Efficacy, Practicality, Intimal Health, and Sustainability of Menstrual Cups use among Undergraduate Medical Students: a cross-sectional study.

Introduction: Women need effective, safe, and affordable menstrual hygiene products. The menstrual cup is an alternative method. Objective: To identify the prevalence of menstrual cups among the medical students and the independent variables associated with their use adherence. Methods: a cross-sectional study with an online survey applied to regularly matriculate women from FEMA Medical School in January 2021. Results: Of 277 women, 164 participated. The mean age was 22.26 (SD 3.21). 136 preferred external pads, 60 internal pads, 28 menstrual cups, and 11 did not use. Using a 1-10 scale, price, efficacy, sustain, practice, intimal health status, hygiene, and importance of internal genitalia integrity were questioned. 37 (22,56%) women related the use of menstrual cups in the last year. Using any method to reduce menstruation had an odds ratio adjusted of 0.310 (95%CI 0.122-0.787). Concern about the environmental biodegradation had ORadj of 6.369 (95%CI 1.372-29.562); Intimal Health, ORadj of 1.996 (95%CI 1.183-3.368); internal genital integrity, ORadj of 0.824 (95%CI 0.682-0.995), for menstrual cups use. Conclusion: women using a method to reduce their menstrual flow, concerning about biodegradation, concerning with intimal health, and with no concerns about manipulating their genitalia were significant independent factors for the adherence of menstrual cups. Keywords: Menstrual Hygiene Products; Feminine Hygiene Products; Menstrual cup; Education, Medical, Undergraduate

Medical Students’ Attitude Towards Robotic Surgery: A Cross-Sectional Survey

Introduction The robotic surgery and procedures are increasing worldwide. It is unknown whether medical students are well prepared for their future exposure to such technology. Objectives This study aimed to explore the knowledge and attitude of medical students from Saudi Arabia (SA) towards the robotic surgery. Methods We performed a cross-sectional survey of medical students at different colleges of medicine in SA. A web-based self-administered questionnaire using google forms was completed over a 2-month period starting on June 2021. Comparison between those with and without background about robotic surgery was performed. Results A total of 239 medical students from both governmental (46%) and private colleges (54%) responded to the questionnaire. 51.9% were interested in the surgical field and 37.7% considered themselves tech-savvy persons. Only (22.6%) had previous background about robotic surgery mainly from internet. Many (63.2%) showed positive attitude towards robotic surgery and expected that using robots will improve surgical outcomes. 48.5% of the students expected that patients in SA will not accept the robotic surgeries. Some (51.1%) concerned that robots could replace the surgeons and could make them less professional. Many believed that SA should invest and expand the robotic surgeries (69.1%). Students with background in robotic surgery had significantly younger median age (p < 0.030), earlier academic years (p < 0.001), higher GPA (p < 0.025), and more tech-savvy personality (p < 0.000) compared to those without background. Conclusion Most medical students are unaware of robotic surgery, but they have positive attitude with some concerns. Young students who consider themselves tech-savvy persons are in a better position, but they access their knowledge from internet rather than from their medical education. Medical curricula and residency training program should take these findings into consideration for preparing the future surgeons in SA.

150 ‘A Safe Learning Environment’: Simulation-Induced Stress Literature Review

Simulation-based education (SBE) is often celebrated as a safe learning environment, but this usually refers to the risk posed to patients, in this literature review the psychological safety for participants and the elements of SBE that generate or reduce stress are sought. Stress and learning have a complex relationship in adult learning; however, negative stress may inhibit memory formation and so the sustainable effect of SBE learning may be jeopardized by participants experiencing unnecessary stress during SBE. It is therefore important to identify the nature and trigger for stress in SBE to optimize this resource.Using the online database PubMed and the search terms (stress and anxiety) AND (Simulation) AND ((clinical education, medical education)) without limits on publication type or date, 20 articles were returned. A non-systematic review was undertaken. Articles that were designed to deliberately introduce stress into SMEs to gauge the effect on performance were excluded. Included studies analysed the type, characteristics and potential triggers of stress evoked through participation in SBE. 17 studies were retained.No studies in the UK were returned, SBE participants were from undergraduate and post-graduate settings and there was a mixture of professional groups included with three studies looking at team-based SMEs. Study design and method varied with an observational study being the most common method. Only one looked at qualitative data from focus groups of SME participants. Nearly all studies recorded a physical marker of stress – heart rate, cortisol level or visible signs of stress such as shaking hands. Two studies looked at techniques to actively reduce stress within the SBE activity; a mindfulness exercise before a task-based simulation and an introduction of a period of relaxation prior to debriefing. Faculty awareness of participant stress was measured objectively in only one study. SME design and equipment stressors were directly considered in two studies.There are limited dedicated studies addressing SBE-induced stress and how this can be modified; furthermore, a lack of research into faculty impact on stress hinders the opportunity to change. This was not a systematic literature review and so the findings are limited, but can help inform practitioners: (1) Repeated exposure and familiarity with SME reduce stress. (2) Designate roles that participants would be expected to undertake in real clinical scenarios. (3) Minimize distracting factors in the environment unless directly contributing to learning outcome. (4) Introducing a purposeful period of calm before debriefing may improve retention of learning outcomes.

Evolution of Teaching Methods in Medical Education Over the Years

The medical education system in India is one of the largest in the world and it is currently facing challenges for quality education. Medical education has changed considerably and will continue to do so with the various scientific advances and societal needs. The previous medical education system in India was based on a subject-centered and time-based curriculum. The new Competency-based medical education (CBME) was introduced to tackle these concerns. The education has now transitioned from teacher-centered to learner-centered. The teachers would also have to face the challenge of altering their attitude and teaching approach. New methods have to be adopted to keep up with the changed curriculum but traditions should not be abandoned entirely. By embracing the modern methods like the flipped classroom, blended learning, interactive teaching, etc. and incorporating it with the traditional teaching methods i.e. chalk and board, the goal of a Competent Indian Medical Graduate can be achieved.

Literature Survey of Yoga for Foreign Visit Based on Aries to Pieces Lagna

Entitled ‘Yoga Going Abroad’, this study has kept most of the people born in India with the idea of going abroad at least once in their life. It comes in many forms: higher education, medical education, marriage, work, career, travel, Women living with their husbands after marriage, the opportunity to go abroad for the delivery of a daughter or daughter-in-law living abroad, and for the care of grandchildren after childbirth. The purpose of this study is to study the benefits of those who have gone abroad and those who are living abroad permanently and to explore who will be eligible for yoga abroad. Keywords: Bhakyashtana, Bhakyathipathi, Pada, Dasa, Buddhi.

Stress Factors and Depression Levels of International Medical Students in Bulgaria and Turkish Medical Students

Throughout medical education, medical students are reported to experience high levels of stress and depression. The aim of this study was to compare the stress factors and depression levels of medical students in Bulgaria and Turkey. This cross-sectional comparative study included 546 students (276 international students from abroad studying at the Medical University of Sofia in Bulgaria and 270 Turkish medical students). The questionnaire consisted of sociodemographic questions, a Medical Student Stressor Questionnaire (MSSQ-40 items), and a Beck Depression Inventory (BDI). The Turkish pre-clinical and clinical students had higher levels of stress and depression than the international pre-clinical medical students in Bulgaria. When the medical students were compared, 51.4% of the international medical students in Bulgaria and 28.5% of the Turkish medical students were found to be without depression. Moreover, 26.7% of the Turkish medical students and 12% of the international medical students in Bulgaria had moderate levels of depression. In addition, each domain of the MSSQ had a relationship with depression in both groups of medical students, with the exception of one domain (intrapersonal and interpersonal related stressors), which had no significant relationship with the depression scores of the Turkish clinical students. The findings of our study imply that medical students may need psychological support throughout their education, and this applies especially to Turkish medical students. Knowing the stress factors and depression levels that medical students experience plays an important role in determining the approaches to adopt to them.

Research on Migrant Works' Concern Recognition and Emotion Analysis Based on Web Text Data

Based on the characteristics of convenience, autonomy, and equality, online self-media has become an important way for contemporary migrant workers to observe the world, understand society, examine themselves and express their demands. On the basis of the analysis of the domestic migrant works' concerns and their emotion analysis, we crawl data on Weibo about migrant works' topics as the basic corpus of migrant works' concerns, and then uses a combination of TF-IDF and Word2Vec methods to construct a recognition model of migrant workers' concerns. We found that wages, children's education, medical care and returning home are the main concerns of migrant workers. Meanwhile, further emotion analysis of the migrant works' concerns of using a deep learning model fused with Bi-LSTM and CNN was conducted. The results show that the proportion of negative emotion such as worries, complaints and impetuosity was significantly higher than that of other positive and neutral emotion like encourage and comfort. And the time when the negative emotion are concentrated is significantly related to the social events that occur in the corresponding time period. On the one hand, it shows that the concerns and emotion of migrant workers can be effectively observed and predicted through web text data. On the other hand, it also shows that the core well-being issues of migrant workers in the process of urban integration have not been effectively solved, and the government and relevant departments need to take targeted measures and give priority attention.

Impact of Education, Medical Services, and Living Conditions on Health: Evidence from China Health and Nutrition Survey

Education, medical services, and living conditions can influence individual health and health literacy. We used the 2015 China Health and Nutrition Survey data to analyze the impact of education, medical services, and living conditions on individual health by extending the Grossman model. As a result, using the instrumental variable (read, write, and draw) two-stage least square method, we found that education, medical services, and living conditions have a positive impact on individual health, both physical health and psychological health. Among them, medical services have the largest influence, followed by living conditions and education. In addition, the results are robust. However, individual characteristics, family income, and working status also affect individual health. Moreover, we observed heterogeneity in age, sex, and residence in the impact of education, medical services, and living conditions on individual health. In particular, the health of the rural elderly and elderly women is more sensitive to education, the medical services of middle-aged women and young men have a greater impact on their health, and the living conditions of the rural elderly and youth have a greater impact on their health. All the findings are helpful for optimizing the path of the Healthy China program.

Peer-mentoring na educação em saúde: quais as suas aplicações, limitações e estratégias para o sucesso?

Este estudo buscou investigar a contribuição do Peer-Mentoring na formação acadêmica de base e educação continuada de profissionais da saúde, bem como identificar as principais limitações, desafios e alternativas para atingir o sucesso de sua implementação. Trata-se de um estudo de revisão integrativa com busca sistemática, realizada nas bases de dados PubMed, Scopus, Web Of Science, Education Resources Information Center (ERIC) e Biblioteca Virtual em Saúde (BVS). Foram incluídos artigos eletrônicos, disponíveis na íntegra, nos idiomas português, inglês e/ou espanhol e publicados nos últimos 5 anos. Excluiu-se os estudos do tipo revisão de literatura, resumos, carta ao editor, manuscritos duplicados e estudos que não apresentaram relação com a temática. Os seguintes descritores foram combinados com os operadores booleanos AND e OR: “Peer-Mentoring”, “Peer Group”, “Mentoring”, “Mentors”, “Health Education” e "Education, Medical”. Foram coletados 31 artigos elegíveis, que passaram por uma análise na íntegra e fichamento dos dados. Os estudos foram agrupados em cinco categorias de análise: (1) contribuição do Peer-Mentoring no processo de formação acadêmica; (2) impacto do Peer-Mentoring na educação continuada de profissionais da saúde educação continuada; (3) limitações são encontradas durante a execução do Peer-Mentoring; (4) desafios pedagógicos que devem ser vencidos, no transcurso da mentoria entre pares; (5) Como atingir o sucesso durante a implantação e execução de programas de Peer-Mentoring?. O Peer-Mentoring mostrou-se capaz de melhorar significativamente o processo de ensino em saúde. Perspectivas futuras apontam para uma maior adesão, por parte das instituições de ensino, em inserir a mentoria entre pares nos programas pedagógicos.