scholarly journals Substance Use among Medical Students in Kathmandu Valley

2010 ◽  
Vol 50 (180) ◽  
Author(s):  
P Khanal ◽  
R H Ghimire ◽  
B Gautam ◽  
SK Dhungana ◽  
P Parajuli ◽  
...  

Introduction: Substance use including tobacco and alcohol is the most important cause of preventable morbidity, disability, and premature mortality. The study aims to specify the prevalence and the pattern of use of different substance. Methods: A cross sectional study was performed amongst first year and final year students in four medical colleges in Kathmandu using self administered anonymous questionnaire.Data collectedfrom 446 students were analyzed. Results: Prevalence of substance use was found to be 60.3% among the medical students. Alcohol (57.6%) was the substance most prevalently used followed by tobacco (27.58%) and cannabis (12.8%). Mean age of first exposure was 17.94 (Confidence interval: 17.91-17.97). There was significant difference in the useof tobacco and cannabis amongst final year students than first year students. Male and female differed significantly in use of every substance except for benzodiazepine. Medical college, college and school were place of first exposure in 17.26%, 15.92% and 13.23% of the cases respectively. Family history was associated with substance use in medical students and was statistically significant (P<0.0001).Experimentation was the major reason for the use of most of the substances. Conclusions: Substance use is prevalent in male medical students of both first and final year. Hence steps should be initiated early in school, college and medical college to prevent substance use. Keywords: alcohol, medical students, substance use, tobacco.

Author(s):  
Sajjan Madappady ◽  
Hemant Kumar ◽  
S. Jayaram ◽  
Krutarth Brahmbhatt ◽  
Manjula Anil ◽  
...  

Background: Tobacco kills more than seven million people each year. In India tobacco kills nearly one million people each year and many of these deaths occur among people who are very young. Studies indicate that approximately 70% of all tobacco users would like to quit smoking and tobacco use.Methods: A non-randomized, cross sectional study was conducted in a Medical College in Mangaluru (Karnataka) which included medical students from first year to third year. A module developed by “Quit Tobacco International” was used for the purpose of training and counselling the selected medical students, focusing on the specific effects of tobacco, depicting simulated case scenarios.Results: A total of 404 medical students were included in the study. It was observed that 15.9% males and 5.3% females among first year students, 21.0% males and 5.3% females among second year students and 24.6% males and 9.2% females among third year students had smoked at some point in their life while the among current users, the prevalence of smoking was found to be much higher i.e. 8.7% and 2.6% among first year students, 9.9% and 3.5% among second year students; while it as highest among third year students i.e. 14% and 4.6%; among boys and girls respectively.Conclusions: The study brings out the need for inclusion of structured teaching and training of our medical students on harmful effects of tobacco use and its cessation techniques.


Author(s):  
Himanshu Jaiswal ◽  
Sonam Jain ◽  
Shreyansh Jaiswal

Abstract Aim: The aim of this article is to compare substance use and abuse in medical students of a tertiary care hospital involved in various undergraduate and postgraduate teaching programs. Materials and methods: Using a structured epidemiological survey questionnaire for psychoactive substance use based on Diagnostic and Statistical Manual of Mental Disorders (DSM)-IV criteria, 50 medical students in the first year and 50 medical students in the final year were compared. Results: One-fourth of all students reported nonmedical substance use. The substances used were alcohol, tobacco smoking, caffeine, etc. Most frequent substance use was alcohol and tobacco smoking due to easy availability. Their use mostly began after entry into medical college. Also, it was for a longer duration in final year students. Conclusion: Substance use disorders among medical students should be taken more seriously because they may influence their professional behavior. A well-planned program should be designed and implemented to train the medical students helping them develop coping skills and educating them about social, legal, and ethical impacts of substance use.


F1000Research ◽  
2013 ◽  
Vol 2 ◽  
pp. 157 ◽  
Author(s):  
Areeb Sohail Bangash ◽  
Nisreen Feroz Ali ◽  
Abdul Haseeb Shehzad ◽  
Sobia Haqqi

Objectives:The purpose of this study was to quantifythe levels of empathy amongst medical students in the first year and final year of the medical curriculum at a medical university in Karachi, Pakistan.Methods:A cross-sectional study, comprising of participating students in their first year and final year of the medical curriculum at Ziauddin University Medical College, was carried out, using the Empathy Quotient (EQ) scale consisting of 60 questions through a self-administered questionnaire. The results were collected anonymously over a time period of six months from a sample of 171 participants.Results:According to our analysis, we found 82.67% of fifth year students and 80.21% of first years showing average or above average levels of empathy. Female mean scores were 42±9.60 while males were 38.7±9.358 (P=0.03). No association was found between empathy and age of the participants (p=0.77).Conclusion:We found no significant difference in the levels of empathy between the first and fifth year medical students. However, it was shown that females exhibited higher levels of empathy than males.


Author(s):  
Kishore Y. Jothula ◽  
Praveena Ganapa ◽  
Sreeharshika D. ◽  
Navya K. Naidu ◽  
Abhishek P.

Background: Medical profession is one of the most highly rated professions among the students due to the fact that it offers prospects of a financially as well as a socially satisfying career. It was observed that many students in India prefer a career in medicine because of parental pressure. It has been consistently reported that a considerable proportion of medical students regret their career choice. Considering all these aspects the current study aimed at knowing the factors influencing to take up medical profession, interest towards different modes of teaching, reasons for least attention during the class and regret after choosing medicine as career.Methods: A cross-sectional study was conducted among 150 first year medical students with a pre-tested, semi structured questionnaire. Data collected was analysed using SPSS software.Results: The mean age of the subjects was 17.94±0.82 and majority were females (72%). Majority (82.6%) students opted MBBS out of self-interest. To earn respect in the society (83.87%) was the most common motivational factor to opt MBBS. 39.33% of the subjects was having regret feeling for choosing medical profession.Conclusions: Self-interest was the major reason for opting MBBS. Parent’s pressure was also observed as one of the reasons for opting MBBS. Almost one third of the students were having the feeling of regret for opting medical profession. Special attention should be paid towards these students.


2019 ◽  
Vol 20 (1) ◽  
pp. 5-11
Author(s):  
Abdus Salam ◽  
Aimi Aqilah Abd Harith ◽  
Norsyafiqah Abdullah ◽  
Chu Pei Shan ◽  
Amir Bin Abdul Rahman ◽  
...  

Background: Medical students lead a stressful life and therefore the coping strategy is very important for them to alleviate the stress. The objective of this study was to explore the coping strategy among the first year and third year medical students and also to identify any significant difference between genders and study-years. Materials & methods: This cross-sectional study involved first and third year medical students of University Kebangsaan Malaysia of session 2013/2014. Coping strategy was explored using the ‘Coping Inventory for Stressful Situations’ (CISS) which consist of 48-items where 16 under task-oriented, 16 under emotional-oriented and 16 under avoidance-oriented coping. A five-point Likert’ scale ranging from ‘1=not at all’ to ‘5=very much’ was used to rate the items. Results: Task oriented coping was found the most common strategy among all students while emotion oriented was the least. First year students scored significantly higher than third year showing their best effort to adapt a new environment with insignificant difference between genders. Conclusions: Task-oriented coping strategy of the students is a good sign of problem solving skills. Though majority of the students adapt this method of coping, still there are other methods in practice. Medical school should focus for growing awareness about the positive coping methods in response to stress. This is necessary for the long term benefit of the students as well for better service to the nation. J MEDICINE JUL 2019; 20 (1) : 5-11 


2020 ◽  
Vol 58 (222) ◽  
Author(s):  
Anjan Khadka ◽  
Kumud Kumar Kafle

Introduction: Self-medication refers to self-prescription which includes diagnosing and treating one’s own illness and prescribing for one’s self. Though appropriate self-medication relieves acute symptoms, is time saving and economical, it should not be advocated because of more risks than benefits. Self-medication practices were found to vary in medical students of Nepal and India. This study was aimed to determine the prevalence of self-medication among medical students. Methods: This descriptive cross-sectional study was conducted among 76 MBBS students. The study involved the administration of the research questionnaire including demographic information, practice of self-medication, type of illness, factors influencing self-medication, commonly self- prescribed drugs, sources and strategies to reduce such practices. The data were analyzed using Graph pad prism version 6. Results: The prevalence of self-medication was 58 (76.6%), more common among first year students. The common illness found was headache and common drug self-prescribed was analgesic-antipyretic. The most common source of obtaining medicines for all three year medical students was pharmacy. Students were also prescribing medicines to family members, friends and juniors. More than half of the students 52 (68.4%) reported that self-medication practices should be encouraged. Conclusions: Self-medication had been widely practiced among medical students. Self-medication can relieve medical problems but also involve the risks of adverse drug reactions, resistance and masking of underlying diseases. Medical students should be given enough exposure for better understanding of rational prescribing to minimize self-medication. The further study on practice of self-medication is needed on various health professionals and even in general community.


2020 ◽  
Vol 27 (09) ◽  
pp. 1895-1901
Author(s):  
Ahmed Murtaz Khalid ◽  
Noman Sadiq ◽  
Aiman Farogh Anjum ◽  
Iffat Naiyar Hashmi ◽  
Misbah Aslam ◽  
...  

Objectives: To know the perception of peer-learning among first batch of 1st year medical students in CMH Kharian Medical College. Study Design: Cross-Sectional study. Setting: CMH Kharian Medical College. Period: June 2018 and September 2018. Material & Methods: Questionnaire was distributed among hundred first year medical students on self-reflection and feedback after 15 min power point presentation given by their fellow students based on different pathophysiological scenarios. Results: Out of 100 students, 85 filled out questionnaire form completely. 60% of students were of the opinion that peer-learning facilitated them to perform better in the exam, and can be continued for future batches. 50% of students agreed that this innovative learning modality was conducted in a systematic manner, helped them to improve their understanding of the subject and learning was fostered based on the principles of self-reflection and feedback. Problem solving ability was improved by peer learning format according to 49% of students, while 47% of students reported that this innovative learning strategy provided them with a tool to improve their learning through interaction, while research capabilities of 37% students were improved. Conclusion: Majority of first year medical students lacking senior guidance learned better in a comfortable environment from their peers, and improved understanding of the core subject by realizing the implication of the concept of self-reflection and feedback.


2016 ◽  
Vol 6 (3) ◽  
pp. 152-156
Author(s):  
Rukhsana Parvin ◽  
Noortaj Begum ◽  
Md Aminul Haque Khan

Background: Smoking is a recognized harmful factor for general health. The prevalence of smoking is gradually increasing among the young people. Medical students are also vulnerable in this arena. Worldwide studies revealed that students start and continue smoking during their school and college periods.Objectives: To determine the current tobacco use among medical college students and to find out the risk factors associated with smoking and also to assess the knowledge of students regarding smoking.Materials and Methods: This cross-sectional study was conducted among medical students of different educational levels (first year to fifth year) in Enam Medical College, Savar, Dhaka during the period January to March 2012. An anonymous, pretested, selfadministered study questionnaire was distributed among the subjects. Data collected included smoking habits, demographic factors such as age, gender, parents’ occupation and monthly income. Study subjects were categorized as smokers, non-smokers and ex-smokers. Smoking-related knowledge was assessed and opinion regarding cessation of smoking was documented. The data were entered into the computer and statistical analyses were done using GraphPad Prism version 6.01.Results: Among the study subjects 290 were male and 202 were female. There were 79 (27.24%) smokers, 199 (68.62%) non-smokers and 12 (4.13%) ex-smokers among male and 197 (97.52%) non-smokers, 4 (1.98%) smokers and 1 (0.49%) ex-smoker in female. Regarding age, 196 (39.83%) students were below 20 years of age and 296 (60.16%) were more than 20 years of age. Most of the smokers (43.37%) are from affluent families. Influence of friends (44.57%) is the major reason of smoking followed by depression (27.71%). About 37.34% smokers have family members who are currently smoking. Regarding quitting smoking, 66% intended to stop smoking. The reasons for no intention to stop smoking include lack of incentive followed by addiction. There are significant differences among study subjects regarding smoking related knowledge.Conclusion: Even medical students are not fully aware of health consequences due to smoking and this lack of knowledge may lead to increase the number of smokers among students. Appropriate anti-smoking measures should be taken to create awareness about smoking and its health consequences and to reduce the incidence of smoking among the students.J Enam Med Col 2016; 6(3): 152-156


2021 ◽  
Vol 15 (8) ◽  
pp. 1914-1917
Author(s):  
Kanwal Saeed ◽  
Muhammad Qasim Muneer ◽  
Samar Ashraf ◽  
Shamsa Ijaz ◽  
Mujtaba Ashal Pal ◽  
...  

Background: Higher level of stress experienced by medical students has been found to have a negative effect on their cognitive learning. The first year MBBS student have to face the challenge of higher standards of course work and examination as compared to his previous school and college coursework. Moreover, student from rural background and living in hostel has to face additional challenges of coping with homesickness, hostel related and many financial problems. Aim: To determine the experience and feelings amongst First year MBBS students to the first sub stage in anatomy in different public and private medical colleges of Punjab. Method: A descriptive cross-sectional study was conducted at Allama Iqbal Medical College, Lahore. A sample of 275 students of First year MBBS class were selected from both public and private sector of medical colleges in various cities of Punjab through convenience sampling technique. A self-administered structured questionnaire was prepared for data collection and distributed amongst First Year MBBS students. Data was entered and analyzed using SPSS 21. Results: The result of the study showed that 53.8% of First Year MBBS students were nervous before the first substage. Results of the study also showed that hostelites and females students were more nervous and these findings were statistically significant. Also our study showed that government medical college students were better prepared for their substage as compared to private college students and there is statistically significant difference between them (p < 0.00). Conclusion: Majority of First year MBBS students (58%) are facing increase level of stress during their first substage. Statistically significant higher stress levels are observed among females, hostellites. Keywords: First Year MBBS, Experience, Stress, First substage


Author(s):  
Udaykiran Bhalge ◽  
Bhaskar Gaikwad ◽  
Pramod Kulkarni ◽  
Anant A. Takalkar ◽  
Mukund D. Bhise

Background: There are several risk factors contributing to cardiovascular diseases, such as age, gender and ethnicity. Positive family history being overweight and obese is also additional risk factors. Other, life style factor that contribute to hyper tension are smoking, stress cell phone use and physical inactivity, consumption of alcohol, increase salt intake reduce potassium intake. The objective of the study was to assess the awareness about cardiovascular diseases risk factors amongst first-year medical students.Methods: A cross-sectional study was carried out amongst 136 first-year medical students of MIMSR Medical College, Latur, Maharashtra during the period of December 2017 to May 2018. A self-administered, pre-tested structured questionnaire was used to obtain information about awareness of cardiovascular diseases risk factors including diet, physical activity, smoking, and alcohol habits from the study subjects.Results: The study subjects were 136 first-year medical students belonging to 18–23 years age group. There was good awareness about high fat food, high sugar intake, smoking and alcohol consumption as cardiovascular diseases risk factors.Conclusions: There is good awareness about cardiovascular diseases risk factors among first-year medical students. 


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