scholarly journals Pembelajaran Penyakit Terkait Perilaku, Merokok, dan Edukasi untuk Berhenti Merokok di Pendidikan Dokter Fakultas Kedokteran UGM

Author(s):  
Yayi Suryo Prabandari

Background: As the third big populous smoker country in the world, smoking-related diseases have become a major cause of death in Indonesia. Physician should play role in preventing tobacco epidemic. Therefore, the medical curriculum should prepare graduates who will be competent to explain the health effects of smoking behavior and help patients quit smoking. This study proposed to describe how far tobacco and smoking topic were thought in the medical school curriculum and assess student attitudes toward the necessity of physicians to routinely asked on smoking behavior, advice patients to stop smoking as well as the important of physician to receive smoking related diseases education in medical school.Method: The study was based on five separate cross sectional surveys carried out in 200, 2007, 2009, 2010 and 2011. Participants were 1696 students (733 males and 963 females) of Faculty of Medicine, Universitas Gadjah Mada (FM UGM). They were the Non- Problem Based Learning Curriculum (N-PBLC), the PBL Curriculum (PBL-C) and the Competency Based Curriculum (CBC) batches. Data was collected through a self-administered questionnaire. Descriptive analysis was used to present the data.Results: Cigarettes smoking topic had been delivered in FM UGM by several lectures (N-PBLC students) and blocks (the PBL-C and the CBC students). The amount of 40,6 % to 83,5 % students in 5 years surveys reported that they had been trained on subjects that discussed the cigarette smoking topic. Topics on how to help quit smoking reported lower (12,3%-50%) than topic of tobacco related diseases or tobacco and public health. The majority of students mentioned that doctors should ask and give advice or patient’ education (96,7 % - 99,8 %). More than 95 % of students stated that the teaching that addresses cigarette smoking related diseases is important to be taught and trained in medical school.Conclusion: Teaching and learning on the subject of cigarette smoking related diseases have been given, but needs to be improved, particularly on skills to help patients quit smoking.

Author(s):  
Muhammad Bilal Mirza ◽  
Anjiya Sulaiman ◽  
Satwat Hashmi ◽  
Samar Zaki ◽  
Rehana Rehman ◽  
...  

Abstract Objective: To determine perception of medical students about learning from integrated simulated clinical skills sessions in Respiration and Circulation module of Year 1 undergraduate medical curriculum at Aga Khan University. Subjects & Methods: This cross-sectional study was conducted at the Centre for Innovation in Medical Education, Aga Khan University (AKU) from July 2018 to February 2019. Integrated clinical skills session involves use of a combination of live simulated patient and mechanical simulator to teach clinical skills.  These sessions were conducted in Respiration and Circulation Module of MBBS Year I curriculum after which quantitative data was collected by a questionnaire that assessed usefulness of integrated clinical skills teaching method and confidence gained by students. The responses acquired were assessed on a Likert scale ranging from 1-5, (strongly agree -strongly disagree).  Descriptive analysis was performed. A focused group discussion (FGD) with students and an in-depth interview with a facilitator conducting the clinical skills sessions was arranged. Simple verbatim transcription of FGD recordings and thematic analyses was executed. Results: Quantitative analysis showed that more than 90% of the students believed integrated sessions were effective in acquiring the learning objectives and found them enjoyable and motivating. 80% expressed confidence that they had accomplished learning objectives and felt they have learned practical clinical skills. Qualitative analysis revealed that these sessions enhanced understanding of subject matter and student engagement during sessions. Conclusion: Integrated clinical skills sessions improved student interest, engagement and promoted student confidence. It should be implemented in undergraduate medical teaching curriculum. Continuous...


2020 ◽  
Vol 32 (3) ◽  
pp. 120-123
Author(s):  
Alfred Kamoto

BackgroundMedical curricula need to provide adequate knowledge on antimicrobial medicine use and antimicrobial resistance (AMR). Such knowledge is critical in shaping correct attitudes and perceptions among future prescribers. However, the extent of preparation provided by medical curricula remains unknown.AimThe current study sought to determine knowledge, attitude and perception on antimicrobial use and AMR among final year medical students in Malawi.MethodsA descriptive cross-sectional study was undertaken among all final year medical students at the College of Medicine, University of Malawi in 2016. Total population sampling and self-administered questionnaires were used. Data were entered using Microsoft Excel and analysed with Epi info. Descriptive analysis for categorical data was done using frequencies and proportions, and for continuous data using measures of central tendency.ResultsThe response rate in this study was 95%. The mean and median aggregated scores were 7.2 and 7, respectively, for the 11 knowledge questions. Over 88% of the respondents answered more than half of the knowledge questions correctly. Respondents agreed that antimicrobials are overused both at national (50; 69%) and at hospital (52; 72%) levels.ConclusionThis study reports high aggregated knowledge scores on antimicrobial use and resistance with wide variations on correct knowledge scores per question. The study further shows varying level in attitudes and perceptions among medical students. Overall, there were gaps on antimicrobial use and knowledge of AMR which the medical curriculum should addresses.


Author(s):  
Ala'a B. Al-Tammemi ◽  
Muna Barakat ◽  
Doa’a B. Al-Tamimi ◽  
Sami A. Alhallaq ◽  
Dima M. Al Hasan ◽  
...  

Background: The relationship between smoking and Coronavirus Disease-2019 (COVID-19) is still topical with mixed epidemiological evidence. However, the pandemic may affect people’s beliefs towards smoking as well as smoking behavior and quit intentions. Considering high smoking rates in Jordan, our current study aimed to assess the following points in a community-based sample from Jordan: (i) the beliefs that surround smoking and COVID-19, (ii) the pandemic impact on smoking behavior and quit intention. Methods: A cross-sectional study was conducted in Jordan utilizing an online questionnaire. The questionnaire comprised 13 items on sociodemographic, health, and smoking profiles, 14 items to assess beliefs surrounding COVID-19 and the use of combustible cigarettes (CC), waterpipe (WP), and electronic cigarettes (EC), and 12 items to assess the pandemic impact on smoking behavior and quit intention. Results: Of 2424 survey respondents who participated in our study there were 1163 never-smokers, 1044 current smokers, and 217 ex-smokers. The mean age of participants was 35.2 years (SD:11.06). Most participants have shown anti-smoking beliefs with around 72.9% believed that WP smoking is related to the risk of contracting COVID-19. Also, 71.7% believed that smoking CC may worsen the COVID-19 clinical course, while 74.1% of respondents believed that smoking has no protective effect against COVID-19. During the pandemic, about 28.1% and 19.3% of current smokers reported increased or reduced smoking, respectively, and many smokers reported their willingness to quit smoking due to the pandemic. Besides, 459 current smokers have expressed their plans/intention to quit smoking during the pandemic, of whom 27.5% (n=126) confirmed that the driving force for their decision is a COVID-19 related reason, such as self-protection (n=123) and protection of family members (=121) which were the most reported ones. Also, around 63 participants have successfully ceased smoking during the pandemic. However, only 22 of them reported that the main driving motivation of their successful quit attempt was the COVID-19 pandemic. Conclusion: Most participants reported anti-smoking beliefs and attitudes during the pandemic. Nevertheless, the double-edged effect of the pandemic on smoking habits should be carefully considered, and reliable anti-smoking measures should be strengthened and sustained in the country.


2020 ◽  
Vol 12 (1) ◽  
pp. 25
Author(s):  
Zuraini Hanim Zaini ◽  
Noreen Izza Arshad ◽  
Balbir SN Singh ◽  
Nurshazlyn M Aszemi ◽  
Subuh Anggoro ◽  
...  

Learning to program can be difficult for the students. Students must master language syntax, programming theory, and problem-solving techniques. Efforts have been made to assist students in understanding how to program. This study is intended to examine whether Arduino, as a teaching and learning tool, helps in generating students’ interests towards programming. Arduino is one of the physical computing tools which has an open-source electronics platform based on user-friendly hardware and software for creating different projects and applications. Arduino is easy to be used by beginners, yet flexible enough for advanced users to learn physical computing and programming. This study adopted a quantitative research method to measure the student’s attitude in learning programming using physical computing. The sample of this study is 56 students from the foundation program and undergraduate program. To gauge students’ perception, students’ attitude survey was adapted. The collected data were analyzed using descriptive analysis. Based on the analysis, the study found that the overall mean score was 4.253. The result indicated that student has a positive attitude in learning programming using physical computing.


Author(s):  
Fauziah Nasution

<p><strong><em>Introduction:</em></strong> <em>The picture message policy on cigarette packets is regulated in Permenkes No. 28 of 2013 concerning the Inclusion of Warnings and Health Information on Tobacco Product Packaging. The purpose of the inclusion of pictorial health warnings (PKB) on cigarette packs is to prevent adolescents from smoking. By looking at the frightening picture on PKB, it hoped that young smokers would be motivated to quit smoking</em><em>. <strong>Method</strong>: This study used a quantitative research approach with a cross-sectional design (cross-sectional) using primary data, this research conducted in Medan City. During January - June 2019. The population in this study were adolescents aged 18-23 years. The sample of this study was 215 teenagers. Data analysis used cross-tabulation descriptive analysis than presented in the form of a frequency distribution table using SPSS 22. <strong>Results</strong>: The results of this study indicate that the majority of respondents have smoking behaviour in the 19-20 year age group. The majority of respondents stated that they smoke 1-5 cigarettes a day. Teens who stated that they were not afraid of the impact of picture messages on cigarette packs had a 3,939 times risk of smoking compared to adolescents who expressed fear of the impact of picture messages on cigarette packs <strong>Conclusion</strong>: It hoped that the government could expand the picture message on cigarette packets to increase the desire to quit smoking and reduce the number of smokers in Indonesia. The image message on cigarette packs must be enlarged in order to reduce smoking behaviour in adolescents.</em></p>


Author(s):  
Romano Endrighi ◽  
Nicolle Rueras ◽  
Shira I Dunsiger ◽  
Belinda Borrelli

Abstract Introduction Smoking and pain are highly prevalent among individuals with mobility impairments (MIs; use assistive devices to ambulate). The role of pain-related smoking motives and expectancies in smoking cessation is unknown. We examined cross-sectional and prospective associations between a novel measure of pain-related smoking motives (how smokers with pain perceive their pain and smoking to be interrelated) and pain and smoking behavior in smokers with MI. Methods This is a secondary data analysis of a smoking cessation induction trial (N = 263; 55% female) in smokers with MI. Participants did not have to want to quit to enroll. Pain-related smoking motives and expectancies were assessed at baseline with the pain and smoking inventory (PSI) which measures perceived pain and smoking interrelations in three distinct but related domains (smoking to cope with pain, pain as a motivator of smoking and as a barrier to cessation). Other measures included pain occurrence and interference, nicotine dependence, motivation and self-efficacy to quit smoking, and number of cigarettes per day. Biochemically verified smoking abstinence was assessed at 6 months. Results PSI scores were significantly higher among smokers with chronic pain occurrence compared to occasional and to no occurrence (p < .002) and were associated with greater pain interference (ps < .01) and lower self-efficacy to quit smoking (ps < .01). In prospective analyses adjusted for age, treatment group, and chronic pain, only expectancies of smoking to help cope with pain predicted lower odds of abstinence. Conclusions Targeting expectancies of smoking as a mechanism to cope with pain may be useful in increasing smoking cessation in pain populations. Implications Individuals with MI have a high prevalence of smoking and pain, yet the extent to which this population perceives pain and smoking to be interrelated is unknown. This is the first article to examine prospective associations between a novel measure of perceived pain and smoking interrelations (PSI) and smoking outcomes. The PSI was associated with greater pain and lower self-efficacy for quitting. Prospectively, the PSI subscale tapping into expectancies that smoking help coping with pain predicted a lower probability of smoking abstinence. In smokers with MI, expectancies of smoking as pain-coping mechanism may be an important clinical target.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Ana Rita Ramalho ◽  
P. M. Vieira-Marques ◽  
C. Magalhães-Alves ◽  
M. Severo ◽  
M. A. Ferreira ◽  
...  

Abstract Background Electives are perceived by medical students as a valuable, highly regarded experience, allowing them to customize learning experiences and enabling them to early differentiate during medical training. The present work aims to uncover students’ major determinants of satisfaction and how they interfere with their future elective choices in order to identify the best approach to implement electives in medical curricula. Methods A cross-sectional study was conducted through a written evaluation survey concerning the electives available in the academic year 2015–2016. Our institution provides 106 electives to students from the 2nd to the 5th year. Students’ satisfaction was assessed through a validated questionnaire with eight sentences expressing opinions related to electives global satisfaction. Data from 538 inquiries from 229 students were analyzed quantitatively using regression and correlation models, and qualitatively through phenomenography. Results Quantitative analysis of the questionnaires allowed to establish both: 1) The determinants of students’ satisfaction with electives, which were Agreement with teaching and learning methodologies, followed by Agreement with assessment methodologies employed, Perception of the workload demanded and Requirement for continuous work and 2) The predictors of students preferences in the following years, namely, Agreement with assessment methodologies employed, Classes attendance and Ranking of the allocated elective established in the previous year. Qualitative analysis of questionnaires revealed that students consider electives as being innovative and interesting, claiming that some, for their relevant content, could be integrated into the medical core curriculum. Conclusions Our work raises awareness on the best practices when it comes to electives’ organization to meet students’ satisfaction. We can conclude that medical schools should measure students satisfaction as a tool to organize and predict future needs of electives and placements when designing and implementing this alternative student-centred curriculum or even to improve the existing practices regarding electives in medical courses.


1976 ◽  
Vol 38 (1) ◽  
pp. 251-258 ◽  
Author(s):  
Carl Reynolds ◽  
Robert Nichols

The smoking behavior of 885 students in high school and 1 yr. later in college was correlated with scores on scales and factor scales of the California Psychological Inventory and of the Objective Behavior Inventory. The data were analyzed separately by sex, and groups of students who started and who quit smoking during the period of study were compared with those who continued either to smoke or to abstain. Smokers were less well-adjusted and more likely to engage in antisocial activities. These relationships were stronger among women than among men, and those who showed behavioral ambivalence toward smoking, i.e., started or quit, were intermediate between' smokers and nonsmokers with respect to personality and behavior. The results are interpreted as suggesting a direct relationship between personality and cigarette smoking.


2009 ◽  
Vol 11 (4) ◽  
pp. 371-380 ◽  
Author(s):  
Kathryn Greene ◽  
Smita C. Banerjee

Abstract Introduction: This study explored the association between unsupervised time with peers and adolescent smoking behavior both directly and indirectly through interaction with delinquent peers, social expectancies about cigarette smoking, and cigarette offers from peers. Methods: A cross-sectional survey was used for the study and included 248 male and female middle school students. Results: Results of structural equation modeling revealed that unsupervised time with peers is associated indirectly with adolescent smoking behavior through the mediation of association with delinquent peers, social expectancies about cigarette smoking, and cigarette offers from peers. Discussion: Interventions designed to motivate adolescents without adult supervision to associate more with friends who engage in prosocial activities may eventually reduce adolescent smoking. Further implications for structured supervised time for students outside of school time are discussed.


Author(s):  
Toghur Arifani Lubis ◽  
R. Kintoko Rochadi

Smoking is a fatal issue that has not yet been resolved and spread even among adolescents particularly in Indonesia. This study aim to depict the adolescents smoking behavior in SMPN three Medan or urban areas and MTS Amin Darussalam Deli Serdang or suburban areas. This cross sectional study conducted on October. Data were collected using questionnaires toward students from both school. Results shows majority respondent in urban have good knowledge, negative attitude toward cigarette and non-smokers but interested in smoking, majority of former smokers in urban firstly tried smoking during sixth grade elementary because of peer influence, smoking occasionally, ever smoked one to five cigarettes per day, quit smoking because of self-awareness and still have interest in smoking. Furthermore, majority respondent in suburban have bad bad knowledge, negative attitude toward cigarette, smoker, firstly tried smoking during sixth grade elementry because of peer influence, smoking occasionally, ever smoked one to five cigarettes per day and have no intention to quit smoking, majority of former smokers quit smoking because of caught by parent or teacher and still have interest in smoking.  In conclusion, there is difference of smoking behavior between urban and suburban, the depiction of smoking behavior in suburban is worse than in urban because it has higher number of smokers, poorly dominant of knowledge and have no intention to quit smoking.


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