scholarly journals COVID-19 Pandemic Affects the Medical Students’ Learning Process and Assaults Their Psychological Wellbeing

2021 ◽  
Vol 18 (11) ◽  
pp. 5792
Author(s):  
Marium Aftab ◽  
Alsaleem Mohammed Abadi ◽  
Shamsun Nahar ◽  
Razia Aftab Ahmed ◽  
Syed Esam Mahmood ◽  
...  
Keyword(s):  
Medical Students ◽  
Psychiatric Illness ◽  
Eastern Mediterranean ◽  
Learning Difficulties ◽  
Eastern Mediterranean Region ◽  
Female Gender ◽  
Psychological Wellbeing ◽  
Post Traumatic Stress ◽  
African Region ◽  
Cross Sectional

Background: With the emergence of the COVID-19 pandemic, people are living within a milieu of stress, anxiety, and fear. Medical students are susceptible to these emotional injuries, but their psychological wellbeing and learning may further be assaulted by future uncertainties and altered teaching and training programs. Our objective was to find the extent of the psychological impact of the pandemic and the learning difficulties they are experiencing; Methodology: This cross-sectional study included 418 undergraduate and postgraduate medical students from all over the world. A questionnaire was uploaded in Google survey form. It included background characteristics, questions for psychiatric impact like PHQ-9, GAD-7, ZF-OCS, and questions for learning difficulties perceived in comparison to the pre-pandemic time. Results: Among participants, 34.9% of students were male and 65.1% female. Around 46.4% belonged to the WHO, Eastern Mediterranean region, 26.8% from South East Asia region, 17.5% from the region of America, 5.5% from the European region,2.2%from the Western Pacific region, and 1.7% from the African region. Symptoms due to psychiatric illness were noticed in 393 (93.1%); depression in 386 (92.3%), anxiety in 158 (37.8%), obsessive compulsion disorder in 225 (53.8%), and post-traumatic stress syndrome in 129 (39.9%). Female gender, geographical region, and history of previous psychiatric illness were significantly related to almost all the psychiatric illnesses. Regarding learning difficulty, 96% of students faced problems: trouble with memorizing in 54.0%, concentration problems in 67.0%, about 55.5% of students made more mistakes, while 44.5% noted an increase in reaction time for solving questions. In addition, 90% experienced greater difficulty in overall learning during the pandemic in comparison to the pre-pandemic time. Conclusion: Assault on psychological wellbeing, struggling to memorize, inattention and difficulty in concentration on studies, along with perceived overall trouble with learning, have emerged as collateral damage from the COVID-19 pandemic with respect to medical students.

Abstract P546: Sleep Quality in Medical Students A Cross-sectional Study

Hypertension ◽  
2017 ◽  
Vol 70 (suppl_1) ◽  
Author(s):  
Lilian S Costa ◽  
Marina C Marins ◽  
Jocasta C Ansel ◽  
Carolina P Tavares ◽  
Fernanda T Queiroz ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Medical Students ◽  
Female Gender ◽  
Cross Sectional Study ◽  
Female Group ◽  
Sleep Habits ◽  
Cross Sectional ◽  
Significant Difference ◽  
The Hours

Introduction: Medical students, susceptible to sleep disorders, have irregular sleep-awake cycle, with repercussions on the quality of life and reduced academic performance, often with greater incidence of psychiatric disorders, estimated at 15% to 25% during your academic training. Objective: To evaluate the sleep habits in students of medical school in a private college of Rio de Janeiro, Brazil. Method: This subset study is a part of an observational study with cross-sectional delineation, with data collected through the application of an anonymous questionnaire, where they were asked about the number (and modification) of hours they sleep daily, in addition to reports of “stress and anxiety”. These data collected formed the basis of an instrument for assessing the quality of life on the medical students of this College. Results: We analyzed data from 481 students: 82 (17%) at the first year, 118 (24.5%) at the second year, 99 (20.6%) at the third, 64 (13.3%) and 118 (24.5%) within the fifth and sixth years. The average age was 21.7 years (16-42) and 306 (63.6%) of female gender. As for the hours of sleep, 445 students (92.5%) report 5 to 8 hours of sleep, and 216 (44.9%) a minimum of 6 hours. In the sleep of the weekends, 394 (81.9%) reported change in the number of hours and, 313 (65.1%) referred to a reduction after the entrance into college. It was reported "some level of stress and anxiety,“ not related to the least number of hours sleepping (0.07). Comparing the data obtained among the 199 students of the first and second years (62.8% female-group A) to 117 at fifth and sixth years (70.9% female-group B), we observed similarity in relation to (1) number of 5 to 8 hours sleepping (A 92.9% x 90.5% B), (2) change the hours of sleepping on the weekends (A 81.9% x 79.5% B), and (3) reduction of sleepping hours after the entrance into College (A 81.9% x 78.6% B). With regard to the report of "stress and anxiety”, we observed statistically significant difference between the groups (A 100% x 88% B, p < 0.03). Conclusion: The change in lifestyle imposed on joining a new school learning model, generates anxiety and loss of sleep hours among students. The development of resilience and adaptation to change, both individual and institutional, may have been responsible to varying degrees of stress.

scholarly journals Intention of Healthcare Workers to Receive COVID-19 Vaccine: A Cross-Sectional Survey in 10 Countries in Eastern Mediterranean Region

2021 ◽  
Author(s):  
Yasir Ahmed Mohammed Elhadi ◽  
Azza Mehanna ◽  
Yusuff Adebayo Adebisi ◽  
Mohammad Yasir Essar ◽  
Haider M El Saeh ◽  
...  
Keyword(s):  
Mediterranean Region ◽  
Healthcare Workers ◽  
Online Survey ◽  
Health Workers ◽  
Eastern Mediterranean ◽  
Eastern Mediterranean Region ◽  
Cross Sectional Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
To Receive

Background: Healthcare workers intention to be vaccinated is an important factor to be consider for successful COVID-19 vaccination programme. Our study aimed to understand the intention of health workers to receive COVID-19 vaccine and associated concerns across 10 countries in Eastern Mediterranean Region (EMRO). Method: A cross-sectional study was conducted in January 2021 among healthcare workers using an online survey. A total of 2806 health workers (physicians, nurses and pharmacists) completed and returned the informed consent along with the questionnaire electronically. Data were analyzed using IBM SPSS software package version 20.0. Results: More than half of the respondents (58.0%) intend to receive COVID-19 vaccine, even if the vaccination is not mandatory for them. On the other hand, 25.7% of respondents were not intending to undertake COVID-19 vaccination while 16.3 % answered undecided. The top three reasons for not intending to be vaccinated were unreliability of COVID-19 vaccine clinical trials (62.0%), fear of the side effects of the vaccine (45.3%), and that COVID-19 vaccine will not give immunity for a long period of time (23.1%). Conclusion: Overall, our study revealed suboptimal acceptance of COVID-19 vaccine among healthcare workers in the 10 countries in EMRO.

scholarly journals Suicidal ideation among medical students, burnout or depression? Maybe both.

2021 ◽  
Vol 11 (1) ◽  
pp. 69-77
Author(s):  
THAÍS CAMPELO BEDÊ VALE ◽  
LÍVIA RODRIGUES DE ARAÚJO ◽  
VITÓRIA NUNES MEDEIROS ◽  
JOSÉ HÍCARO HELLANO GONÇALVES LIMA PAIVA ◽  
TATIANA PASCHOALETTE RODRIGUES BACHUR ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Depressive Symptoms ◽  
Medical Students ◽  
Suicidal Ideation ◽  
Emotional Support ◽  
Female Gender ◽  
Sleep Time ◽  
Mental Condition ◽  
Cross Sectional

Depression is a common mental condition worldwide and a major cause of debility, with the potential to impair the quality of life of affected people. Medical students are more likely to develop psychiatric disorders, with depression, anxiety, and burnout being the most common ones. The aim of this study was to investigate the prevalence of depressive symptoms in medical students and their association with burnout and aspects of life. This is an analytical cross-sectional study. Data collection was performed using four validated scales and a questionnaire in 511 medical students from the first to the fourth year from different universities. Depression was present in 49% of the students. A correlation was found between depression and female gender. Regarding the students' daily sleep time, 54.5% of the students slept only 3 to 6 hours per night. The use of psychoactive substances was reported by 29.9%. Regarding the emotional support offered by universities, about 92.8% of students with depressive symptoms reported not receiving adequate emotional support. As for quality of life, all domains were impaired among students with depression. According to the two-dimensional criterion, 37% of the students have burnout, with correlation between the presence of the syndrome and depressive symptoms. In addition, burnout proved to be an independent risk factor for suicidal ideation and self-mutilation. New methods that can help detect and address factors that trigger stress and depressive symptoms in medical students are needed to reduce the incidence of depression.

scholarly journals Attitudes, perceptions, and smoking behavior of university faculty and staff following the introduction of a comprehensive tobacco-free policy: a repeated cross-sectional survey in Lebanon

2020 ◽  
Author(s):  
Dina Farran ◽  
Rima Nakkash ◽  
Mahmoud Al-Hindi ◽  
Maya Romani ◽  
Martin John Owen Asser ◽  
...  
Keyword(s):  
Educational Attainment ◽  
Policy Implementation ◽  
Eastern Mediterranean ◽  
Smoking Behavior ◽  
Eastern Mediterranean Region ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Faculty And Staff ◽  
One Year ◽  
Lower Educational Attainment

Abstract Background A growing body of research have evaluated the effect of university tobacco-free policies on faculty and staff, however, none of these studies has been carried out in the Eastern Mediterranean region. This study evaluates changes in faculty and staff attitudes, perceptions and smoking behavior, one year post-adoption of a tobacco-free policy in a medium-sized university in Lebanon and the region. Methods Two cross-sectional surveys were conducted in 2017 and 2018: pre- and one year post-policy implementation. A random sample of 625 and 624 participants took part in the 2017 and 2018 studies respectively. Results Faculty and staff had a positive attitude towards the policy at the two time points. The belief that there should be exceptions to the policy significantly decreased from 79% to 59% (p=0.002) among all smokers, particularly those with lower educational attainment (81% to 57%, p=0.007). Perception of compliance among peer smokers increased from 73% to 87% (p= 0.009). The proportion of smokers did not significantly change one year post-policy implementation, however, 44% of smokers with lower educational attainment, compared to only 7% of those with higher educational attainment (p< 0.001), reported a decrease in their smoking behavior outside campus. Conclusion The policy had a positive effect on the attitude, behavior and perception of policy benefits among smokers with lower educational attainment, who constitute the majority of smokers. Studies tackling the effectiveness of university or workplace smoke-free policies are scarce in the Middle East. Findings from this study inform and support future efforts to develop university and workplace tobacco free policies.

scholarly journals Awareness and Preparedness of Field Epidemiology Training Program Graduates to Respond to COVID-19 in the Eastern Mediterranean Region: Cross-Sectional Study

10.2196/19047 ◽  
2020 ◽  
Vol 6 (1) ◽  
pp. e19047 ◽  
Author(s):  
Mohannad Al Nsour ◽  
Yousef Khader ◽  
Abdulwahed Al Serouri ◽  
Haitham Bashier ◽  
Shahd Osman
Keyword(s):  
Training Program ◽  
Mediterranean Region ◽  
Online Survey ◽  
Eastern Mediterranean ◽  
Eastern Mediterranean Region ◽  
Risk Groups ◽  
Surveillance Systems ◽  
Cross Sectional ◽  
Field Epidemiology ◽  
Field Epidemiology Training Program

Background The Field Epidemiology Training Program (FETP) is a 2-year training program in applied epidemiology. FETP graduates have contributed significantly to improvements in surveillance systems, control of infectious diseases, and outbreak investigations in the Eastern Mediterranean Region (EMR). Objective Considering the instrumental roles of FETP graduates during the coronavirus disease (COVID-19) crisis, this study aimed to assess their awareness and preparedness to respond to the COVID-19 pandemic in three EMR countries. Methods An online survey was sent to FETP graduates in the EMR in March 2020. The FETP graduates were contacted by email and requested to fill out an online survey. Sufficient number of responses were received from only three countries—Jordan, Sudan, and Yemen. A few responses were received from other countries, and therefore, they were excluded from the analysis. The questionnaire comprised a series of questions pertaining to sociodemographic characteristics, knowledge of the epidemiology of COVID-19, and preparedness to respond to COVID-19. Results This study included a total of 57 FETP graduates (20 from Jordan, 13 from Sudan, and 24 from Yemen). A total of 31 (54%) graduates had attended training on COVID-19, 29 (51%) were members of a rapid response team against COVID-19, and 54 (95%) had previous experience in response to disease outbreaks or health emergencies. The vast majority were aware of the main symptoms, mode of transmission, high-risk groups, and how to use personal protective equipment. A total of 46 (81%) respondents considered themselves well prepared for the COVID-19 outbreak, and 40 (70%) reported that they currently have a role in supporting the country’s efforts in the management of COVID-19 outbreak. Conclusions The FETP graduates in Jordan, Sudan, and Yemen were fully aware of the epidemiology of COVID-19 and the safety measures required, and they are well positioned to investigate and respond to the COVID-19 pandemic. Therefore, they should be properly and efficiently utilized by the Ministries of Health to investigate and respond to the current COVID-19 crisis where the needs are vastly growing and access to outside experts is becoming limited.

scholarly journals Awareness and response to Coronavirus Disease (Covid-19) epidemic among the Arab population in the Eastern Mediterranean Region and Arab Peninsula

2020 ◽  
Vol 6 (4) ◽  
Author(s):  
Mhammad Saleh ◽  
Marwan Saleh ◽  
Mohammed Nabil Zahid
Keyword(s):  
Social Media ◽  
Online Survey ◽  
Eastern Mediterranean ◽  
Eastern Mediterranean Region ◽  
Arabic Language ◽  
Control Measures ◽  
Full Time ◽  
Arab Population ◽  
Cross Sectional ◽  
Infection Control Measures

Objectives: This online survey planned to analyze the knowledge and apprehension about coronavirus among the Arab populations.  Methods: a cross-sectional questionnaire-based survey was conducted from 15th May 2020 to 27th May 2020. The survey included a total of 443 Arab participants. Divided into four groups according to the age; under 20 years old (28 participants), 20- 40 (359), 40- 60 (49), and 7 participants were over 60. According to gender; male (318 participants) and female (125). Based on education level, participants were categorized as a secondary school (5 participants), high school (28), university graduated (327), and postgraduate (83).  Results: Most of the participants showed a good adaptation for the precautions concerning isolation and quarantine. 299 participants stayed at home during the COVID-19 outbreak by taking a break from jobs or performing their jobs from home. 144 participants performed partial or full-time jobs from 20-60 groups of age. Most of the population were dependent on social media to receive the update about the virus. 141 participants said that they are not up to date enough about the COVID-19 related to the language barrier. Conclusion: The majority of the participants had heard about COVID-19 and were aware of the infection control measures. Most of the participants strictly adapted to quarantine during the outbreak. Further steps need to be taken to enhance the social media accounts and internet websites in the Arabic language which concern medical and educational content. 

Association Between Structural Determinants of Health and Posttraumatic Stress Symptoms during the COVID-19 Pandemic

2021 ◽  
Vol 17 ◽  
Author(s):  
Zohreh Mahmoodi ◽  
Kian Javadi Koshesh ◽  
Ghaffar Almasi ◽  
Safura Pournajaf ◽  
Hadith Rastad ◽  
...  
Keyword(s):  
Traumatic Stress ◽  
Female Gender ◽  
Underlying Disease ◽  
Determinants Of Health ◽  
P Value ◽  
Post Traumatic Stress ◽  
Structural Determinants ◽  
Cross Sectional ◽  
Stress Symptoms ◽  
Post Traumatic

Background: Psychological problems, such as post-traumatic stress symptoms (PTSS), are among the most important complications associated with the COVID-19 pandemic in people. Studying the social determinants of health (SDH) and its impact on the populations during the crisis will help governments deal better with health emergencies so that every person can have an equal opportunity to stay healthy. Objective: To determine what factors affect PTSS, we conducted a study to investigate the association between structural determinants of health and PTSS during the COVID-19 pandemic. Methods: We conducted a cross-sectional study on 370 people referred to a selected laboratory between June and July 2020 in Karaj province, Iran. Post-traumatic stress disorder (PTSD) 8-item inventory was used to evaluate the PTSS and its subscales, including intrusion, avoidance, and hypervigilance in the participants. Results: Overall, 51.2% of participants were male, and 17.3% were positive for the IgM or IgG COVID-19 test. The most common symptoms in these patients were weakness, myalgia, cough, anosmia, and fever. The prevalence of total PTSS, intrusion, avoidance, and hypervigilance symptoms were 7.1%, 25.7%, 41.6%, and 16.2%, respectively. In univariable regression analysis, female gender (p-value=0.01, 95%CI (2.25-0.31)), un-employment (p-value=0.011, 95%CI (0.37-2.81)), having symptoms of COVID-19 disease (p-value=0.000, 95%CI (.82-2.75)), underlying chronic disease, were directly associated with PTSS. Conclusion: Results showed that sex and occupation as structural determinants of health could affect PTSS in the COVID-19 pandemic. However, in the multivariable model, having symptoms of the COVID-19 disease and underlying disease affected PTSS.

An investigation of oil and gas geopolitical situation in the eastern Mediterranean region

2021 ◽  
Vol 05 ◽  
Author(s):  
Nima Norouzi
Keyword(s):  
Mediterranean Region ◽  
Oil And Gas ◽  
Eastern Mediterranean ◽  
Eastern Mediterranean Region ◽  
The United States ◽  
The European Union ◽  
African Region ◽  
Turkish Republic ◽  
The Face ◽  
The Government

: One of the focal points of the global energy struggle in recent years has been storytelling in the Eastern Mediterranean. Greece and the Greek Cypriot government (GCA), in cooperation with Egypt and Israel, are implementing a containment strategy against Turkey and the Turkish Republic of Northern Cyprus (TRNC) in the region. Turkey’s response to this plan was an exclusive agreement with Libya. Turkey and Libya have signed a memorandum of understanding between the government of national reconciliation on limiting the maritime jurisdiction of the new continental shelf in the Eastern Mediterranean - the only borders of the lottery’s economic zone. Greece could act with other countries, and it is said that Turkey’s competence will be ratified in the face of agreements that may restrict movement. The United States and the European Union (EU) also sought to share gas with European countries against Turkey, Israel, and the GCA. This article focuses on Libya’s ongoing competition, given Libya’s oil geopolitics and challenges in the eastern Mediterranean region. This paper briefly investigates the energy geopolitics in the eastern Mediterranean and North African region; this paper aims to conclude the diverse opinions led by various interests and points of view and propose a solution for the ever-growing tensions in this region.

scholarly journals Spectrum of Anxiety Disorders Among Medical Students in a Nigerian Medical School: A Cross-Sectional Study With Standardized Screening Tools

2018 ◽  
Vol 8 (2) ◽  
pp. 132
Author(s):  
A. T. Chinawa ◽  
J. M. Chinawa ◽  
E. Aniwada ◽  
Oge Amadi ◽  
A. C. Ndukuba ◽  
...  
Keyword(s):  
Anxiety Disorder ◽  
Medical Students ◽  
Anxiety Disorders ◽  
Marital Status ◽  
Simple Random Sampling ◽  
Screening Tools ◽  
P Value ◽  
Post Traumatic Stress ◽  
Cross Sectional ◽  
Compulsive Disorder

BACKGROUND: Anxiety disorders among medical students constitute a global problem, and also reflect the mental state of the general population. There is paucity of data on the spectrum of such disorders among medical students in Nigeria.AIM: The study aims to determine the prevalence of anxiety disorders among medical students, and the effect of socio-demographic characteristics.METHODS: A total of 217 medical students from the second to the final years of study at Enugu State University of Science and Technology in south-east Nigeria were enrolled by simple random sampling. Five pretested, self- administered standardized questionnaires were used as screening tools for anxiety disorders. Data were analyzed using the Statistical Package for Social Sciences program (SPSS version 20). A p-value less than 0.05 was taken as statistically significant.RESULTS: Thirty one (14.3%) of the enrolled medical students fulfilled the screening criteria for anxiety disorders. Specifically, generalized anxiety disorder (GAD) was significantly related to gender (p =0.017) and the year of study (p =0.017). Post-traumatic stress disorder (PTSD) was significantly related to the year of study (p =0.037), and social anxiety disorder (SAD) to the year of study (p =0.003) and gender (p =0.04). Similarly, panic disorder was significantly related to the year of study (p =0.025) while specific phobia was significantly associated with marital status (p =0.003), parental monthly income (p =0.022) and student’s monthly allowance (p =0.002). Finally, obsessive-compulsive disorder was significantly related to marital status (p =0.034) and year of study (p =0.028).CONCLUSION: Medical students in Nigeria are prone to a spectrum of anxiety disorders. This susceptibility is influenced by socio-demographic characteristics.

Are we ready for a person-centered care model for patient-physician consultation? A survey from family physicians of East Mediterranean Region

2013 ◽  
Vol 1 (2) ◽  
pp. 394
Author(s):  
Waris Qidwai ◽  
Kashmira Nanji ◽  
Tawfik Khoja ◽  
Salman Rawaf ◽  
Nabil Yasin Al Kurashi ◽  
...  
Keyword(s):  
Mediterranean Region ◽  
Eastern Mediterranean ◽  
Eastern Mediterranean Region ◽  
Educational Status ◽  
Cross Sectional Study ◽  
Second Phase ◽  
Care Model ◽  
Cross Sectional ◽  
Person Centered Care ◽  
Centered Care

Background: Person-centered care has long been identified as a key component of health systems and one of the six domains of quality. This study aimed to identify the perceptions of patients and physicians regarding person-centered care in the Eastern Mediterranean Region (EMR).Methods: A multicountry, cross-sectional study was conducted in 6 countries of EMR during July 2012 to September 2012. From each country, an expert Family Physician (FP) was identified and invited for the study. During the first phase, 190 FPs practicing for at least 6 months were recruited. In the second phase, the recruited FPs approached 300 patients aged > 18 years with 1 or more recurring problems. Data analysis was conducted using SPSS version 19.Results: Of a total of 360 patients, 53% were between 25-40 years of age and the majority 55.7% were females. Among physicians, 66.8% were females and 72.1% had undergone specialization in Family Medicine from EMR. About 36% of the patients, while 62.6% of the physicians, preferred a person-centered care model of care. Among physicians, field of specialization (AOR= 0.7; 95% C.I: 0.3-0.9) and regularity in continuing medical education sessions (AOR= 0.3; 95% C.I: 0.1-0.5) were significant factors for preferring a person-centered care model. Educational status (AOR= 3.0; 95% C.I: 1.1-7.9) was associated with a preference for person-centered care among patients.Conclusion: The results of the study highlight that a majority of physicians prefer person-centered care, while patients prefer a mix of both patient- and physician-centered care. Strategies should be developed that will help physicians and patients to embrace person-centered care practices.

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