Comparison the impact of face-to-face training package for resuscitation with presentation by messaging software on emergency medicine rotation interns

Introduction: Conventional approaches in advanced cardiac life support (ACLS) are used, including; lectures, video presentations, practical educations on moulage, also employing messenger applications can potentially be regarded as a method to train interns. Objectives: The current study aims to compare two methods of face-to-face and virtual training by WhatsApp messenger, regarding the impact of training on interns’ knowledge and satisfaction for advanced cardio resuscitation rotational interns in emergency medicine. Patients and Methods: In this cross-sectional study, 73 rotation interns of emergency medicine of Tehran University of Medical Sciences from 2017 to 2018 were divided into two groups: 1) face-to-face training, 2) virtual training by using WhatsApp messenger application. Initially, a pretest of 10 questions about main topics in advanced cardiac support was conducted on interns. At the end of training course, a posttest of 20 questions was conducted for both groups. Results: Mean value of pretest was 6.46 for face-to-face training group and 5.97 for WhatsApp group (P=0.29). Posttest mean score was 14.08 for face-to-face group and 12.03 for WhatsApp (P=0.003). Interns’ satisfaction scores were 7.68 and 7.36 for face-to-face and WhatsApp group respectively (P=0.25). Mean scores of pretest and posttest within group had no significant differences between groups, but Cohen’s effect size for face-to-face group was greater than WhatsApp trained group. Conclusion: Face-to-face training was associated with better results in promoting knowledge of interns, compared to WhatsApp training. That’s advisable to employ face-to-face training for interns.

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Student and educator perspectives on virtual institutional introductory pharmacy practice experience (IPPE)

BMC Medical Education ◽

10.1186/s12909-021-02698-5 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Omar A. Almohammed ◽

Lama H. Alotaibi ◽

Shatha A. Ibn Malik

Keyword(s):

Pharmacy Practice ◽

Cross Sectional Study ◽

Training Experience ◽

Cross Sectional ◽

Virtual Training ◽

Care Experience ◽

Face To Face ◽

Practice Experience ◽

Face To Face Learning ◽

The Government

Abstract Background The COVID-19 pandemic has required governments around the world to suspend face-to-face learning for school and university students. Colleges of pharmacy are faced with the challenge of training students in hospitals that are under considerable pressure at this time. The government of Saudi Arabia has moved all classes and training online to limit the spread of the virus. This study describes the experience of the Introductory and Advanced Pharmacy Practice Experience (IPPE and APPE) students and preceptors engaged in the virtual IPPE training. Methods A cross-sectional study was conducted to describe and appraise the implemented virtual IPPE training from the experiences of IPPE and APPE students, and their preceptor. The IPPE students described their experiences in close-ended questionnaires, while APPE students in open-ended questionnaires, and the preceptor described the experiences in narrative. The study focused on highlighting the advantages, opportunities, challenges, and shortcomings of the virtual training. Results Two preceptors and seven APPE students participated in the preparation and administration of the virtual training. The IPPE students’ experiences, based on 87 respondents, were mostly positive. Although IPPE students enjoyed the time flexibility that allowed the learning of new skills and reflection on previous experiences, 15% experienced difficulty finding quiet places with a reliable internet connection or had difficulty working on team-based activities. Moreover, some were anxious about the lack of adequate patient-care experience. On the other hand, the APPE students found the experience enriching as they gained experience and understanding of academic workflow, gained skills, and overcame the challenges they faced during this virtual training experience. Conclusions Future training programs should be organized to overcome the challenges and to maximize the benefits of training experiences. Schools of pharmacy may benefit from the training materials constructed, prepared, and administered by APPE students to improve IPPE students’ learning experiences and outcomes.

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Impact of COVID-19 on the Mental Health of Medical Students in Portugal

Journal of Personalized Medicine ◽

10.3390/jpm11100986 ◽

2021 ◽

Vol 11 (10) ◽

pp. 986

Author(s):

Ricardo Campos ◽

Vânia Pinto ◽

Daniela Alves ◽

Celina Pires Rosa ◽

Henrique Pereira

Keyword(s):

Mental Health ◽

Medical Students ◽

Negative Impact ◽

Statistical Processing ◽

Cross Sectional Study ◽

Cross Sectional ◽

Face To Face ◽

Anonymous Questionnaire ◽

The Impact ◽

Academic Year

(1) Background: The purpose of this article is to assess the impact of the COVID-19 pandemic on the mental health of medical students in Portugal in the period after returning to face-to-face classes during the COVID-19 pandemic, in the 2020/2021 academic year. (2) Methods: We conducted an observational, descriptive, and cross-sectional study, between December 2020 and February 2021 with a representative sample of Portuguese medical students (n = 649), applying an anonymous questionnaire which was composed by a sociodemographic characterization, The Brief Symptoms Inventory–18, The Fear of COVID-19 Scale and the Negative Impact Assessment Scale. For statistical processing, Statistical Package for Social Sciences (SPSS ©) was used. (3) Results: 65.3% of participants said that self-perceived relevant anxiety symptoms, and around 10% said that they had a physical or a mental illness diagnosis. Significant differences (p < 0.05) were found for Fear of COVID-19, Somatization, Anxiety and Overall Mental Health, indicating that women, students from the 1st and last years of training had higher scores. Age, year of training, Fear of COVID-19 and Negative Impact of COVID-19 were significant predictors of overall mental health. (4) Conclusion: In our sample of Portuguese medical students, age, year of training, but mostly fear of COVID-19 and the negative impact of COVID-19 contributed to mental health symptoms.

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Awareness of Basic Life Support & Advanced Life Support among Students in a Medical College in Kerala

Journal of Evidence Based Medicine and Healthcare ◽

10.18410/jebmh/2020/544 ◽

2020 ◽

Vol 7 (45) ◽

pp. 2640-2644

Author(s):

Sunil R ◽

Praseetha V.K

Keyword(s):

Medical Students ◽

Nursing Students ◽

Basic Life Support ◽

Life Support ◽

Advanced Life Support ◽

Advanced Cardiac Life Support ◽

Cross Sectional Study ◽

Cross Sectional ◽

Medical College ◽

Cardio Pulmonary Resuscitation

BACKGROUND The knowledge and skills in Cardio-Pulmonary Resuscitation (CPR) is an essential part in the medical education. Resuscitation skills have undergone series of evolution into current protocol which involves Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS). We wanted to assess the awareness of Basic Life Support among medical students, nursing students and house surgeons in a Government Medical College in Kerala. METHODS A cross-sectional study was conducted by assessing responses to 24 selected basic questions regarding BLS and ACLS among the students. After excluding the incomplete response forms the data from 500 responders was analysed. Results were analysed using an answer key prepared with the use of the Advanced Cardiac Life Support manual of AHA (2015). RESULTS Out of 500 responders, 250 were medical students, 100 were nursing students and 150 were House Surgeons. No one among them had complete knowledge of BLS & ACLS. Awareness of BLS & ACLS among students of medical, and nursing colleges and doctors is poor. Regarding knowledge of BLS (9 questions) the analysis of results showed that mean percentage of correct responses were 75.67 % of house surgeons, 51.78 % of nursing students and 20.98 % of medical students. CONCLUSIONS Awareness of BLS among students of medical, and nursing colleges and house surgeons is inadequate. Proper training programs must be initiated to rectify this. KEYWORDS BLS & ACLS Awareness, Medical Students, CPR Questionnaire

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The Impact of Covid-19 On Maternal Delivery Experiences and Breastfeeding Practices in China: A Cross-Sectional Study

10.21203/rs.3.rs-727998/v1 ◽

2021 ◽

Author(s):

Jinyue Yu ◽

Mingyue Gao ◽

Zhuang Wei ◽

Jonathan CK Wells ◽

Mary Fewtrell

Keyword(s):

Infant Feeding ◽

Cross Sectional Study ◽

Cross Sectional ◽

Face To Face ◽

Beneficial Effects ◽

Breastfeeding Intention ◽

Public Health Challenge ◽

The Impact ◽

Experiences Of Women ◽

Beijing China

Abstract Background The COVID-2019 pandemic has placed extensive pressure on health systems and posed a severe public health challenge worldwide. Lockdown measures implemented in many countries have delayed virus spread. However, a considerable number of people have faced unprecedented pressure, especially the pregnant and breast-feeding women, because face-to‐face professional support has been reduced during the lockdown in many countries. Objectives To compare the delivery and infant feeding experiences of women who delivered before (BL) versus during (DL) the Covid-19 pandemic in Beijing, China. Methods Women aged ≥ 18 years with an infant ≤ 18 months of age completed an anonymous survey. Information/links were shared online and via local clinics in Beijing. Logistic regression was performed to assess predictors of breastfeeding during the first 6-months. Results 2233 women provided data; BL 1241 (55.6%), DL 992 (44.4%). The 6-month mostly breastfeeding (MBF, mainly breastfeeding with few non-formula fluids added) rate was significantly higher in the DL mothers (71.6%), compared to the BL mothers (60.6%). MBF was predicted by delivery during the lockdown period (OR1.42, 95% confidence interval 1.06, 1.90), younger maternal age, discussing infant feeding in a feeding support group, and getting support from friends or relatives. Moreover, relative to those little affected by COVID, those who were much affected were less likely to MBF. Conclusion The COVID-19 pandemic and lockdown measures influenced mothers’ planned birth location and breastfeeding intention. However, breastfeeding practice was maintained during the pandemic. The reported breastfeeding rates were high and our results highlight the importance of feeding support as well as potential beneficial effects of increased mother-infant contact during the lockdown period which is relevant even under normal circumstances.

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The impact of smart phones and mobile devices on human health and life

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20195825 ◽

2019 ◽

Vol 7 (1) ◽

pp. 9

Author(s):

Sumaiya Mushroor ◽

Shammin Haque ◽

Riyadh A. Amir

Keyword(s):

Human Health ◽

Mobile Devices ◽

Smart Phone ◽

Sampling Technique ◽

Cross Sectional Study ◽

Smart Phones ◽

Smart Devices ◽

Cross Sectional ◽

Face To Face ◽

The Impact

Background: Overuse of smart devices provides comfort and problems both physically and mentally. The aim of this study was to assess the impact of smart phone and mobile devices on human health and life.Methods: This descriptive type of cross sectional study was conducted for three months in Dhaka city among general population aged 18 to 70 years. Four hundred and forty respondents were selected by non-probability convenient sampling technique. Data were collected by face to face interview with a semi-structured pre-tested questionnaire.Results: Among 440 respondents majority (76.6%) were below 25 years where 72.0% were students. A large proportion (90.5%) used smart phones for communication, 53.4% used for less than 5 hours daily. Majority (65.7%) had other electronic devices, most common 197 (68.1%) were laptop users where 118 (40.8%) used for studying. More than half 322 (73.2%) used earphones, 91 (20.7%) had ear problems and 223 (50.7%) lacked concentration. Many 299 (68.0%) had good relationship with family members, 208 (47.3%) stated that increased use of mobile devices hampered family life, 88 (42.3%) thought it reduced quality family time. Majority users 253 (57.5%) experienced physical discomfort after prolonged use and 95 (37.7%) suffered from headache. Association between age of respondents and time spent on smart devices was statistically significant (p<0.05). There was significant (p<0.05) association between ear problem and ear phone usage.Conclusions: Excessive use of smart phones should be avoided and social awareness increased through health programmes. Potential risks of cell phones and smart devices can be avoided by limiting the use.

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The Impact of COVID-19 on the Working Equid Community: Responses from 1530 Individuals Accessing NGO Support in 14 Low- and Middle-Income Countries

Animals ◽

10.3390/ani11051363 ◽

2021 ◽

Vol 11 (5) ◽

pp. 1363

Author(s):

Isabella Wild ◽

Amy Gedge ◽

Jessica Burridge ◽

John Burford

Keyword(s):

Household Income ◽

Cross Sectional Study ◽

Monthly Income ◽

Cross Sectional ◽

Daily Lives ◽

Middle Income ◽

Face To Face ◽

Middle Income Countries ◽

The Impact

The COVID-19 pandemic was declared on 11 March 2020. The working equid community includes some of the world’s most marginalised people, who rely on animals for their daily lives and livelihoods. A cross-sectional study investigated the effects of COVID-19 on working equid communities, with the intention of developing methods for replication in future unprecedented events. A multi-language survey was developed, involving 38 predominantly closed questions, and carried out face-to-face, over telephone, or online. There were 1530 respondents from a population of individuals who received support from equid welfare projects across 14 low- or middle-income countries projects during November and December 2020. Overall, at the time of survey completion, 57% (875/1522) of respondents reported that their equids were working less, 76% (1130/1478) reported a decreased monthly income from equids, and 78% (1186/1519) reported a reduction in household income compared to pre-pandemic levels. Costs of equid upkeep remained the same for 58% (886/1519) of respondents and 68% (1034/1518) reported no change in the health of their equid. The potential long-term impacts on human and equid welfare due to reported financial insecurities necessitates monitoring. A One Welfare approach, involving collaboration with governments, humanitarian, and animal welfare non-governmental organisations is required to mitigate deep-rooted issues.

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Uncharted waters: the effects of COVID-19 on student paramedics

Australasian Journal of Paramedicine ◽

10.33151/ajp.18.921 ◽

2021 ◽

Vol 18 ◽

Author(s):

Steve Whitfield ◽

Andre Perkins ◽

Sarah Kelly ◽

Hannah Dumbleton

Keyword(s):

Learning Style ◽

Cross Sectional Study ◽

Cross Sectional ◽

Convenience Sample ◽

Clinical Placements ◽

Face To Face ◽

Online Lectures ◽

The Media ◽

Perceived Experiences ◽

The Impact

Introduction The effect of COVID-19 pandemic shutdowns on education has been discussed broadly in both the media and among academics, however its true effects on paramedicine students and their ability to attend in-person lectures, skill sessions and clinical placements has not been widely researched. This study aimed to investigate the impact of COVID-19 on a group of paramedicine students at an Australian university. Methods A cross-sectional study using a convenience sample of first and second year paramedicine students was undertaken to explore their perceived experiences of COVID-19 through both qualitative and quantitative responses. Results A total of 83 paramedicine students from Griffith University in Queensland participated in the survey, demonstrating an 84.7% response rate. Of the participants, 78.3% (n=65) disagreed that online workshop sessions were as valuable as face-to-face sessions. Similarly, the majority of participants (61.5%, n=51) disagreed that online lectures and tutorials were as beneficial as in-person equivalents. A further 61.4% (n=51) of students agreed that COVID-19-associated lockdowns had negatively impacted their ability to formulate strong personal relationships that are important for university, however 78.3% of students agreed that communication platforms assisted in maintaining some form of social interaction. Conclusion The results from this study demonstrate that the educational and social impacts of COVID-19 on paramedicine students were highly diverse, and were contingent on several factors including but not limited to: year of study, learning style, previously established social connections and extenuating life circumstances.

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Resilience, burnout and coping mechanisms in UK doctors: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2019-031765 ◽

2020 ◽

Vol 10 (1) ◽

pp. e031765 ◽

Cited By ~ 12

Author(s):

Nicola McKinley ◽

R Scott McCain ◽

Liam Convie ◽

Mike Clarke ◽

Martin Dempster ◽

...

Keyword(s):

Emergency Medicine ◽

General Practice ◽

Cross Sectional Study ◽

Coping Mechanisms ◽

Free Text ◽

Sectional Study ◽

Cross Sectional ◽

The Uk ◽

And Coping ◽

The Impact

AimsThis cross-sectional study aimed to assess resilience, professional quality of life and coping mechanisms in UK doctors. It also aimed to assess the impact of demographic variables, such as sex, grade and specialty on these factors.MethodsDuring October and November 2018, medical doctors in the UK were eligible to complete an online survey made up of validated psychological instruments. Royal Colleges and other medical organisations invited their membership to participate via newsletters, email invitations, websites and social media.Results1651 doctors participated from a wide range of specialties and grades across the UK. The mean resilience score was 65.01 (SD 12.3), lower than population norms. Of those who responded, 31.5% had high burnout (BO), 26.2% had high secondary traumatic stress and 30.7% had low compassion satisfaction (CS). Doctors who responded from emergency medicine were more burned out than any other specialty group (F=2.62, p=0.001, df 14). Those who responded from general practice scored lowest for CS (F=6.43, p<0.001, df 14). 120 (8%) doctors met the criteria for all three of high BO, high STS and low CS. The most frequently reported coping mechanism was the maladaptive strategy of self-distraction.ConclusionsOne-third of UK doctors who responded are burned out and suffering from STS. Those who responded from emergency medicine and general practice appear to be suffering the most. Over 100 doctors fell into the at-risk category of high BO, high STS and low CS. Future analysis of the free text responses from doctors may help to identify factors that are playing a role in the high levels of BO and STS being reported by medical staff.

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Multidisciplinary team decision is rare and decreasing in percutaneous vascular interventions despite positive impact on in-hospital outcomes

VASA ◽

10.1024/0301-1526/a000771 ◽

2019 ◽

Vol 48 (3) ◽

pp. 262-269 ◽

Cited By ~ 3

Author(s):

Christian-Alexander Behrendt ◽

Tilo Kölbel ◽

Thea Schwaneberg ◽

Holger Diener ◽

Ralf Hohnhold ◽

...

Keyword(s):

Multidisciplinary Team ◽

Positive Impact ◽

Cross Sectional Study ◽

Invasive Treatment ◽

Cross Sectional ◽

Hospital Outcomes ◽

Vascular Intervention ◽

Medical Specialties ◽

Team Decision ◽

The Impact

Abstract. Background: Worldwide prevalence of peripheral artery disease (PAD) is increasing and peripheral vascular intervention (PVI) has become the primary invasive treatment. There is evidence that multidisciplinary team decision-making (MTD) has an impact on in-hospital outcomes. This study aims to depict practice patterns and time changes regarding MTD of different medical specialties. Methods: This is a retrospective cross-sectional study design. 20,748 invasive, percutaneous PVI of PAD conducted in the metropolitan area of Hamburg (Germany) were consecutively collected between January 2004 and December 2014. Results: MTD prior to PVI was associated with lower odds of early unsuccessful termination of the procedures (Odds Ratio 0.662, p < 0.001). The proportion of MTD decreased over the study period (30.9 % until 2009 vs. 16.6 % from 2010, p < 0.001) while rates of critical limb-threatening ischemia (34.5 % vs. 42.1 %), patients´ age (70 vs. 72 years), PVI below-the-knee (BTK) (13.2 % vs. 22.4 %), and rates of severe TASC C/D lesions BTK (43.2 % vs. 54.2 %) increased (all p < 0.001). Utilization of MTD was different between medical specialties with lowest frequency in procedures performed by internists when compared to other medical specialties (7.1 % vs. 25.7 %, p < 0.001). Conclusions: MTD prior to PVI is associated with technical success of the procedure. Nonetheless, rates of MTD prior to PVI are decreasing during the study period. Future studies should address the impact of multidisciplinary vascular teams on long-term outcomes.

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