scholarly journals Bridging the Gap between Medical Students and the Deaf-Mute Population

Author(s):  
Huzairi Sani ◽  
Nada Syazana Zulkufli ◽  
Iman Wahidah ◽  
Nurul Afiqah ◽  
Nur Sabrina ◽  
...  

Introduction: Deafness is the inability to hear or impaired hearing. In 2018, more than 40,000 Malaysians were registered with hearing loss. Sign languages use visualization and facial expression to convey conversational meaning. However not many healthcare workers are able to converse in sign language thus hampering effective communication with deaf patientsObjective: To evaluate the effectiveness of sign language in increasing awareness amongst medical students on healthcare access difficulties faced by the deaf.Methods: Four medical students underwent sign language classes at the Malaysian Federation of Deaf before being formally assessed and certified by an instructor. A video on common questions used in the clinical setting using sign language was then developed and shown to a cohort of 224 medical students in UiTM. Awareness on the importance of sign language amongst the cohort was surveyed before and after watching the video. The four medical students were also assessed on their awareness and communication proficiency before and after attending classes. Post- and pre-test responses were analysed using Wilcoxon signed rank test and paired sample T-test.Results: The number of students who were aware of the importance of sign language in the clinical setting increased from 39.7% (N=89) to 98.2% (N=220) after watching the video. The four medical students’ post-test scores also increased significantly after attending sign language classes (Mean +2.43, p<0.01). Significant improvement in basic knowledge of sign language and ability to demonstrate signs such as self-introduction and gathering medical history were observed (p=0.046). In totality, awareness of the challenges faced by deaf-mute patients when communicating with healthcare workers increased significantly (p=0.046).Conclusion: Sign language is essential in improving communication between deaf patients and healthcare workers. It is therefore imperative that healthcare personnel gain basic skills in sign language to improve communication and provide better medical services to the deaf community.International Journal of Human and Health Sciences Supplementary Issue: 2021 Page: S11

PLoS ONE ◽  
2021 ◽  
Vol 16 (5) ◽  
pp. e0251078
Author(s):  
Ji Hye Yu ◽  
Hye Jin Chang ◽  
Soon Sun Kim ◽  
Ji Eun Park ◽  
Wou Young Chung ◽  
...  

Introduction Psychological factors such as anxiety and confidence that students have in the patient care situation are important in that this affects the actual clinical performance. Students who are just starting clinical practice have a lack of clinical knowledge, skill proficiency, and patient communication skills, so they experience anxiety and lack of confidence in clinical setting. Practice in a safe environment, such as simulation education, can help students perform more settled and competently in patient care. The purpose of this study was to analyze the effect of high-fidelity simulation experience on anxiety and confidence in medical students. Materials and methods This study enrolled 37 5th-year students at Ajou University School of Medicine in 2020. Two simulation trainings were implemented, and a survey was conducted to measure students’ level of anxiety and confidence before and after each simulation. Based on the research data, a paired t-test was conducted to compare these variables before and after the simulation, and whether this was their first or second simulation experience. Results Students had a significantly lower level of anxiety and a significantly higher level of confidence after the simulation than before. In addition, after one simulation experience, students had less anxiety and more confidence before the second simulation compared to those without simulation experience. Conclusions We confirmed that medical students need to be repeatedly exposed to simulation education experiences in order to have a sense of psychological stability and to competently deliver medical treatment in a clinical setting. There is a practical limitation in that medical students do not have enough opportunities to meet the patients during clinical practice in hospitals. Therefore, in order to produce excellent doctors, students should have the expanded opportunities to experience simulation education so they can experience real-world medical conditions.


2018 ◽  
Vol 3 (2) ◽  
pp. 453-457
Author(s):  
Ajay Kumar Rajbhandari ◽  
Reshu Agrawal Sagtani ◽  
Bijay Thapa ◽  
Puspanjali Adhikari

Introduction: A healthcare associated infection (HCAI) during patient care is an emerging challenge to healthcare service delivery. Transmission of most of these HCAIs can be prevented through application of standard precautions which are a set of infection control practices followed during patient care, whether or not they appear infectious or symptomatic.Objective: This study aims to assess the existing knowledge and attitude on infection control and standard precautions among healthcare personnel working in peripheral healthcare settings of Nepal.Methodology: It was a cross-sectional study and included nine different health facilities in Makwanpur district. Knowledge and attitude regarding infection control and standard precautions were assessed with the help of a self-administered questionnaire on a pre-determined scale. The results are presented as frequency distribution table and valid proportions.Results: In the study, 91.9% of the HCWs agreed that HCAI is caused by micro-organisms that can be transmitted between patients while 51.5% of them disagreed that HCAI can be caused by micro-organisms carried on the hands of healthcare workers. Majority (98.6%) of the HCWs believed that the use of gloves, mask and apron reduces the risk of HCAI whereas 13.5% of HCWs disagreed that gloves should be changed between the examination of different patients. Although 97% of the HCWs agreed that hand should be washed before and after examining the patient, 17.6% of them informed that they do not always wash their hands before and after examining a patient.Conclusion: Irrespective of limited availability of infection control guidelines, it was found that the knowledge on HCAI control was good and majority of the respondents showed favorable attitude towards infection control and standard precautions.  BJHS 2018;3(2)6: 453-457.


2021 ◽  
Author(s):  
Krishna G.C. ◽  
Amit Arjyal ◽  
Amanda Douglas ◽  
Madhusudan Subedi ◽  
Rajesh Gongal

Abstract Background Doctors’ empathy: the understanding of patients’ experiences, concerns and perspectives, is highly valued by patients yet often lacking in patient care. Medical humanities has been introduced within undergraduate curriculum to address this lack in empathy. There is a paucity of research on the impact of a course on medical humanities on the empathy of medical students, particularly in South Asia. Here we report on the impact of such an intervention in first-year medical students and aim to help outcome-based medical education and the evaluation and promotion of humanities within medical courses. Methods This study is a quantitative evaluation of student empathy before and after a Medical Humanities course. The study employs the Jefferson Scale of Empathy-Student version (JSE-S). Participants were first-year medical students at Patan Academy of Health Sciences, Nepal. All cohort students were invited to participate and written consent was obtained. Data were collected both prior-to and on-completion-of, a six-week Medical Humanities module. Pre- and post-module data were analyzed and the resulting empathy scores compared using the paired t-test or Wilcoxon Sign Rank test. Subgroup analysis was undertaken to determine the association of the score with gender and preferred future speciality. Results Sixty-two student responses were analyzed, 32 (52%) male. In the Pre-module scores females had a slightly higher mean score than males:108 and 103 respectively. Participants who preferred people-oriented specialities also scored higher than those preferring procedure and technology-oriented specialities: 107 and 103. There was a significant increase in mean score for the entire class from Pre-module to Post-module: 105 to 116, p-value of < 0.001. Mean scores rose from 103 to 116 in males, and from 108 to 116 in females. Participants preferring Procedure and Technology-Oriented specialities showed a significant increase in meanscores:103 to 117, and participants preferring People-Oriented specialities demonstrated a smaller increase:107 to 111. Conclusion This study provides evidence of the impact of a Medical Humanities course for increasing medical student empathy scores at an institution in Nepal. Teaching of Medical Humanities is an important contributor to the development of empathy in medical students and its widespread expansion in the whole of South Asia should be considered.


2021 ◽  
Author(s):  
Elliott Kyung Lee ◽  
Alexandra Morra ◽  
Khalid Bazaid ◽  
Abdellah Bezzahou ◽  
Kevin Simas ◽  
...  

Abstract Background: Recruitment to psychiatry has been challenging in Canada and abroad. Historically 4-6% of medical students match to psychiatry in Canada. Novel and innovative measures to increase interest in psychiatry among medical students are needed to meet the increasing demand for psychiatrists given the increasing burden of mental health issues globally. Common barriers include negative attitudes and stigma towards psychiatry and a paucity of knowledge about the field. The study goal was to evaluate the efficacy of the Ottawa Psychiatry Enrichment Program (OPEP), a one-week extracurricular program about psychiatry as a career, developed for 1st and 2nd year medical students to improve medical students’ attitudes towards psychiatry, and increase recruitment.Methods: 1st and 2nd year medical students from Canada applied to OPEP. Attendees completed the Attitudes Towards Psychiatry Questionnaire (ATP-30) before OPEP (PreOPEP), after OPEP (PostOPEP) and after their Canadian Residency Matching Service (CaRMs) match 2-3 years later. OPEP ATP-30 scores were compared to third-year student ATP-30 scores before and after their psychiatry rotation. Data were analysed using Friedman non-parametric ANOVA and post hoc testing by either Wilcoxon rank sum test, Wilcoxon matched pairs signed rank test, or parametric Welch independent t-test as appropriate. Effect sizes of group mean differences were calculated using Cohen’s “d”. Results: 29 students were selected for OPEP from 2017-2018 from across Canada. 100%, 93.1% and 75.8% of students completed the PreOPEP, PostOPEP, and CaRMs ATP-30 surveys respectively. 43% of OPEP attendees matched to psychiatry. PostOPEP ATP-30 scores (mean=133, median=137, SD=10.6) were significantly higher than PreOPEP ATP-30 (mean score=121, median=122, SD=9.3, p < 0.001) and CaRMS ATP-30 (mean=126, median=127, SD=12.3, p < 0.02) scores. OPEP effect size on ATP-30 scores was large (d=1.2) but decreased 2-3 years later (p=0.078, d=0.44). 97/202 students completed the ATP-30 before and after their psychiatry rotation (clerkship). Clerkship effect size on improvement in ATP-30 was moderate (d=0.39). There was a non significant difference between OPEP CaRMS ATP-30 and post clerkship ATP-30 scores (median 127 vs 121, p=0.056). Conclusions: OPEP ameliorated attitudes toward Psychiatry, but improvement deteriorated longitudinally. Additional strategies to boost/retain these improvements during clerkship years may be beneficial.


2018 ◽  
Vol 3 (1) ◽  
pp. 44
Author(s):  
Jelita Herlina Siska Hinonaung ◽  
Elsi Dwi Hapsari ◽  
Widyawati

ABSTRAKTujuan penelitian: Mengetahui pengaruh pemberian paket “kiat sehat” terhadap kecemasan pada ibu hamil. Metode: Jenis penelitian ini adalah pra-eksperimental one-group pra-post test design. Penelitian dilaksanakan pada tanggal 11 Juli 2016-18 Agustus 2016. Pemilihan sampel secara consecutive sampling. Jumlah sampel adalah 51 responden. Pengumpulan data menggunakan kuesioner yang terdiri atas 2 bagian, yaitu karakteristik responden dan kecemasan ibu hamil yang telah digunakan oleh Setyaningsih (2012). Uji wilxocon signed rank test digunakan untuk melihat perbedaan skor kecemasan ibu hamil sebelum dan setelah empat belas hari diberikan paket “kiat sehat”. Hasil: mayoritas responden adalah umur 19-35 tahun (82,4%), pendidikan menengah (52,9%), mendapatkan informasi tentang kehamilan dari petugas kesehatan (78,4%). Median skor dan simpangan baku kecemasan responden sebelum diberikan paket “kiat sehat” adalah 71(10,6) dan setelah diberikan paket “kiat sehat” 61(10). Uji wilcoxon untuk mengukur pengaruh pemberian paket “kiat sehat” terhadap kecemasan menunjukkan nilai p<0,001. Diskusi: pemberian paket “kiat sehat” berpengaruh bermakna secara klinis menurunkan kecemasan pada ibu hamil. Penting untuk membekali diri ibu hamil dengan informasi yang benar tentang kehamilan. Paket “kiat sehat” dapat dimanfaatkan oleh ibu hamil maupun keluarga sebagai bahan bacaan mengenai kiat sehat selama kehamilan sehingga wawasan bertambah dan kecemasan berkurang selama proses kehamilan. Kesimpulan: Ibu hamil perlu dibekali informasi yang benar tentang kehamilan untuk menurunkan kecemasan. Paket ‘kiat sehat’ dapat digunakan sebagai alternatif media pembelajaran yang digunakan oleh petugas kesehatan untuk diberikan pada ibu hamil.Kata kunci: Paket “kiat sehat”, kecemasan, ibu hamilEFFECT OF GIVING “HEALTHY TIPS (KIAT SEHAT)” PACKAGE ON ANXIETY IN PREGNANT WOMENABSTRACTObjective: To identify the effect of “healthy tips (kiat sehat)” package on anxiety in pregnant women. Methods: This research is pre-experimental with one-group pre-posttest design. It was conducted on 11 July 2016-18 August 2016. Samples were taken using consecutive sampling with a sample size of 51 respondents. Data were collected using a questionnaire consisting of 2 parts, namely characteristics of respondents and anxiety of pregnant women that had been used by Setyaningsih (2012). A Wilcoxon signed-rank test was used to see differences anxiety scores in pregnant women before and after fourteen days of being given a “healthy tips” package. Results: The majority of respondents were aged 19-35 years (82.4%), had secondary education (52.9%), obtained information about pregnancy from healthcare workers (78.4%). The median score and standard deviation of respondents’ anxiety before being given the “healthy tips” package was 71 (10.6) and after being given the “healthy tips” package was 61 (10). The Wilcoxon test to measure the effect of giving “healthy tips” package on anxiety showedp value of <0.001. Discussion: Giving “healthy tips” package has a clinically significant effect on reducing anxiety in pregnant women. It is important to equip pregnant women with correct information about pregnancy. The “healthy tips” package can be used by pregnant women andfamilies as reading material concerning healthy tips during pregnancy so that their knowledge increases and anxiety decreases during the pregnancy, Conclusion: Pregnant women need to be equipped with correct information about pregnancy to reduce anxiety. The ‘healthy tips ’package can be used as an alternative learning medium by healthcare workers to be given to pregnant women.Keywords: “Healthy tips ” Package, anxiety, pregnant women


Wahana ◽  
2019 ◽  
Vol 22 (1) ◽  
pp. 41-49
Author(s):  
Djaja Perdana ◽  
Herbowo Herbowo

This study aims to examine the differences in corporate financial performance before and after secondary offerings. The financial performance is proxied by WCR, DER, Solvency, ROA, ROE, Asset Turnover (ATO) and Growth ratio which representing the value of liquidity, financing, activity, performance and growth of the firm. The study involved 67 samples of the companies listed on the Indonesia Stock Exchange conducting secondary offerings during 2008-2013 period and selected through purposive random sampling method and using Financial Statement data from 2005-2016 period. Hypothesis test is performed using Wilcoxon Signed Rank test. The results of this study indicate that there is no significant difference in the ratio of Solvency, ROA and ROE between before and after secondary offerings, but there are significant differences in the ratio of WCR, DER, Asset Turnover and Growth. WCR ratio after secondary offerings increased, while DER ratio after secondary offerings decreased, the condition of both ratios showed better performance. While the indication of poor performance seen in decreasing asset turnover ratio and growth ratio.Keywords : agency theory, financial performance, secondary offerings


Author(s):  
I Ketut Widana

The working practice of the engineering students is part of the learning process that is irreducible and indispensable. The composition of  lecturing between theoretical and practical one is 40% to 60%. With this condition, the students spend more time at the laboratory. Generally, the students perform in the laboratory work by standing position. The design of research is observational cross-sectional. The method applied is observation, interview and measuring. The subjects of research are practicing students amounting to 21 students. Referring to the analysis of statistical test or Wilcoxon signed ranks test, the difference of effect of work position is significant, namely p < 0.05 towards musculoskeletal disorders (MSDs) before and after working. The quantity of the average complaint after working is score 44.62 ± 9.47. The result of Wilcoxon signed rank test shows that there is significant different effects of standing work position, namely p < 0.05 towards fatigue generally before and after working. The degree of the working pulse is on the average of 110.78  ± 17.80 bpm (beats per minutes) which can be categorized into the medium workload. Using paired t-test, the result is p < 0.05.


2019 ◽  
Vol 9 (9) ◽  
pp. 98 ◽  
Author(s):  
Kisokanth G. ◽  
Indrakumar J. ◽  
Prathapan S. ◽  
Joseph J. ◽  
Ilankoon I.M.P.S.

This study was aimed to assess the effectiveness of diabetes self-management education (DSME) in the improvement of glycemic control among patients with type 2 Diabetes Mellitus (T2DM) in Batticaloa District, Sri Lanka. The study was a prospective interventional study and conducted as a preliminary study at medical clinic, Base hospital, Kaluwanchikudy, Batticaloa. Thirty patients with T2DM were included based on inclusion and exclusion criteria. A structured individual diabetes self-management education for 10 hours (one hour per week) was delivered to diabetic patients by the trained Nurse Health Educator. Glycosylate hemoglobin (HbA1c) was assessed as a main outcome measure and Fasting Blood Sugar (FBS), Body Mass Index (BMI) of each patient were also measured and recorded before and after the intervention. The respondent rate was 96.7% (n = 29). Majority of them were females (n = 25, 86.2%). A Wilcoxon signed rank test showed that DSME had a statistically significant reduction in HbA1c [8.60 (IQR 2.60) vs. 7.40 (IQR 2.10), p = .000] and FBS level [159.00 (IQR 77.50) vs. 134.00 (IQR 40.50), p = .002] at 3 months of intervention. The mean BMI at baseline was higher compared to 3 months of intervention [24.88 (SD ± 3.06) vs. 24.19 (SD ± 2.79)] which was statistically significant (p = .000). Majority of participants (n = 22, 75.9%) had improved their HbA1c level by ≥ 0.5% in 3 months. The diabetes self-management education is an effective measure in improving glycemic control and other clinical parameters among patients with T2DM. Thus, DSME needs to be implemented among clinic patients with T2DM for the better outcome and the preventions of complications.


Pathogens ◽  
2021 ◽  
Vol 10 (4) ◽  
pp. 465
Author(s):  
Gregorio P. Milani ◽  
Mario G. Bianchetti ◽  
Giuseppe Togni ◽  
Andreas W. Schoenenberger ◽  
Franco Muggli

It is assumed that healthcare workers are at the highest risk to be infected by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). However, few data from healthcare workers who do not primarily take care of patients with SARS-CoV-2 infection support this assumption. We investigated the prevalence of immunoglobulin G (Ig G) against SARS-CoV-2 among healthcare workers who do not primarily take care of patients with SARS-CoV-2 infection and the general population in a well-defined geographical area. The first part of the study was conducted in May 2020 in Val Mesolcina (Southern Switzerland), a valley with ~8000 inhabitants. All healthcare workers were invited. All participants (n = 488) of the Swiss Longitudinal Cohort Study (SWICOS), a cohort representative of the general population, were also invited. Circulating Ig G against spike protein subunit 1 of SARS-CoV-2 were tested in each subject. Subjects with positive Ig G were tested again after 6 months. The condition of being a healthcare worker, rather than a part of the general population, was tested as a predictor of seroprevalence positivity by both simple and multiple (adjusted for age and sex) logistic regression. Eleven (2.6%) of the 423 SWICOS participants and 46 (16%) out of 289 healthcare workers were positive for antibodies against SARS-CoV-2. The seroprevalence OR was 7.01 (95% CI: 3.53–15.47) for healthcare workers as compared to SWICOS participants. After adjusting for age and gender, the seroprevalence OR was 5.13 (95% CI: 2.54–10.40). About three quarters of the subjects in the SWICOS (73%) and in healthcare (79%) group with a previous positive serology still presented positive Ig G against the SARS-CoV-2 after 6 months. The present seroprevalence data point out that the SARS-CoV-2 infection is seven times higher among healthcare workers than in the general population of Val Mesolcina. Efforts to effectively protect all the healthcare personnel are needed.


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