Burnout Among ENT Residents During Covid-19 Pandemic: What Are The Contributing Factors?

Introduction. Resident doctors are susceptible to burnout syndrome, which are the combination of physical and psychological fatigue, that may affect their performance. Long-term pandemic of Covid-19 may also contribute to increase the severity of burnout among residents doctor, might be because the increasing of work time and effort to treat the patients during the time while maintaining prevention against the possible exposure that may harm themselves. This study was aimed to evaluate burnout prevalence among ENT (Ear-Nose-Throat) medical residents in Covid-19 pandemic, and its relation to certain factors of demographic and wellness. Methods. Thirty ENT medical residents of Medical Faculty of Sriwijaya University were enrolled as study population. Burnout was measured by Copenhagen Burnout Inventory (CBI) and divided by three parameters (personal,work-related, patient-related). Results. Among 30 ENT resident doctors at Rumah Sakit Moh. Hoesin, the mean level of personal burnout was 53.056 (SD 17.125), work-related burnout was 47.975 (SD 17.663), and patient-related burnout was 34.861 (SD 20.746). Conclusion. Marriage, female gender, and inadequacy of PPE may contribute to the development of burnout. The burnout among resident doctors is a serious matter regarding their role as a frontline doctor during the pandemic era, because it may affect not only their performance at work, but toward their life as well.

The Effect of Water Intake on Body Mass Index in Universitas Sumatera Utara Medical Students

Overweight and obesity is one of the health problems in the world. This condition is associated with various health problems such as cardiovascular disease, stroke, osteoarthritis, chronic back pain, gallbladder disease, and cancer. Consuming adequate fluids can help you lose weight. This study aimed to determine the relationship between body fluid intake and body mass index (BMI) in Medical Faculty Universitas Sumatera Utara students. A cross-sectional study was conducted on USU Medical Faculty students from October 2020 to January 2021 with a sample of 99 people. Researchers obtained primary data obtained through reporting daily fluid intake for seven consecutive days and anthropometric measurements. Furthermore, the researchers conducted the Spearman test to determine the relationship between the two variables. Based on the characteristics of the sample, the researchers obtained 51 samples that were female (51.5%), and 48 were male (48.5%) with an average age of 20.05±1.08 years. The average fluid intake consumed was around 2070.07±654.93 mL per day, whereas 48 people in the study sample consumed less fluid below 2000 mL/day (45.5%). The classification of nutritional status of the sample based on BMI showed that 44 people had normal nutritional status (44.4%), 48 people were overweight (48.5%), and seven people were obese (7.1%). The test results showed a significant relationship between daily fluid intake and BMI (p-value = 0.007).

Prevalence of Headache and Related Factors in Erciyes University Medical Faculty Students

Headache is one of the oldest known symptoms in humans and headache disorders are among the most common diagnoses in neurology clinics. More than 90% of people experience a headache at least once in their lifetime. Medical students may frequently experience headache triggering situations such as insomnia, fatigue, and stress. The purpose of this research; The aim of this study is to examine the frequency of headache in Erciyes University Faculty of Medicine students, the nature of the pain in patients with headache and related factors.Materials-Methods: This descriptive study; It was conducted with medical faculty students studying at Erciyes University. In March 2019, 1602 students were enrolled in the medical faculty and all of them were planned to be included in the study and the sample size calculation was not made, and a total of 1296 people could be reached when the data collection phase was completed. The obtained data were evaluated in computer environment and p <0.05 values were accepted as significant in statistical analysis. Results: 46.5% of the participants in the study were men and 53.5% were women. 6.9% of the participants stated that they had a diagnosed headache disease, 31.7% stated that they had a headache at least once a week. The triggering factors were mostly; insomnia (77.4%), stresssadness (72.4%), fatigue (%70.0), noise (%59.4), study (%44.5). The frequency of headache is significantly higher in women, those with a family history and those living with their families. The mean severity score of those who describe sharp and throbbing pain, which is mostly seen in migraine, is significantly higher than the feeling of tension and heaviness. Conclusion: One-third of the participants stated that they experienced a headache once or more per week. A significant relationship was found between headache and the factors of gender, family history and place of residence. It has been determined that the factors that trigger pain are mostly insomnia, stress-sadness and fatigue. Medical students can be informed about the examination of headache complaints by the physician and the arrangement of necessary treatments, as well as training on sleep hygiene and coping with stress, and social support can be provided.

To the 100th anniversary of the Medical Faculty of Belarusian State University (1921–2021)

Objective. To study the process of formation of the Medical Faculty of Belarusian State University in the early 1920s.Materials and methods. Archival, periodical and narrative sources processed by general scientific and special historical research methods.Results. The emergency of a higher medical education in Belarus became possible only after the solid establishment of Soviet power in its territory. Political and ideological components played a significant role in the processes of the selection of future doctors and their education, but at the same time, democratic elements of self-government were implemented along with the formation of the Medical Faculty.Conclusion. Despite the successful experience of organizing the Medical Faculty of Belarusian State University, a small number of graduates in the 1920s and the general lack of doctors in the BSSR predetermined the need for its reorganization into an self-administered academic institution– Minsk Medical Institute.

Knowledge Levels of Medical Faculty Students and Residents about Ionizing Radiation

This study aimed to evaluate the knowledge levels of medical school students and residents about ionising radiation. The study is designed as descriptive research, and it was conducted with 369 medical school students and residents. A survey form was used in the research. A Chi-square test was used to compare categorical variables. In the study, 369 people were reached within the scope of the research. A total of 60.7% of the research participants were clinical medicine students (4th, 5th, 6th grade) and 39.3% were residents. A total of 42.0% of the participants of the study were male, 58.0% were women. It was found that 17.9% of the clinical medical students and 18.6% of the residents had sufficient knowledge of ionising radiation (p=0.002). A total of 87.0% of the participants in the study answered correctly that magnetic resonance imaging (MRI) does not contain radiation and 93.5% answered correctly that ultrasonography (USG) does not contain radiation. 74.8% of the participants stated that having knowledge about ionising radiation would contribute to “protecting sensitive groups from ionising radiation” in medical practice. This ratio is 77.2% in clinical medicine students and 71.0% in residents. The study found that knowledge levels of medical faculty students and residents about ionising radiation were insufficient. Medical students and residents are recommended to be trained on radiation and the radiological requests of residents to be evaluated.

The evaluation of the relevance of teaching of homeopathy at the medical school

Background: In 1912 the Hahnemann Medical Faculty to graduate homeopathic physicians was created. This was one of the courses that originated the present Federal University of the State of Rio de Janeiro – UNIRIO. Homeopathy in UNIRIO was consolidated during the 80s and 90s through the relationship with other specialties. In 1999, the interface of Homeopathy and the curriculum guidelines of the Brazilian Ministry of Education justified the inclusion of Homeopathy as a compulsory subject in the medical course at UNIRIO. In 2001 a University program to improve the development of research called “Homeopathy - Health and Quality of Life”, was created to integrate the activities of Teaching, Research and Extension. Aim: To evaluate the relevance of the compulsory teaching of Homeopathy in the medical area at the Federal University of the State of Rio de Janeiro – UNIRIO, Brazil. Methods: A prospective longitudinal qualitative and quantitative research was used with semi-structured questionnaires with open and closed questions at the beginning and end of each semester. Undergraduate students from the third year of the UNIRIO Medical Faculty (2008/March till 2009/September) who accepted the “Consent Form”, were included. Students who didn't respond adequately to the questions were excluded. This research was approved and registered at the Brazilian Research Ethics Center. Microsoft Office Excel 2007 used to data collection and analysis. Results: Total number of students attending the course during the four semesters: 304. 70% answered the questionnaires. 60% of the students had heard of homeopathy before attending the homeopathy course (67% as patients, 21% as patients and through media, 6% through media and 6% by other means of contact). 86% consider that homeopathy brought new knowledge to the medical and academic training. 72% consider that this knowledge could be applicable to their future career. Conclusion: Most students aim to learn the guiding principles of homeopathy. Their aim is to know all available treatment, modalities and alternatives to allopathy in medical education. They considered that the learning of Homeopathy is a part of general medical training due to the fact that it has been a recognized medical specialty in Brazil since 1980. The student’s opportunity to learn homeopathy during the undergraduate course in medical schools widens the individuality concept, “the doctor-patient relationship and the holistic vision of the patient”. These results demonstrate the relevance of teaching homeopathy in the medical curriculum and the need to spread the teaching of homeopathy as a compulsory course for all other medical universities.