scholarly journals Patients’ Perception towards General and Pelvic Examination by Male Medical Students: A Cross-sectional Study in a Multi-ethnic Population

2021 ◽  
Vol 20 (4) ◽  
Author(s):  
Valliammai Jayanthi Thirunavuk Arasoo ◽  
Nisha Angela Dominic ◽  
Vanassa Ratnasingam ◽  
Md Inzamum Ul Islam ◽  
Erin Ziyi Lee ◽  
...  

Introduction Male medical students globally have difficulty in obtaining consent to perform pelvic examination. We sought to identify independent factors influencing women consenting to male medical students performing general and pelvic examination under supervision. Methods This cross-sectional study conducted at a tertiary hospital and a public health care centre in Johor Bahru, Malaysia recruited 369 women above 18 years old who have had  sexual intercourse before and no prior hysterectomy. A validated self-administered bilingual questionnaire was used to collect data on factors that influence them consenting to male medical students examining them and performing pelvic examination when indicated. Results The respondents were largely below 30 years old (52.9%), Malays (73.4%) and Muslims (75.3%). The consent rates for general and pelvic examination were 27.4% and 18.9%, respectively. Being a Muslim, having an occupation and being introduced by a male medical specialist increased the likelihood of women consenting to general examination. However, a history of being examined by male students decreased the likelihood by 64%. Believing that male doctors should have the skills to treat patients in women's health was the only independent factor that increased the likelihood for women to consent for pelvic examination to be conducted by male medical students.  Conclusion Believing that male doctors should be skilled in treating women positively influences decision to consent. Explaining earnestly to women on how they aid in developing the skills of future doctors should be prioritised. Keywords: patients’ perception; male medical students; pelvic examination

2017 ◽  
Vol 4 (4) ◽  
pp. 1305
Author(s):  
Ragesh Kalikottu Valappil ◽  
Sheena Krishnan ◽  
Siddharth Matad ◽  
Shameej Kinakool Vayalipath

Background: Diabetes mellitus is a chronic disorder affecting large segment of population and is a major public health problem.Methods: A prospective cross sectional study of 150 patients conducted in the Department of Surgery at Government Medical College, Kozhikode, Kerala, IndiaResults: Maximum numbers of patients were in the age group of 60-69. Male to female ratio is 3.04:1.50% had duration of diabetes <10 years and 50% had duration ≥10. years. 81 (54%) patients had neuropathy, 53 (35.3%) had PVD, 41 (27.3%) had history of prior foot ulcer, 70 (46.7%) had poor glycemic control (RBS >200 mg/dl) at the time of admission and 44 (29.3%) had history of smoking.Conclusions: Most important risk factors for diabetic foot ulcers were neuropathy (54%), poor glycemic control (46.7%) and PVD (35.3%), diabetic foot requires a comprehensive management.


BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e034196
Author(s):  
Juxia Zhang ◽  
Limei Yang ◽  
Xiaoying Wang ◽  
Jiao Dai ◽  
Wenjing Shan ◽  
...  

ObjectivesThe aim of the study was to examine the level of patient satisfaction with nursing care and identify the factors affecting satisfaction from the inpatient’s perspective in a backward region of China.DesignThis was a cross-sectional study.SettingThe study was conducted at a tertiary hospital located in northwest China.ParticipantsPatients admitted to the ward for at least 48 hours were chosen to participate in the survey.Primary outcome measureThe Newcastle Satisfaction with Nursing Care Scale was used. Data were collected from 219 patients.ResultsThe overall inpatient satisfaction with nursing care was 78.15±4.74. Patients were more satisfied with nurses who respected their privacy and treated them as individuals (67.7%). Patients were least satisfied with the type of information nurses gave them (11.7%) and with the sufficient awareness of their needs. Patients who were married, had a history of hospitalisation, surgery and were taken charge of by junior nurses had higher satisfaction.ConclusionsThe overall level of patient satisfaction was moderate. Patient-centred individualised care and providing sufficient information model of care are needed. There was a need for nurses to be aware of patients’ individualised care needs and to provide them with more information. This study may suggest/urge hospital administrators, policymakers and nurses to be more sensitive with patients’ married status, history of hospitalisation and surgery, the professional title of in charged nurses when care is provided. Ultimately to achieve better outcome of patients’ hospitalisation.


10.2196/14666 ◽  
2020 ◽  
Vol 9 (2) ◽  
pp. e14666 ◽  
Author(s):  
Ahmed H Abduljabbar ◽  
Sara F Alnajjar ◽  
Hussein Alshamrani ◽  
Lujain F Bashamakh ◽  
Hisham Z Alshehri ◽  
...  

Background Medical undergraduates are the future doctors of the country. Therefore, determining how medical students choose their areas of specialty is essential to obtain a balanced distribution of physicians among all specialties. Although gender is a significant factor that affects specialty choice, the factors underlying gender differences in radiology are not fully elucidated. Objective This study examined the factors that attracted medical students to and discouraged them from selecting diagnostic radiology and analyzed whether these factors differed between female and male medical students. Methods This cross-sectional study conducted at King Abdulaziz University Hospital in Jeddah, Saudi Arabia, used an electronic questionnaire sent to medical students from all medical years during February 2018. Subgroup analyses for gender and radiology interest were performed using the chi-square test and Cramér’s V test. Results In total, 539 students (276 women; 263 men) responded. The most common factor preventing students from choosing radiology as a career was the lack of direct patient contact, which deterred approximately 47% who decided against considering this specialty. Negative perceptions by other physicians (P<.001), lack of acknowledgment by patients (P=.004), and lack of structured radiology rotations (P=.007) dissuaded significantly more male students than female students. Among those interested in radiology, more female students were attracted by job flexibility (P=.01), while more male students were attracted by focused patient interactions with minimal paperwork (P<.001). Conclusions No significant difference was found between the genders in terms of considering radiology as a specialty. Misconception plays a central role in students’ judgment regarding radiology. Hence, early exposure to radiology, assuming a new teaching method, and using a curriculum that supports the active participation of students in a radiology rotation are needed to overcome this misconception.


2021 ◽  
Vol 28 (12) ◽  
pp. 1723-1731
Author(s):  
Waseem Sajjad ◽  
Anwisha Samreen ◽  
Syed Asfand Yar Shah ◽  
Afifa Batool ◽  
Muhammad Umair ◽  
...  

Objectives: To determine the prevalence of depression among medical students and its association with various sociodemographic characteristics. Study Design: Cross-Sectional Study. Setting: Nishtar Medical University, Multan. Period: August 2019 to September 2020. Material & Methods: A sample of 315 medical students were chosen by stratified random sampling technique. Patient Health Questionnaire 9 (PHQ-9) was used for screening and assessing the severity of depression. A special questionnaire was designed containing sociodemographic and educational characteristics. Data were collected via online forms and were analyzed using SPSS V26. Results: Out of 315 students, who participated in the study, 134 (42.5%) were female students, and 181 (57.5%) were male students. 63 (20%) students were taken from each academic year from 1st year through 5th year (final year). 64% of the students were suffering from depression. The proportion of students suffering from mild, moderate, moderately severe, and severe depression was 27%, 18%, 11%, and 8% respectively. Depression was more prevalent among female students (73.1%) as compared to male students (58.0%) with a p-value <0.05. Conclusion: Depression is a serious problem for medical students. It was significant among female, preclinical students, living in the home with a family history of depression in financial pressure. It should be sorted out early to make early interventions.


2021 ◽  
Author(s):  
Salsabeel Yousef ◽  
Khaled Jadallah ◽  
Khalid A. Kheirallah ◽  
Mohannad Al Nsour ◽  
Anwar Batieha

Abstract Background Irritable bowel syndrome (IBS) is one of the most common functional gastrointestinal disorders worldwide. IBS is not a life-threatening condition; however, it considerably reduces the quality of life of sufferers. This study aims at assessing the prevalence of IBS, its subtypes, and associated factors among medical students at Jordan University of Science and Technology (JUST).Methods We conducted a cross-sectional study among medical students at JUST from November 2019 to February 2020. A structured, pre-validated, comprehensive, self-administered, and anonymous questionnaire was used. The questionnaire consists of three parts: sociodemographic and behavioral factors related questions, Rome IV diagnostic questionnaire, and Depression Anxiety Stress Scale (DASS-21). A total of 396 students participated in our study.Results The prevalence of IBS among medical students at JUST was 28.5%. The predominant IBS subtype was IBS-mixed (IBS-M), which constituted 42.5% of the cases. Multivariate logistic regression analyses revealed that gender, family history of IBS, academic level, residence, stress level, anxiety level, and depression level were the main predictors of IBS. Males were fifty percent less likely to suffer from IBS compared to females. Students who had a family history of IBS were two and half times more likely to suffer from IBS. Students who had extremely severe stress were five times more likely to have IBS than those with normal stress levels. Students who had extremely severe depression were three and half times more likely to suffer from IBS than those who had normal depression level. Students who had extremely severe anxiety levels were two and half times more likely to suffer from IBS than those of normal anxiety level. The odds of having IBS were highest among fifth-year students, followed by sixth-year students compared to first-year students. The anxiety level regression model revealed that students living with their families have a reduced risk for IBS by 50% than students living in a private house.Conclusion IBS is highly prevalent among medical students at JUST. Sex, family history of IBS, academic level, residence, stress level, anxiety level, and depression level were the risk factors of IBS. Offering emotional and psychological support and stress management courses may be needed to enhance students' ability to deal with stress, reduce anxiety and depression.


2019 ◽  
Author(s):  
Ahmed H Abduljabbar ◽  
Sara F Alnajjar ◽  
Hussein Alshamrani ◽  
Lujain F Bashamakh ◽  
Hisham Z Alshehri ◽  
...  

BACKGROUND Medical undergraduates are the future doctors of the country. Therefore, determining how medical students choose their areas of specialty is essential to obtain a balanced distribution of physicians among all specialties. Although gender is a significant factor that affects specialty choice, the factors underlying gender differences in radiology are not fully elucidated. OBJECTIVE This study examined the factors that attracted medical students to and discouraged them from selecting diagnostic radiology and analyzed whether these factors differed between female and male medical students. METHODS This cross-sectional study conducted at King Abdulaziz University Hospital in Jeddah, Saudi Arabia, used an electronic questionnaire sent to medical students from all medical years during February 2018. Subgroup analyses for gender and radiology interest were performed using the chi-square test and Cramér’s V test. RESULTS In total, 539 students (276 women; 263 men) responded. The most common factor preventing students from choosing radiology as a career was the lack of direct patient contact, which deterred approximately 47% who decided against considering this specialty. Negative perceptions by other physicians (<i>P</i>&lt;.001), lack of acknowledgment by patients (<i>P</i>=.004), and lack of structured radiology rotations (<i>P</i>=.007) dissuaded significantly more male students than female students. Among those interested in radiology, more female students were attracted by job flexibility (<i>P</i>=.01), while more male students were attracted by focused patient interactions with minimal paperwork (<i>P</i>&lt;.001). CONCLUSIONS No significant difference was found between the genders in terms of considering radiology as a specialty. Misconception plays a central role in students’ judgment regarding radiology. Hence, early exposure to radiology, assuming a new teaching method, and using a curriculum that supports the active participation of students in a radiology rotation are needed to overcome this misconception.


Author(s):  
Hatan Hisham Mortada ◽  
Yara Aayed Alqahtani ◽  
Hadeel Zakaria Seraj ◽  
Wahbi Khalid Albishi ◽  
Hattan A Aljaaly

BACKGROUND Although plastic surgery has been gaining a lot of popularity recently, there seems to be limited perception and a poor understanding of this field by both medical professionals, including medical students, and the general public. This might alter referral patterns as well as medical students’ choice to pursue a career in plastic surgery. OBJECTIVE The purpose of this study was to assess knowledge and perception of plastic surgery among medical students and to explore the influencing factors underlying particular beliefs. METHODS Data for this cross-sectional study were collected between August 22 and December 22, 2017. The questionnaire was formulated on the basis of our own study objectives and from available questionnaires with similar objectives. It was composed of 14 questions divided into three main parts: demographics, the specialty of plastic surgery, and media involvement and its effect on plastic surgery. The study was conducted via an online questionnaire among medical students in all years at King Abdulaziz University Hospital, Jeddah, Saudi Arabia. Data were considered significant at P<.05. All analyses were performed using SPSS, version 20. RESULTS A total of 886 medical students participated in this study. We achieved a response rate of 56.79%. The mean age of the participants was 21.2 years. The mean awareness score was 9.7 (SD 4.2) for female students and 8.3 (SD 4.2) for male students (P<.001). The condition most commonly known to be treated by a plastic surgeon was burns (70.3% of responses). CONCLUSIONS Medical students do not have adequate awareness of plastic surgery, and early exposure to this specialty may enhance their awareness.


2021 ◽  
Vol 10 (2) ◽  
pp. 86-92
Author(s):  
Noortaj Begum ◽  
Jakia Sultana Shila ◽  
Sabreena Mohtarin ◽  
Sharmin Sultana ◽  
Rukhsana Parvin ◽  
...  

Background: Overweight and obesity are recognized as “escalating epidemics” affecting both developed and developing countries. Of the factors contributing to obesity, stress seems to be particularly important as stressful condition leads to irregularity in diet, lack of exercise and addiction. Medical students are exposed to a lot of stress throughout their education. Hence, this study was undertaken to find out the prevalence of overweight and obesity among undergraduate medical students. Objectives: The present cross-sectional study was intended to find out the prevalence of overweight/obesity among medical students of Enam Medical College and its association with their sociodemographic and life-style pattern. Materials and Methods: This cross- sectional study was conducted among medical students in Enam Medical College, Savar, Dhaka from March to July 2017. A total of 283 1st and 2nd year MBBS students were included in the study. After getting permission from college authority and concerned Ethical Committee data were collected using a semi-structured questionnaire containing the variables of interest. Blood pressure and anthropometric measurements (weight and height) were noted. Data were analysed using SPSS (Statistical Package for Social Sciences) version 16.0. Results: In the present study, the prevalence of overweight and obesity was 21.2% and 6.0% respectively. Males were found more overweight or obese (70.1%) compared to females (29.9%) (p=0.041). No other sociodemographic variables were found associated with overweight or obesity. Family history of obesity was observed for evaluation of overweight/obesity among the respondents (p=0.018) although family history of hypertension and/or diabetes did not influence the overweight/ obesity. Systolic and diastolic blood pressures of the overweight/obese group were higher than their normal counterparts (p=0.003 and p=0.002). There was no association between BMI and behavioral variables such as exercise, sleep, entertainment and food behavior. Conclusion: More than one-quarter of the undergraduate medical students are overweight or obese and overweight or obesity are more predominant in males. Overweight and obese students generally have family history of overweight or obesity. Behavioural factors such as taking exercise, time spent on sleep and entertainment and food habit are not associated with BMI. J Enam Med Col 2020; 10(2): 86-92


Author(s):  
Joseph Jose ◽  
Sruthi M. V.

Background: World Health Organization (WHO) defines physical activity as “any bodily movement produced by skeletal muscles that requires energy expenditure. Since medical education is considered stressful due to voluminous academics, it leaves little time for the students to relax and recreate. Hence the present study had been undertaken with an aim to study various trends of physical activity, health status and academic performance among medical students and to find out any association between physical activity and health status, academic performance of medical students.Methods: A cross-sectional study had been undertaken among 2nd and 3rd year MBBS students of our medical college. Physical activity was assessed using GPAQ version 2 questionnaire and mental status of students was measured using hospital anxiety and depression scale. Height, weight, and BMI, of each student along with demographic details were collected. The total percentage of any one of the internal marks of each student was taken for assessing the academic performance.Results: Out of total 150 medical students it was found that 44% of medical students were physically inactive and 40.7% of them were highly active. Majority of female students 70.3% were physically inactive and overweight and obesity were higher among them when compared with male students. But anxiety and depressive symptoms were higher among male students. There was statistically significant difference in association between level of physical activity and mental health. The academic performance also increased with increase in physical activity.Conclusions: Physical activity and mental health are related proportionally and it bears a positive influence on the education of the youth. The regular physical activity improves the mental status and academic performance among students.


Crisis ◽  
2020 ◽  
pp. 1-6
Author(s):  
Mohammed Madadin ◽  
Ritesh G. Menezes ◽  
Maha A. Alassaf ◽  
Abdulaziz M. Almulhim ◽  
Mahdi S. Abumadini ◽  
...  

Abstract. Background: Medical students are at high risk of suicidal ideation. Aim: We aimed to obtain information on suicidal ideation among medical students in Dammam located in the Eastern Province of Saudi Arabia. Method: This cross-sectional study was conducted at the College of Medicine affiliated with Imam Abdulrahman Bin Faisal University in the Eastern Province of Saudi Arabia. Suicidal ideation in the past 12 months was assessed based on responses to four questions in the depression subscale of the General Health Questionnaire 28 (GHQ-28). In addition, data were collected to examine the association of suicidal ideation with various factors. Results: We found that 1 in 3 medical students in the study had suicidal ideation in the past 12 months, while around 40% had lifetime suicidal ideation. Suicidal ideation was associated with feelings of parental neglect, history of physical abuse, and dissatisfaction with academic performance. Limitations: The cross-sectional nature of this study limits its ability to determine causality regarding suicidal ideation. Conclusion: These rates are considerably high when compared with rates from studies in other countries around the world. This study provides a reference in the field of suicidology for this region of Saudi Arabia.


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