scholarly journals Psychiatric disorders among medical students: how aware are we?

2014 ◽  
Vol 1 (4) ◽  
pp. 56-60
Author(s):  
S Ranjan ◽  
S Shah ◽  
S Aryal ◽  
TK Aich
Keyword(s):  
Medical Students ◽  
General Population ◽  
Psychiatric Disorders ◽  
Health Care Providers ◽  
English Language ◽  
Psychiatric Treatment ◽  
Care Providers ◽  
Future Health ◽  
Multicenter Studies ◽  
Language Studies

Studying medicine is a physically and emotionally demanding course. Several studies have documented that medical students are at high risk for developing psychiatric disorders. Also the risk increases because these students who are the future health care providers may misunderstand and stigmatize psychiatric disorders. This can be potentially tragic. This article reviews the data on prevalence of psychiatric disorders among medical students. PubMed and Medline were searched to identify latest peer-reviewed English-language studies reporting on depression, anxiety, suicide and other psychiatric disorders among medical students from different parts of the world. Searches were done using the key words medical students, psychiatric disorders, depression, burnout and suicide. References of the retrieved articles were inspected to identify relevant additional articles. The studies suggest a high prevalence of burnout, depression, suicide and other psychiatric disorders among medical students, higher than in the general population. Medical students are reluctant to seek psychiatric treatment more than the general population. The environment where they study may make them behave in the unprofessional way rather than the mental illness itself. Medical school is a time of significant psychological distress. Large, prospective, multicenter studies are needed to identify personal and training-related features that influence depression, anxiety, and burnout among students and explore relationships between distress and competency. DOI: http://dx.doi.org/10.3126/jucms.v1i4.9578 Journal of Universal College of Medical Sciences (2013) Vol.1 No.04: 56-60

Knowledge Gaps among Patients and Providers in HPV-Related Oropharyngeal Cancer: A Systematic Review

2020 ◽  
Vol 162 (5) ◽  
pp. 612-621 ◽  
Author(s):  
Sean M. Parsel ◽  
Blair M. Barton ◽  
Sydney Beatty ◽  
Paul L. Friedlander
Keyword(s):  
Health Care ◽  
General Population ◽  
Health Care Providers ◽  
English Language ◽  
Human Subjects ◽  
Controlled Trial ◽  
Meta Analysis ◽  
Case Series ◽  
Primary Outcome Measure ◽  
Care Providers

Objective To describe the level of knowledge of human papillomavirus (HPV) and HPV-associated oropharyngeal squamous cell carcinoma (OPSCC) among the general population and health care providers. Data Sources Systematic search was performed on December 20, 2018, using MEDLINE (1966 to December 2018), EMBASE (1975 to December 2018), Web of Science (1900 to December 2018), and CENTRAL (1996 to December 2018) databases. English-language literature involving human subjects was used, and studies were limited to case series, case-control, cohort, and randomized controlled trial designs. Review Methods Studies were included if they assessed knowledge of HPV and HPV-associated OPSCC. The primary outcome measure was the knowledge of HPV-associated OPSCC among the general population and with health care providers. Meta-analysis of proportions was attempted using random-effects model. The PRISMA guidelines were used for accuracy of reporting. Results Thirty-two studies were included with 17,288 participants. There was a high degree of heterogeneity preventing completion of a meta-analysis. Knowledge of HPV and HPV-associated OPSCC varied between the general population and health care providers. The proportion of the general population and health care providers with knowledge of HPV ranged from 16% to 75% and 21% to 84%, respectively. Knowledge of HPV-associated OPSCC was greater in health care providers and ranged from 22% to 100% compared with the general population, which ranged from 7% to 57%. Conclusion There is a knowledge gap of HPV-associated OPSCC for both the general population and health care providers. Additional education may not only increase awareness but may also result in prevention and earlier detection.

scholarly journals Perceived Stress in First-Year Medical Students and its Effect on Gut Microbiota

2019 ◽  
Author(s):  
Matthew Revere Rusling ◽  
Joseph Johnson ◽  
Aaron Shoskes ◽  
Chunfa Jie ◽  
Li-Lian Yuan
Keyword(s):  
Medical Students ◽  
Perceived Stress ◽  
Health Care Providers ◽  
Gut Microbiome ◽  
Well Being ◽  
First Year ◽  
Care Providers ◽  
Future Health ◽  
Stress Resilience ◽  
First Year Medical Students

AbstractMedical students are constantly under stress caused by strenuous medical programs, which may exert persistent physical and psychological effects on their well-being. Using medical students as a model population, this work explores the gut microbiome as a potential contributing mechanism for why individuals exposed to similar stimuli react variably. We evaluated the relationship of gut microbiome composition of first year medical students and stress resilience over a period of 4 months. Our objective was to identify gut microbiome characteristics of individuals that showed long-term stress resilience. Students were voluntarily recruited and screened for lifestyle and environmental factors at 3 timepoints during the first semester. Fecal samples were also collected at each timepoint. In order to identify candidates with stress resilience, their perceived stress and depression levels were normalized and summed to produce a psychologic index score. The most notable finding is a correlation between psychologic resiliency of Bacteriodete:Firmicute abundance as well as a relationship between durable resiliency and microbiome stability. Phylogenetic assembly of participants by microbiome relatedness found that 100% of subjects who were resilient to stress across all timepoints (n=8) were phylogenetically clustered in adjacent positions, showing a high degree of temporal stability. Of participants who were not durably resilient to stress, only 62% of participants (n=8) showed microbiomes that were phylogenetically related across the same 4 month period. We identified 2,102 Operational Taxonomic Units (OTUs) which were unique to the durable resilience group and 94 OTUs which were unique to the susceptible group. Of the 4,794 observed OTUs, 6.1% (n=294) were significantly different between groups. These findings support that the gut microbiome may play an important role in stress resilience at a time scale of 4 months. A better understanding of the role of the gut microbiome in stress resilience may shed light on potential treatment to reduce stress/anxiety in general, as well as to promote wellbeing of our future health care providers and physicians.

scholarly journals Awareness about emergency contraception among medical students in a Tamil Nadu private medical college: a cross sectional study

2017 ◽  
Vol 4 (8) ◽  
pp. 2977
Author(s):  
Kamal Kishore Verma ◽  
Rajeev K. H.
Keyword(s):  
Medical Students ◽  
Health Care Providers ◽  
Emergency Contraception ◽  
Cross Sectional Study ◽  
Care Providers ◽  
Future Health ◽  
Cross Sectional ◽  
Medical College ◽  
Future Health Care ◽  
First Year Medical Students

Background: The methods of contraception that can be used to prevent pregnancy in the first five days after sexual intercourse are termed as emergency contraception (EC). Unwanted pregnancy among adolescents and youth poses a major challenge to the reproductive health in developing countries because of illegal and unsafe abortions and leading to maternal death. Since medical students are future health care providers and their correct awareness about EC will help in giving health education to the community. The objective of the study was to assess the awareness about emergency contraception among first year medical students in a private medical college of Tamil Nadu.Methods: A cross sectional study was conducted among first year medical students of a private medical college. A total of 122 students were interviewed using pretested, semi-structured questionnaire. Descriptive statistics were used to analyse the data.Results: Among the study population, 56.6% and 43.4% were males and females respectively. All students heard about EC and 73% were correctly aware about the correct timing of administration of EC. 72% of them felt that they can get EC directly from any pharmacy store without any prescription, 89% of them feel that EC is not an effective routine method of contraception and only 10% said that it will result in more women suffering from STI/HIV.Conclusions: Our study showed that, students were having good knowledge about emergency contraception. Since they are future health care providers giving adequate training to them in acquiring good knowledge will help in dispensing the reproductive health education to the community especially for the adolescents and youth.

The prevalence rate of smoking among Veterans: A forgotten epidemic

2021 ◽  
Vol 7 (2) ◽  
pp. 16-25
Author(s):  
Salome K. Mshigeni ◽  
Champagne Moore ◽  
Nicole L. Arkadie
Keyword(s):  
Health Care ◽  
General Population ◽  
Cognitive Processing ◽  
Health Care Providers ◽  
Stress Reduction ◽  
Prevalence Rate ◽  
Behavioral Therapy ◽  
Cognitive Processing Therapy ◽  
Care Providers ◽  
Quit Smoking

LAY SUMMARY The purpose of this study was to learn more about the smoking habits of U.S. Veterans compared with the rest of the population and to find the best ways to help Veterans quit smoking. This study found that Veterans tend to smoke more than the general population and that some groups of Veterans smoke more than others. When helping Veterans to quit smoking, health care providers should use approaches that are based on evidence, such as cognitive behavioral therapy, cognitive processing therapy, mindfulness-based stress reduction, and biofeedback in addition to the traditional 3A cessation model (ask, advise, refer).

Abstract P163: Accuracy to Diagnose Cardiac Arrest and Quickness to Start Chest Compression in Different BLS Algorithms; a Comparative Study

Circulation ◽  
2008 ◽  
Vol 118 (suppl_18) ◽  
Author(s):  
Tomoko Tamura ◽  
Koichi Tanigawa ◽  
Shinji Kusunoki ◽  
Takuma Sadamori ◽  
Tadatsugu Otani ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Medical Students ◽  
Health Care Providers ◽  
Chest Compression ◽  
Loss Of Consciousness ◽  
Care Providers ◽  
Clinical Experiences ◽  
European Resuscitation Council ◽  
The Subject ◽  
Erc Guidelines

Background; BLS algorithms for health care providers or experience personnel recommended by AHA, European Resuscitation Council (ERC), and Japanese Resuscitation Council (JPN) differ with respect to the sequence of assessment and procedures. The differences may affect accuracy to diagnose cardiac arrest and quickness to start chest compression. We compared BLS algorithms recommended by these organizations with respect to accuracy of respiratory/circulatory assessment, and quickness to start chest compression using a computed manikin model. Methods; Thirty three subjects (16 physicians and 17 medical students) were enrolled. The Sim-Man (Laerdal) was used to develop 2 scenarios (no pulse/no breathing, with pulse 60/min and breathing 10/min). The three algorithms and 2 scenarios were randomly assigned to the subject, and the accuracy to diagnose cardiac arrest and the time from confirmation of loss of consciousness to starting chest compression were evaluated. Results; The rates of incorrect assessment of respiratory/circulatory status were AHA;9.8% (13 out of 132), ERC;9.1%(12 out of 132) and JPN;6.8%(9 out of 132)(n.s. among algorithms). When the results were analyzed with respect to clinical experiences of the subjects, i.e. physicians vs. medical students, significant differences were found between the groups: AHA;17.2% (11 out of 64), ERC;15.6% (10 out of 64), JPN;12.5% (8 out of 64) in students, whereas AHA;2.9% (2 out of 68), ERC;2.9% (2 out of 68), JPN;1.5% (1 out of 68) in physicians* (* p<0.05 vs. students). The time to starting chest compression were AHA;27.8±5.1 sec, ERC;18.6±3.2** sec, JPN;23.7±4.2 sec (**p<0.05 vs. AHA and JPN), and no significant differences were found between physicians and students. Conclusions; No differences were found in accuracy of respiratory and circulatory assessment among the algorithms, although it may be influenced by clinical experiences of evaluators. The BLS algorithm starting CPR from chest compression such as ERC guidelines may reduce the time of no-flow status in cardiac arrest.

scholarly journals Assessment of knowledge and attitude about emergency contraception: a cross sectional study among medical students in North India

2017 ◽  
Vol 6 (9) ◽  
pp. 4042
Author(s):  
Rajiv Kumar Gupta ◽  
Parveen Singh ◽  
Rashmi Kumari ◽  
Bhavna Langer ◽  
Pawan Sharma ◽  
...  
Keyword(s):  
Medical Students ◽  
Sexual Intercourse ◽  
Health Care Providers ◽  
Emergency Contraception ◽  
Early Years ◽  
North India ◽  
Care Providers ◽  
Cross Sectional ◽  
Unprotected Sexual Intercourse ◽  
Knowledge And Attitude

Background: Emergency contraception (EC) which is the only method indicated after the unprotected sexual intercourse prevents unintended pregnancies and its harmful consequences like unsafe abortion or unintended child delivery. Since medical students are the future medical professional and would be the main channel to provide preventive, promotive and curative services to the population at large, their knowledge and attitude towards EC is an important context in the overall health scenario of India. The study aimed to assess the knowledge and attitudes of medical students towards use of EC.Methods: This cross sectional questionnaire based study was conducted among 2nd professional MBBS students in a Government Medical College in North India. The self administered questionnaire intended to seek information on knowledge and attitude of the students. The data so collected was expressed in percentages and Chi square test was used as test of significance.Results: All the respondents had heard of EC with mass media as the main source of information. More than 90% of the respondents knew about the indications for use of EC as well as the timing of the use of EC. Female respondents had better knowledge about composition of EC as well mechanism of action (p<0.05). More than 90% would recommend EC in case of unprotected sexual intercourse and 83.5% had positive attitude towards EC.Conclusions: Although knowledge about EC was good on certain parameters, yet lack of in depth knowledge among future health care providers is a cause of concern. So, attention be given to special issues relating to EC from early years of medical education till internship. 

scholarly journals Premedical Student Exposure to Pharmaceutical Marketing: Too Much, Too Soon?

2019 ◽  
Vol 51 (9) ◽  
pp. 722-727
Author(s):  
Toby Keys ◽  
Mark H. Ryan ◽  
Sharon Dobie ◽  
David Satin ◽  
David V. Evans
Keyword(s):  
Medical Students ◽  
Medical School ◽  
Health Care Providers ◽  
Direct Marketing ◽  
Medical Schools ◽  
Pharmaceutical Marketing ◽  
Care Providers ◽  
Clinical Experiences ◽  
Premedical Students ◽  
Pharmaceutical Representatives

Background and Objectives: Direct pharmaceutical marketing to physicians by pharmaceutical representatives is effective in changing behavior of health care providers, resulting in less evidence-based prescribing. Although much has been written about pharmaceutical marketing exposures among medical students, less is known about direct marketing exposures before students matriculate. This study examined the types of pharmaceutical representative direct marketing exposures for premedical students and where they occurred. Methods: From June to August of 2017, researchers surveyed students who accepted admission to US public medical schools. These prematriculated students completed our survey just prior to matriculation. The survey inquired about whether the students were exposed to pharmaceutical marketing directly from pharmaceutical salespeople, the types of marketing they observed or received, and where these interactions occurred. Results: Survey participants included 911 prematriculated students from 14 of the 188 medical schools invited to participate. Seventy-one percent (646) of the participants received or observed someone receiving pharmaceutical marketing gifts, small meals or snacks, articles, or samples. The two most common contexts for direct pharmaceutical marketing exposures were during shadowing experiences (54%, 346) and during employment (50%, 323). Conclusions: The findings suggest that it may be common for medical students to have interacted directly with pharmaceutical salespeople or observed other health professionals in these interactions before they matriculate in medical school. Because many of these interactions occur during clinical experiences required by institutions for admission, medical schools and premedical associations should consider delivering conflict-of-interest education early in medical school education or before students matriculate.

The Contribution of Death-Related Experiences to Health Care Providers' Attitudes toward Dying Patients: II. Medical and Nursing Students with No Professional Experience

1993 ◽  
Vol 26 (3) ◽  
pp. 181-205 ◽  
Author(s):  
Sandor B. Brent ◽  
Mark W. Speece ◽  
Marie F. Gates ◽  
Manju Kaul
Keyword(s):  
Medical Students ◽  
Nursing Students ◽  
Health Care Providers ◽  
Professional Education ◽  
Death And Dying ◽  
Professional Experience ◽  
Care Providers ◽  
Professional Career ◽  
Dying Patients ◽  
Attitude Measures

Beginning medical and nursing students with no professional death-related experience were compared in order to discover the attitudes they bring to their respective careers prior to their professional education and socialization. Hypotheses were derived from psychological models for the effects of professional choice, gender, and non-professional experience on these attitudes. On five of the six attitude measures female nursing students expressed a more positive attitude than cither male or female medical students, as predicted. However, contrary to expectation, the attitudes of the female medical students were not more positive than those of the male medical students on any of these measures. Hours of death-and-dying coursework and general life experience exerted a significant influence on attitudes toward talking to dying patients about death and dying but not on any of the other attitude measures. These data also suggest the existence of an underlying attitude structure, representing these students' Overall Attitude toward caring for dying patients, which remains stable across group differences in professional career choice, gender, and death-related experience. The original theoretical models were enriched and revised in the light of these findings.

Faculty Reflections on Effective Strategies Utilized to Implement Simulation-Enhanced IPE for Future Health Care Providers

2020 ◽  
Vol 46 ◽  
pp. 22-29
Author(s):  
Penni I. Watts ◽  
Todd Peterson ◽  
Michelle Brown ◽  
Dawn Taylor Peterson ◽  
Tracie White ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Care Providers ◽  
Future Health ◽  
Effective Strategies ◽  
Future Health Care

scholarly journals Prevalence of Depression, Anxiety, and Stress among the General Population in Saudi Arabia during Covid-19 Pandemic

2020 ◽  
Vol 17 (24) ◽  
pp. 9183
Author(s):  
Hasan Saeed Alamri ◽  
Abdullah Algarni ◽  
Shehata F. Shehata ◽  
Ali Al Bshabshe ◽  
Nada N. Alshehri ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
General Population ◽  
Health Care Providers ◽  
Psychological Impact ◽  
Public Mental Health ◽  
Well Being ◽  
Risk Groups ◽  
Care Providers ◽  
Cross Sectional ◽  
Prevalence Of Depression

Coronavirus disease 2019 (COVID-19) pandemic has had a significant impact on public mental health. Our objective was to assess prevalence of depression, anxiety, and stress among the general population in Saudi Arabia during this pandemic. A descriptive cross-sectional approach was used targeting all accessible populations in Saudi Arabia. Data were collected from participants using an electronic pre-structured questionnaire. Psychological impact was assessed using the Arabic version of Depression, Anxiety, and Stress Scale (DASS-21). A total of 1597 participants completed the survey. In total, 17.1% reported moderate to severe depressive symptoms; 10% reported moderate to severe anxiety symptoms; and 12% reported moderate to severe stress levels. Depression, anxiety, and stress were significantly higher among females, younger respondents, and health care providers. Depression was higher among smokers, singles, and non-working respondents. Anxiety was higher among those reporting contacts with COVID-19 positive cases, previously quarantined and those with chronic health problems. Our findings reaffirm the importance of providing appropriate knowledge and specialized interventions to promote the mental well-being of the Saudi population, paying particular attention to high-risk groups.

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