM (European Foundation for Quality Management) excellence model in this paper. The aim of the paper is to present state of the art in quantitative research on the EFQM excellence model that will guide future research lines in this field. The articles were searched with the help of six strings and these six strings were executed in three popular databases i.e. Scopus, Web of Science, and Science Direct. Around 584 peer-reviewed articles examined, which are directly linked with the subject of quantitative research on the EFQM excellence model. About 108 papers were chosen finally, then the purpose, data collection, conclusion, contributions, and type of quantitative of the selected papers are discussed and analyzed briefly in this study. Thus, this study identifies the focus areas of the researchers and knowledge gaps in empirical quantitative literature on the EFQM excellence model. This article also presents the lines of future research.


2017 ◽  
Author(s):  
Jennifer S Mascaro ◽  
Sean Kelley ◽  
Alana Darcher ◽  
Lobsang Negi ◽  
Carol Worthman ◽  
...  

Increasing data suggest that for medical school students the stress of academic and psychologicaldemands can impair social emotions that are a core aspect of compassion and ultimately physiciancompetence. Few interventions have proven successful for enhancing physician compassion inways that persist in the face of suffering and that enable sustained caretaker well-being. To addressthis issue, the current study was designed to (1) investigate the feasibility of cognitively-basedcompassion training (CBCT) for second-year medical students, and (2) test whether CBCT decreasesdepression, enhances compassion, and improves daily functioning in medical students. Comparedto the wait-list group, students randomized to CBCT reported increased compassion, and decreasedloneliness and depression. Changes in compassion were most robust in individuals reporting highlevels of depression at baseline, suggesting that CBCT may benefit those most in need by breakingthe link between personal suffering and a concomitant drop in compassion


2020 ◽  
Vol 133 (3) ◽  
pp. 848-854 ◽  
Author(s):  
Daniel Lubelski ◽  
Roy Xiao ◽  
Debraj Mukherjee ◽  
William W. Ashley ◽  
Timothy Witham ◽  
...  

OBJECTIVENeurosurgery seeks to attract the best and brightest medical students; however, there is often a lack of early exposure to the field, among other possible barriers. The authors sought to identify successful practices that can be implemented to improve medical student recruitment to neurosurgery.METHODSUnited States neurosurgery residency program directors were surveyed to determine the number of medical student rotators and medical students matching into a neurosurgery residency from their programs between 2010 and 2016. Program directors were asked about the ways their respective institutions integrated medical students into departmental clinical and research activities.RESULTSComplete responses were received from 30/110 institutions. Fifty-two percent of the institutions had neurosurgery didactic lectures for 1st- and 2nd-year medical students (MS1/2), and 87% had didactics for MS3/4. Seventy-seven percent of departments had a neurosurgery interest group, which was the most common method used to integrate medical students into the department. Other forms of outreach included formal mentorship programs (53%), lecture series (57%), and neurosurgery anatomy labs (40%). Seventy-three percent of programs provided research opportunities to medical students, and 57% indicated that the schools had a formal research requirement. On average, 3 medical students did a rotation in each neurosurgery department and 1 matched into neurosurgery each year. However, there was substantial variability among programs. Over the 2010–2016 period, the responding institutions matched as many as 4% of the graduating class into neurosurgery per year, whereas others matched 0%–1%. Departments that matched a greater (≥ 1% per year) number of medical students into neurosurgery were significantly more likely to have a neurosurgery interest group and formal research requirements. A greater percentage of high-matching programs had neurosurgery mentorship programs, lecture series, and cadaver training opportunities compared to the other institutions.CONCLUSIONSIn recent decades, the number of applicants to neurosurgery has decreased. A major deterrent may be the delayed exposure of medical students to neurosurgery. Institutions with early preclinical exposure, active neurosurgery interest groups, research opportunities, and strong mentorship recruit and match more students into neurosurgery. Implementing such initiatives on a national level may increase the number of highly qualified medical students pursuing neurosurgery.


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