scholarly journals Knowledge, perception and practice of self-medication among premedical and basic science undergraduate medical students

2016 ◽  
Vol 7 (6) ◽  
pp. 63-68 ◽  
Author(s):  
P Ravi Shankar ◽  
Arun K Dubey ◽  
Neelam R Dwivedi ◽  
A Nandy ◽  
B Barton

Aims and Objective: Responsible self-medication is recognized as an important component of self-care. Medical students are in a unique position as they cannot yet legally prescribe medicines but their knowledge about and exposure to medicines increase as they progress through their course. Xavier University School of Medicine in Aruba admits students mainly from the United States, Canada and other countries to the undergraduate medical course. The present study was carried out to study the knowledge, perceptions and practice of self-medication among premedical and undergraduate medical students.Materials and Methods: The study was conducted during June and July 2016 using a questionnaire which had been used previously.  Knowledge and perceptions were studied by noting the respondents’ degree of agreement with asset of 40 statements. The use of selected classes of medicines for self-medication during the preceding one-year period was studied. The knowledge, perception and total scores were calculated and compared among different subgroups of respondents. Age, gender, nationality and semester of study of the respondents were noted.Results: Eighty-five of the 125 students enrolled (69.1%) participated. The mean knowledge, perception and total scores were 73.45, 62.75 and 136.2 (maximum possible scores were 105, 95 and 200 respectively). There was no significant difference in scores among subgroups of respondents. Analgesics, skin ointments, antipyretics and anti-allergics were commonly used for self-medication. Over half the respondents had used some form of self-medication during the preceding year.      Conclusion: The present study provides preliminary information regarding self-medication practices among both premedical and basic science medical students. Further studies on factors influencing and information sources used during self-medication can be conducted. Asian Journal of Medical Sciences Vol.7(5) 2016 63-68

Author(s):  
P Ravi Shankar ◽  
Atanu Nandy ◽  
Ramanan Balasubramanium ◽  
Soumitra Chakravarty

Purpose: The tutorial group effectiveness instrument was developed to provide objective information on the effectiveness of small groups. Student perception of small group effectiveness during the PBL process has not been previously studied in Xavier University School of Medicine. Hence the present study was carried out. Methods: The study was conducted among the second and third semester undergraduate medical students during the last week of September 2013, in Xavier University School of Medicine, Aruba, Kingdom of the Netherlands. Students were informed about the objectives of the study and invited to participate after obtaining written, informed consent. Demographic information like gender, age, nationality and whether the respondent had been exposed to PBL before joining the institution were noted. Student perception about small group effectiveness was studied by noting their degree of agreement with a set of 19 statements using a Likert type scale. Results: Thirty four of the 37 (91.9%) second and third semester medical students participated in the study. The mean cognitive score was 3.76 while the mean motivational and demotivational scores were 3.65 and 2.51 respectively. The median cognitive category score was 27 (maximum score 35) while the motivation score was 26 (maximum score 35) and the demotivational score was 12 (maximum being 25). There was no significant difference in scores according to respondents’ demographic characteristics. Conclusion: Student perception about small group effectiveness was positive. Since most medical schools all over the world already have or are introducing PBL as a learning modality, Tutorial Group Effectiveness Instrument can provide valuable information about small group functioning during PBL sessions.


Author(s):  
Harish G. Bagewadi ◽  
Priyadarshini M. Deodurg ◽  
B. V. Patil ◽  
Syed Hasan Zahid

Background: Self-medication practice is widespread in many countries and the irrational use of drugs is a cause of concern. It assumes a special significance among medical students as they are exposed to knowledge about diseases and drugs. To assess practice and perception of self-medication among undergraduate medical students.Methods: It is a descriptive study in which study population was comprised of 2nd year undergraduate medical students of Gulbarga Institute of Medical Sciences, Kalaburagi, Karnataka, India. Total 134 students were included in the study. Written informed consent was obtained from each volunteer prior to the study. Students were given a questionnaire that included both open and close ended questions about self-medication practice. Data was analysed and presented as counts and percentages.Results: It was found that 72 (54%) students practiced self-medication. The principal morbidity for seeking self-medication was cold and cough as reported by 70 (53%) students. Antibiotics were most commonly self-medicated as reported by 55 (36%) students. Only 34 (25%) students opined that self-medication is part of self-care.Conclusions: Self-medication is widely practiced among under­ graduate medical students. In this situation, we should educate the students about advantages and disadvantages of self-medication.


2018 ◽  
Vol 6 (2) ◽  
pp. 52-55 ◽  
Author(s):  
Marwa Ramadan ◽  
Asmaa Eltaweel ◽  
Tamwe El Nakhal ◽  
Hanan Hemead ◽  
Abdelrahman Maraqa ◽  
...  

Background: The aim of the present study was to assess the prevalence of self-medication among undergraduate medical students in Alexandria Faculty of Medicine and recognize the patterns and the attitude of students towards intake. Methods: A cross-sectional study was conducted among undergraduate medical students attending Alexandria Faculty of Medicine from both national and international programs during the period of June 2013 until October 2013. A self-administrated, semi-constructed questionnaire was used to assess the practice of self-medication among 408 students who were randomly selected using a stratified random sample technique. Results: Self-medication was reported by 208 (52.7%) students, with no significant difference between males and females. The highest percentage of self-medication was reported among those who have completed six years of academic study and the lowest was reported among those who have completed two years of academic study. There was a statistically significant association between educational stage (preclinical and clinical) practice of self-medication. Most common medications involved were analgesic and anti-inflammatory followed by decongestants, antimicrobials and antihistaminic drugs. 309 (78.8%) students believed that self-medication is acceptable. Conclusion: The present study demonstrated that self-medication is practiced by more than half of undergraduate medical students in the Faculty of Medicine - Alexandria University. Acquiring medical knowledge seems to be associated with the practice of self-medication. Therefore, more attention should be paid to medical curricula to raise awareness and limit the hazardous effects of this phenomenon


2018 ◽  
Vol 6 (1) ◽  
pp. 21-26 ◽  
Author(s):  
Anishma Karmacharya ◽  
Bipashwi Nath Uprety ◽  
Ravi Shankar Pathiyil ◽  
Sudesh Gyawali

Introduction: Self-medication is an important aspect of self-care. It is a common practice in society and medical students are no exception. The aim of this study was to explore the knowledge and practice of self-medication among students of a medical school in Western Nepal. Methods: A cross sectional study was conducted among basic science and clinical students after obtaining prior consent from those willing to participate. Respondents’ degree of agreement with a set of 25 statements was noted using Likert scale to assess their knowledge. The practice of self-medication was studied by asking about the use of selected groups of medicines during the past one-year period and noting the pattern of use. Results: Three hundred and thirty of the 356 students (92.6%) participated in the study. Mean knowledge score was 93.2 (SD = 8.1). Self-medication was practiced by 83.3% (n = 275) of respondents. Knowledge about self-medication differed among respondents according to gender (p = 0.03) and nationality (p = 0.04) but not other variables. Practice of self-medication was associated with father’s profession (p = 0.03) and nationality of the respondents (p = 0.04). Conclusions: Students’ knowledge about self-medication was good and they commonly practiced self-medication. Pain-killers were the most commonly used drug.


2021 ◽  
Vol 15 (6) ◽  
pp. 1487-1489
Author(s):  
M. S. H. Ansari ◽  
M. Z. Anjum ◽  
N. Haider ◽  
S. Mustafa ◽  
A. Nawaz ◽  
...  

Objective: To evaluate perspectives of medical students and patients on bedside teaching. Study Design: Cross-section survey Place and Duration of Study: Department of General Surgery/Pediatric Surgery Unit-ll, DHQ Teaching Hospital, Dera Ghazi Khan from 1st April 2019 to 30th June 2019. Methods: Two hundred students from 4th year and final year MBBS class were included and 100 patients from general surgery and general medical wards who stayed for at least 48 hours and had at least 2 case presentations and 2 consecutive morning rounds were enrolled in the study. Their perspectives about bedside teaching were assessed with two separate questionnaires. Results: The mean age of medical students was 23 years (20-26) and 35% were male and 65% were female. The mean age calculated for patients was 55.5 years (18-75). Fifty two percent were females and 48% were males. Fifty eight percent of medical students stated that the time of bedside teaching is not enough and it should be increased. Majority of patients were satisfied with the bedside teaching techniques and 82% of patients believed that through bedside teaching. No significant difference of responses among students and patients was observed. Conclusion: Teaching on the bedside provides unique opportunities to incorporate the learning skills for direct benefit of the patients. It provides a unique learning triad consisting of patients, students, and teachers and creates clinical simulation as a learning tool. Key words: Bedside teaching, undergraduate, medical students


Author(s):  
Nawar Sahib Khalil ◽  
Reem Ali Haddad ◽  
Israa Talib Hassan2 ◽  
Ruqaya Subhi Tawfeeq

Introduction: Self-medication is increasingly being a common practice worldwide more so amongst the medical students. This study aimed to assess the prevalence of self-medication among the medical students and to describe the self-reported practice and pattern of medication by undergraduate medical students at Al-Iraqia University in Baghdad city. Methods: This study is a cross-sectional survey. Out of 440 students enrolled, 400 (>90%) responded. The data was collected using self-administrated pretested questionnaire and then analyzed using SPSS version 18.0. Results: During the last one year preceding the study, 85% of respondents using self-medication mostly among single students (98.2%), aged 20+ years old (56.5%), in fourth academic level (27.1%), living with their families (73.2%) and of non-sufficient income (54.7%). The main indication for seeking self-medication include headache as reported by 83.8% followed by cold and cough and fever 80.3% and pain elsewhere in body (70%). Drugs commonly used for self-medication included analgesics 89.4% and anti-pyretic 67.9%. Minor illness was the most common reason for self-medication (80.6%). 56.8% and 45% of respondents follow pharmacist and textbooks respectively as a source of information in practicing self-medication. Most of respondents practiced self-medication for themselves (57.9%) and for both; themselves and their family members (45%). Some level of awareness was reported among non-practiced self-medication students; 60% of them were afraid from risk of adverse reaction of drugs. Conclusion: Self-medication is broadly practiced among medical students in this College. Therefore, there is need to improve the medical educational program to raise the awareness level regarding the advantage and disadvantages of self-medication to ensure safe usage of drugs.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hamdi Al Shenawi ◽  
Rami Yaghan ◽  
Amer Almarabheh ◽  
Noor Al Shenawi

Abstract Background The current study aimed to evaluate the previously unexplored correlation between undergraduate medical students’ attendance during their surgical clerkship and their academic performance. It also aimed to explore any difference in the attendance rate between male and female students and whether this difference, if present, affects the academic performance. Methods A retrospective descriptive cross-sectional study has been conducted on 331 undergraduate medical students during their surgical clerkships at the College of Medicine and Medical Sciences (CMMS) at Arabian Gulf University (AGU), Bahrain from September 2018 to June 2020. Results There was a positive statistically significant correlation between students’ attendance during surgical clerkship and academic performance (r = 0.360, P <  0.01). Mean attendance rate was greater in each increasing category of academic performance: 47.95% in the weak category (less than 65%, n = 42), 57.62% in the good performance category (65% to less than 75%, n = 108), 67.82% in the very good performance category (75% to less than 85%, n = 126), 83.16% in the excellent performance category (85% and above, n = 55). The mean attendance rate of male students was 59.76% (SD = 25.73), compared to 66.92% (SD = 24.30) in the female students. T-test indicated that the difference between the mean attendance of the two groups of the students (male, female) was statistically significant (t = 2.483, p <  0.05). On the other hand, the difference between the mean academic performance for the two groups of students, male & female, (t = 0.284, p = 0.777) was not statistically significant. Conclusions Our study showed a significant relationship between undergraduate medical students’ attendance during their surgical clerkship and their academic performance. Further studies are needed to stratify this correlation according to clinical and theoretical teaching activities. No significant difference was observed in academic performance between female and male students.


Author(s):  
Tauseef Akhtar ◽  
Usama Daimee ◽  
Bhradeev Sivasambu ◽  
Erica Hart ◽  
Eunice Yang ◽  
...  

Introduction: There are limited data describing the experience of index radiofrequency (RF) vs. cryoballoon (CB) ablation for atrial fibrillation (AF) among elderly patients in the United States. Methods: We conducted a retrospective analysis of patients > 75 years of age undergoing index AF ablation between January 2010 and March 2019 at our center. Major complications and efficacy, defined as freedom from any atrial tachyarrhythmia (ATA) lasting ≥30 seconds after one year of follow-up, were assessed in patients with index RF vs. CB ablation. Predictors of ATA recurrence at 1 year follow-up were also evaluated. Results: In our cohort of 194 patients, the mean age was 78 ± 3.1 years, 58.2% were men, and 39.4% had persistent AF. The mean left atrial (LA) diameter was 4.5 ± 0.7, while the mean CHA2DS2-VASc score was 3.5 ± 1.2. The majority (n=149, 76.8%) underwent RF ablation. The incidence of complications was similar in the two sub-groups (RF: 1.3% vs. CB: 2.2%, p=0.67). No significant difference in success rate at 1-year follow-up was found between patients receiving RF vs. CB ablation (59.7% vs. 66.7%, p=0.68). In a multivariable model adjusting for the relevant covariates only LA size [HR=1.64, CI: 1.15-2.34, p<0.01] was independently associated with ATA recurrence at 1year follow-up. Conclusion: In our cohort of elderly patients undergoing index CA for AF, RF ablation was the predominant modality with similar safety and efficacy relative to CB ablation. LA size was a significant predictor of ATA recurrence at 1year independent of index ablation modality.


Author(s):  
Keshab Raj Paudel ◽  
Hari Prasad Nepal ◽  
Binu Shrestha ◽  
Raju Panta ◽  
Stephen Toth

Purpose: Different students may adopt different learning approaches: namely, deep and surface. This study aimed to characterize the learning strategies of medical students at Trinity School of Medicine and to explore potential correlations between deep learning approach and the students’ academic scores. Methods: The study was a questionnaire-based, cross-sectional, observational study. A total of 169 medical students in the basic science years of training were included in the study after giving informed consent. The Biggs’s Revised Two-Factor Study Process Questionnaire in paper form was distributed to subjects from January to November 2017. For statistical analyses, the Student t-test, 1-way analysis of variance followed by the post-hoc t-test, and the Pearson correlation test were used. The Cronbach alpha was used to test the internal consistency of the questionnaire. Results: Of the 169 subjects, 132 (response rate, 78.1%) completely filled out the questionnaires. The Cronbach alpha value for the items on the questionnaire was 0.8. The score for the deep learning approach was 29.4± 4.6, whereas the score for the surface approach was 24.3± 4.2, which was a significant difference (P< 0.05). A positive correlation was found between the deep learning approach and students’ academic performance (r= 0.197, P< 0.05, df= 130). Conclusion: Medical students in the basic science years at Trinity School of Medicine adopted the deep learning approach more than the surface approach. Likewise, students who were more inclined towards the deep learning approach scored significantly higher on academic tests.


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