Evaluation on Lung Functions after Examination Stress in Student Population

Background: Professional degrees are daunting to the learning group because of a modern curriculum that is dramatically different from high school curricula and other educational courses. It is more pronounced among first year students in educational institutions because of rivalry and demands from institution managers, academic staff and parents. Stress causes many detrimental effects in the body. Aim: The present study planned to evaluate the effect of examination stress on the changes in lung functions among dental college students. Materials and Methods: 20 normal students were selected and categorised into normal and stressed students. They were assessed for a lung function test using RMS helios 702 Spirometer. The parameters such as FVC, FEV1, FEV1/FVC, PEFR, FEF25-75 were assessed. Results: It is observed that there was a decrease in the values of FVC, FEV1, FEV1/FVC, PEFR, FEF25-75 in exam stressed students when compared to normal students. The values of FEV1/FVC and FEF25-75 were statistically significant. Conclusion: Thus, the study concluded an innovative finding that there was an inverse association with depressive symptoms in the pulmonary function test of exam stressed students which was shown by a statistically significant decrease in FEV1/FVC and FEF25-75. Exam is really a stressful experience and affects both male and female students. Awareness should be conducted among students about ill effects of stress. Decreased stress, increased lung function results in increased academic performance.

Importance of Gymnasium Students’ Anxiety, Identity Style and Stress Coping Strategies for Examination Stress Assessment

Examinations and their results often become perhaps the biggest challenge in young person’s life, which is associated with the course of later life. For this reason, a high level of stress is observed, which is maintained by both personal and situational factors. In this context, the objective of this study is to identify the links between the experienced anxiety, identity style, examinations stress and its coping strategies of the gymnasium students. The study involved 175 gymnasium students in grades 10 to 12. Of these, 109 were girls (62.3%) and 66 were boys (37.7%), aged 16 to 19 years of age (M = 17.27, SD = 0.92). Gymnasium students were given a questionnaire based on the State-Trait Anxiety Inventory (Spielberger, Gorsuch, Lushene, 1970), Identity Style Inventory Version 5 (ISI-5) (Berzonsky, Soenens, Luyckx, Smits, Papini, Goossens, 2013), the Stress Coping Questionnaire (Grakauskas, Valickas, 2006), and the Examination Stress Scale for Adolescent Students (Sung, Chao, 2014). It was found that the more frequent experience of stress in gymnasium students examinations was predicted by stronger trait and state anxiety, more frequent choice of informational, normative identity processing style and more frequent use of avoidance strategy in experiencing stress.

Transurethral electrosurgery in the treatment of benign prostatic hyperplasia

The scientific article is devoted to the study of indicators of the cardiovascular system in students under examination stress. As a result of our research, we recorded that before the start of the exam and after its completion the students experienced severe stress, which negatively affected the results of the study of hemodynamic parameters that showed high values indicating an overstrain of the adaptive mechanisms.

The influence of psychological stress on the cardiovascular system of students of the Faculty of Biology and Chemistry in interaction with the orthostatic test

The scientific article is devoted to the study of indicators of the cardiovascular system in students under examination stress. As a result of our research, we recorded that before the start of the exam and after its completion, the students experienced severe stress, which negatively affected the results of the hemodynamic parameters study that showed high values indicating an overstrain of the adaptive mechanisms.

THE INFLUENCE OF EXAMINATION STRESS ON VEGETATIVE INDICATORS IN 17-21-YEAR-OLD STUDENTS WITH A MELANCHOLIC TYPE OF HIGHER NERVOUS ACTIVITY

The article is devoted to the influence of an increased level of situational and personal anxiety of examination stress on the indices of the autonomic nervous system in 17-21-year-old male students (I and V courses) with a melancholic type of nervous system. In the course of the conducted studies, it was found that in 17- and 21-year-old students-melancholic during the examination process between heart rate and blood pressure there are some differences that do not normalize after the exam. Vegetative indicators in 21-year-old students in the periods before and after the exam are slightly increased, relative to indicators in 17-year-old students. The Kerdo vegetative index (VIC) in both age groups was in a state of sympathicotonia, which is an indicator of the superiority of the sympathetic nervous system throughout the entire examination process. The results obtained in the course of this study can be used to optimize learning activities, relieve stress in exams and protect students' health.

INFLUENCE OF EXAMINATION STRESS ON PSYCHOLOGICAL STATE AND HEMODYNAMIC INDICATORS ON FIRST-YEAR STUDENTS

Жалпы медициналық факультетінің 1 -курс 50 студентінің психологиялық жағдайы мен гемодинамикалық көрсеткіштерінің динамикасы зерттелді. Барлық қатысушылар жеке деректерді зерттеу және құпиялық бағдарламасына қатысуға ақпараттандырылған келісімге қол қойды. Талдау критерийлері САН тестінің нәтижелері ( көңіл - күй,белсенділік, сезімталдық). Импульсің жиілігі мен қан қысымы болды. Оқу жылының басында денсаулық, белсенділік және көңіл - күй шкаласы бойынша бағалар едәуір көп екендігі, ал жүрек соғу жиілігі мен қан қысымының көрсеткіштері емтихан қарсаңындағыдан аз екендігі анықталды. Алынған нәтижелер емтихан стрессінің әсерінен эмоциональды шиеленістің қарқындылығының артуы аясында психологиялық жағдайдың ғана емес, сонымен қатар соматикалық жағдайдың, атап айтқанда гемодинамикалық көрсеткіштердің теріс өзгерісі байқалғанын көрсетті. Бұл болашақта жүрек-қан тамыр ауруларының дамуына ықпал ететін фактор болуы мүмкін. The dynamics of the psychological state and hemodynamic indicators of 50 first-year students of the general medical faculty was studied. All participants signed informed consent to participate in the research and confidentiality of personal data. The criteria for the analysis were the results of the WAM test (well-being, activity, mood), pulse rate and blood pressure at the beginning of the school year and, directly, on the eve of the exam. It was found that at the beginning of the school year, the scores on the scales of health, activity and mood were significantly higher, and the indicators of pulse rate and blood pressure were significantly lower than on the eve of the exam. The results indicated that, amid increase in the intensity of emotional tension under the influence of examination stress, there was a negative change not only in the psychological state, but also in the somatic state, in particular, hemodynamic parameters, which may be a predisposing factor for the development of cardiovascular diseases in the future.

Effects of stress associated with academic examination on the kynurenine pathway profile in healthy students

The effects of stress on the neuroendocrine, central nervous and immune systems are extremely complex. The kynurenine pathway (KP) of the tryptophan metabolism is recognised as a cross-link between the neuroendocrine- and immune systems. However, the effects of acute stress from everyday life on KP activation have not yet been studied. This study aims to investigate changes in the levels of the KP neuroactive metabolites and cytokines in response to stress triggered by academic examinations. Ninety-two healthy first year medical students benevolently participated in the study. Parameters were measured pre- examination, which is considered to be a high-stress period, and post-examination, as a low-stress period. Stress induced by academic examinations significantly increases the perceived stress scores (p<0.001), serum cortisol levels (p<0.001) and brain-derived neurotrophic factor (BDNF) levels (p<0.01). It decreased IL-10 levels (p<0.05) but had no effect on IL-6 and TNF-alpha levels. Only the KP neuroactive metabolite, 3-hydroxykynurenine (3-HK) significantly increased (p<0.01) in the post-examination period. In addition, the stress scores positively correlated with the levels of cortisol (r2 = 0.297, p<0.01) at post examination. Acute stress triggered by academic examinations increases cortisol and BDNF production and suppresses the anti-inflammatory cytokine, IL-10, but did not increase significantly the levels of other pro-inflammatory cytokines, tryptophan, kynurenine and downstream KP metabolites. The concomitant increased levels of BDNF under the duress of acute examination stress appear to limit the levels pro-inflammatory markers, which may attenuate the action of cortisol and the neuroinflammatory branch of the KP.

Evaluation of the Examination Stress among the First Year MBBS Students in the Medical College

Background and Aim: The objectives were to determine the effect of examination stress explored by self-evaluation questionnaire, correlation of examination stress and impact of examination stress on the academic performance. Materials and Methods: A prospective cohort study was conducted on medical students to determine the examination stress explored by anxiety questionnaire, biochemical parameter and autonomic function tests. Fifty medical students studying in first academic year admitted for the first year were included in the study. Information about demographic, social, cultural, and life-style factors were collected using a proforma of questionnaire. Name, age, sex and nativity were also recorded. Stress was explored during first terminal examination since it was the first major examination faced by the students after entering into the professional course. One parameter was used to measure the level of stress; Spielberger State Trait Anxiety Inventory (STAI) self-evaluation questionnaire to measure the level of stress. Results: Anxiety levels dropped in post- examination period. In contrast abnormal autonomic functions did not decrease during post- examination period. In male and female students expected pattern of raised anxiety during examination and dropped anxiety scores in post- examination were observed. Conclusion: The results of this study should help understand the pattern of response to the examination stress and enable development of strategies that will assist the students to handle the stress in a more efficient manner.

Influence of Examınatıon Stress on Vegetatıve Indıcators ff 17-21-Year-Old Students-Phlegmatıcs

Exam stress is one of the numerous causes of complex psychophysiological stress in students. One of the modern problems of electrophysiology is the study of the action mechanism of high levels of anxiety in students during and after the examination. The speed of development of the lifestyle of young people and an increase in the level of stress in the environment lead to a change in the relationship in the adaptive function of the body and the emergence of various kinds of deviations. Examination stress is accompanied by the emergence of many complex neurophysiological changes in the body, which negatively affects the life of young men. In all cases, young people strive to achieve their goals, which in itself leads to emotional stress. One of them is the study of the functioning of the nervous system during emotional stress and clarification of the role of various types of the higher nervous system in this. Despite a comprehensive study of this problem, this issue still remains relevant, and the study of the mechanisms of the anxiety process continues. The article presents the results of changes in the level of situational and personal anxiety of the examination process on the indicators of the autonomic nervous system in I and V year students, at the age of 17-21 years, having a type of phlegmatism. Before the beginning of the experiment, the type of temperament was determined by G. Eisenk test. Material and methods. To determine the level of situational and personal anxiety (emotional tension) of 17–21-year-olds, having the phlegmatic type of temperament, we used the method of expressive test two days before the exam, 30 minutes before the exam and 30 minutes after the exam. In all three groups, arterial pressure was measured using the Korotkova method and pulpator method of determining the heart rate per minute. Vegetative tone was calculated based on the Kerdo vegetative index. Results and discussion. The obtained results showed that 17-year-old phlegmatics-first-year students observed differences between the frequencies of cardiac contraction and arterial pressure two days before the exam, 30 minutes before the exam and 30 minutes after the exam. In all groups, the test had a sympathetic character, which testifies to the superiority of the sympathetic nervous system in the duration of the entire examination period. In 21-year-old students-phlegmatics course-vegetative indicators in two days before the exam, 30 minutes before the exam and 30 minutes after the exam differred slightly in comparison with 17-year-olds. Similarly, the Kerdo vegetative index of the 17-year-old students-phlegmatics and 21-year-old students-phlegmatics in all groups had the sympathetic character. This is also evidence of the prevalence of a sympathetic disorder of the sympathetic process used to optimize academic performance, correction of exam stress and protection of students' health