scholarly journals ADAPTAÇÃO ACADÊMICA E SAÚDE MENTAL DE ESTUDANTES DE MEDICINA NA COVID19: ESTUDO EXPLORATÓRIO NO BRASIL

2021 ◽  
Vol 18 (1) ◽  
pp. 159-170
Author(s):  
Gabriela Tacaci Michelis ◽  
Julia Galvão ◽  
Samara Almeida de Freitas ◽  
Camélia Santina Murgo ◽  
Celeste Corral Tacaci Neves Baptista

Research shows that university students are more vulnerable to the occurrence of mental disorders than the general population. In this sense, the medical course is considered a great source of stress. This study aimed to characterize the variables of academic adaptation (personal, interpersonal, career, study and institutional) of students facing the pandemic period of COVID-19, as well as to present descriptive statistics regarding emotional, physical and behavioral variables associated with mental health (stress, depression and anxiety). 513 medical students participated in the research, with ages varying between 18 and 29 years (M = 22.41; SD = 2.49), coming from public (18.7%; n = 96) and private universities (81, 3%; n = 417). Three questionnaires were used for data collection: the Academic Experiences Questionnaire - short version (QVA-r); the Depression Scale, Anxiety and Stress DASS-21 and a sociodemographic questionnaire. It was observed that most of the sample reported losses in concentration levels (79.5%) and academic performance (59.8%) during the pandemic, and this contingent also did not feel supported by the university to deal with the issues of this period. Regarding professional performance, most students (53.6%) do not feel prepared to guide conduct, as well as the perception that pandemic interferes in the relationship with patients in primary care (93.8%). Regarding the levels of depression, anxiety and stress, the first and second year students had higher averages when compared to students in more advanced stages. This article contributed to identify the impact of remote education on the training of future doctors and, thus, encourage research and study of this new adaptation in the face of the current pandemic of COVID-19.

2021 ◽  
Vol 5 (1) ◽  
pp. 50-64
Author(s):  
Bahram Sattar Abdulrahman

The present study aims at investigating the use of prosodic features by Kurdish EFL undergraduates in their face-to-face interactions inside/outside the classroom from the university instructors’ perspectives. The study hypothesizes that the majority of Kurdish EFL undergraduates are not fully aware of the fact that any misuse of prosodic features would probably affect the emotions, feelings, and attitudes that the face-to-face interaction is intended to convey. Building on an analysis of a questionnaire given to 54 university instructors at 10 Iraqi Kurdistan Region different universities, the study concludes that the majority of problems the students face can be related to the misuse of stress, intonation, and other prosodic features. Therefore, EFL instructors should pay more attention to make students learn how to use prosodic features and enable them to send messages adequately while engaging in face-to-face interactions. This would require special classes about prosodic features so that EFL students can overcome the misuse they have in face-to-face communication. This is inevitable because accuracy and fluency in communication require EFL students to master both features: segmental and suprasegmental. The reason behind this necessity could be attributed to the fact that broken and/or incorrect pronunciation can be considered as one of the most prominent factors behind misunderstandings in communication.


2012 ◽  
Vol 1 (33) ◽  
pp. 74 ◽  
Author(s):  
Dimitris Stagonas ◽  
Gerald Muller ◽  
Karunya Ramachandran ◽  
Stefan Schimmels ◽  
Alec Dane

Although existing knowledge on the vertical distribution of impact pressures on sea-dikes is well established only very little is known with respect to their horizontal distribution. A collaboration developed between the University of Southampton, Uk and FZK, Hannover looks in more detail at the distribution of pressures induced by waves breaking on the face of a sea-dike. For this, 2D large scale experiments with waves breaking on a 1:3 sea dike were conducted but instead of pressure transducers a tactile pressure sensor was used to map the impact pressures. Such sensors were initially used with breaking waves in the University of Southampton and their use for large scale experiments was attempted here for the first time. In the current paper the calibration and application of the tactile sensor for experiments involving up to 1m high and 8sec long waves are initially described. Preliminary results illustrating the simultaneous distribution of impact induced pressures over an area of 426.7x487.7mm are then presented. Based on these pressure maps the vertical and horizontal location of maximum breaking wave induced pressures is also deduced.


2017 ◽  
Vol 35 (15_suppl) ◽  
pp. e21615-e21615
Author(s):  
Katharina C. Kaehler ◽  
Tobias Wagner ◽  
Christine Blome ◽  
Andrea Forschner ◽  
Claus Garbe ◽  
...  

e21615 Fear of progression in patients with low-risk malignant melanoma Fear of cancer progression (FoP) is one of the problems most commonly reported by cancer patients and is among the most prevalent cancer-related worries in cancer survivors. FCR is highly variable in different cancer entities. Background: This study aimed to elicit the prevalence and significance of FCR in melanoma patients with low risk tumors and further to assess psychosocial and demographic factors predicting severity of FoP as well as to determine the impact of FoP on quality of life (QoL). Methods: In total, 133 patients with low-risk melanoma (pT1a) completed the short version of the Fear of Progression Questionnaire (FoP-Q-SF), the Hospital Anxiety and Depression Scale (HADS), and the EQ-5D questionnaire, as well as self-constructed questions on the socio-demographic background. Results: MeanFoP-Q-SF sum score was 30.1 points (± 8.4 points SD) and the median 29 points. Two thirds of patients deviated not more than 1 SD from the mean. Risk factors for elevated FoP were female gender (p < 0.01), young age (p = 0.04) and working (p = 0.02) patients and patients with severe comorbidities (p = 0.03). Cancer in closely related persons predicted higher FoP (p < 0.01). HADS anxiety scale (r = 0.49, p < 0.01) and depression scale (r = 0.26, p < 0.01) correlated with FoP. A negative correlation with the EQ-5D index was found (r = -0.34, p < 0.01). Conclusions: As in many other malignancies,FoP is prevalent in low-risk melanoma patients and is associated with reduced QoL. Severe comorbidities, cancer in related persons, gender and income could be identified as predictors of FoP. Considerable high levels of FoP even in patients with low-risk malignancies underline the need of psychosocial support and intervention for special subgroups of melanoma patients to enable the patient to manage FoP more successfully.


2020 ◽  
Vol 17 (3) ◽  
pp. 305-316
Author(s):  
D. Timóteo-Costa ◽  
V. Marinalva-de Barros ◽  
D.M. Rodrigues-da Silva ◽  
I.D. Lima-Cavalcanti ◽  
J.M. De Aquino ◽  
...  

Introduction: Assisted suicide is considered an action in which a patient, wishes to terminate his/her life due to the pain and suffering caused by a disease and requests the necessary help from the healthcare professionals. The right to decide about ending one’s own life and the impact attributed to the experienced suffering are the main questions regarding assisted suicide. Objective: Characterize the perceptions of nursing students about professional performance in the face of assisted suicide. Methods: The research comprised a descriptive analysis with a qualitative approach, based on the application of semi-structured interviews on nursing students enrolled in the curricular 9th period, during 2014, in the city of Recife-PE, Brazil. The sample consisted of 19 students. The data, were analyzed and categorized using the Collective Subject Discourse (CSD) method. Results and Discussion: The obtained data suggest that students consider assisted suicide as a way of preserving dignity in the face of procedures that will make the death an inevitably painful process. Indicate that euthanasia and assisted suicide should remain illegal, and they would not get involved professionally. But others assured their willingness to participate because they would be satisfying the patient's wishes, however, for its legalization it is necessary to create principles that would guide the execution of these procedures. Conclusion: The students consider, that the professional can eliminate real possibilities of treatment and recovery of the patient by accepting his request for suicide. However, some students are in favor of this procedure, arguing that the patient is free to conduct his own life.


2018 ◽  
Vol 8 (3) ◽  
pp. 367.2-367
Author(s):  
Carole Gardener ◽  
Gail Ewing ◽  
Morag Farquhar

IntroductionPatient identified need is key to delivering a person-centred approach in supportive and palliative care. The support needs approach for patients (SNAP) tool aims to enable patients with advanced COPD to identify and express their support needs to healthcare professionals (HCPs) but its validity is unknown.AimTo establish the face content and criterion validity of the SNAP tool in advanced COPD.MethodsTwo-stage mixed method primary care study involving patients with advanced COPD and their carers. Stage 1: Face and content validity assessed though focus groups involving patients and carers (n=12) considering appropriateness relevance and completeness of the SNAP tool. Thematic data analysis within a Framework Approach. Stage 2: Content and criterion validity assessed in a postal survey through patient self-completion of the SNAP tool and disease impact measures (chronic respiratory questionnaire COPD assessment test and hospital anxiety and depression scale). Content validity assessed using summary statistics; criterion validity via correlations between tool items and impact measures.ResultsThe SNAP tool has good face content and criterion validity. Patients and carers found the tool patient-friendly with potential clinical utility. No tool items were redundant. Clear correlations were found between tool items and the majority of items/sub-scales of the impact measures.DiscussionThe SNAP tool has good face content and criterion validity. It has the potential to support the delivery of supportive and palliative care in advanced COPD by enabling patients to identify and express their support needs to HCPs. Future work will pilot SNAP in clinical practice.


2021 ◽  
Vol 5 (2) ◽  
pp. 35-43
Author(s):  
Hamza El Kaddouri ◽  
Modar Ajeeb

The adoption of the Law relative to the Liberties and Responsibilities of Universities (LRU) in 2007 has sought to “modernize” the governance system of French universities. Article 18 of this Law stipulated “the accounts of the university are subject to an annual audit by a legal auditor” (Law no. 2007–1199 of 10 August 2007). This paper explores management teams’ perceptions of the role of legal audit in the governance system of French universities and its impact on the managerial latitude of university managers. Based on twenty-five interviews carried out with members of the management teams in three universities, the results of this study are threefold. Firstly, legal audit plays a disciplinary role by reducing the information asymmetry and cognitive conflicts between university managers and the stakeholders involved in governance particularly the financial supervisory authorities and the accounting agency. Secondly, the audit report is used by university managers to reinforce the legitimacy and the objectivity of their decisions, in the face of internal and external political pressure coming mainly from the university council, faculties, and the supervisory authorities. Thirdly, legal audit plays a complementary role to the governance system in place, including the controls of the accounting agency, the Council, and the Rectorate. Therefore, the results of this research are part of an integrated governance approach (Wirtz, 2006) which is characterized by the complementarity between the disciplinary and cognitive dimensions (Williamson, 1991; Charreaux, 1997)


2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Eric Werth ◽  
Katherine Williams ◽  
Tyler Kroon

Students are experiencing enormous economic precarity as a result of COVID-19. Reports indicate that those hardest hit by job loss due to the coronavirus are of lower income (Beer, 2020). While economic recovery is underway for more affluent workers, the same cannot be said for those toward the bottom of the wage scale, particularly underserved populations (Long, 2020). The University of Pikeville (UPIKE) in Central Appalachia recognizes the impact that emerging and existing financial inequities have on our institution’s most vulnerable populations. Even pre-pandemic, students had indicated the costs of purchasing textbooks was stressful and discouraging. As a result, the institution decided in April 2020 to convert all classes to free materials by the start of the Fall 2020 semester. Written by those who supported faculty in this transition, the goal of this article is threefold: To describe our research methods in seeking out appropriate free material for instructors and how we guided faculty in developing their own knowledge in search strategies, To detail the process we established for faculty to apply for funding when appropriate materials could not be found, and To share the lessons we learned along with emerging success stories. We hope that this guidance will encourage other institutions to implement similar initiatives. Based on anecdotal experiences as well as our own ongoing research, we believe similar efforts are essential in addressing systemic inequities and creating cross-campus collaboration, particularly in the face of unprecedented challenges that were not created by, but have been exacerbated because of the global pandemic.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Odessa S. Hamilton ◽  
Dorina Cadar ◽  
Andrew Steptoe

AbstractThe impact of the COVID-19 pandemic on population mental health is of global concern. Inflammatory processes are thought to contribute to mental ill-health, but their role in experiences of psychological distress during the pandemic has not been investigated. We tested the hypothesis that elevated inflammatory biomarkers (high-sensitivity plasma C-reactive protein [CRP] and plasma fibrinogen) measured pre-pandemic would be positively predictive of increased depressive symptoms experienced during the pandemic. Data were analysed from the English Longitudinal Study of Ageing (ELSA), with 3574 individuals aged >50 for CRP and 3314 for fibrinogen measured in waves 8 (2016/17) or 9 (2018/19). Depressive symptoms were measured with a short version of the Centre for Epidemiological Studies Depression Scale (CES-D) pre-pandemic (2016–2019) and during the pandemic (June/July 2020). Participants with higher baseline CRP concentrations had 40% higher odds of developing depressive symptoms during the pandemic (ORadjusted = 1.40, 95% CI 1.12–1.73, p = 0.003) after full adjustment. Fibrinogen concentrations were also associated with depressive symptoms during the pandemic (ORadjusted = 1.23, 95% CI 1.04–1.46, p = 0.019), but this association was no longer significant after controlling for lifestyle factors (smoking status, alcohol consumption and physical activity). In this large population study, systemic inflammation measured 1–3 years pre-pandemic was associated with greater depressed mood during the early months of the pandemic. This finding is consistent with the hypothesis that higher levels of inflammation increase the vulnerability of older people to impaired mental health in the presence of the widespread stress of the COVID-19 pandemic.


2017 ◽  
Vol 6 (2) ◽  
pp. 169
Author(s):  
Omar Cuevas Salazar ◽  
Ramona Imelda García López ◽  
Javier José Vales García ◽  
Isidro Roberto Cruz Medina

The tutorship program is aimed at supporting students throughout their university career and its objective is to prevent future problems of adaptation in the educational ambience as well as intervening in matters of academic achievement. At the Instituto Tecnológico de Sonora (Technological Institute of Sonora) (ITSON), the individual tutorship program began in 2000. In 2002 group tutoring began in order to see to the entire first year student population and today group tutoring is offered in both the face-to-face and virtual modalities. The general objective of the present study is to determine the impact the programs of face-to-face and virtual tutoring at the ITSON has had on students’ academic achievement, during the four semesters after having participated in this program. Information on 2,995 students from the different areas of study offered at the university was collected from databases which existed at the Institute and analyzed using different statistical techniques. The tutoring program is shown to have had a favorable impact on the index of students’ failing classes, during the semester they were enrolled in tutoring, but not during the subsequent semesters, during which they did not participate in the tutorship program. The grade point averages obtained by students who had face-to-face tutoring were statistically different from those of the students who did not have tutoring. This was true for all of the semesters analyzed. The same thing happened with the students who had virtual tutoring except for during the second semester when the two were statistically equal.


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