Estrés académico en estudiantes de Medicina diagnosticados en la Unidad de Orientación Estudiantil / Academic stress in Medicine students diagnosed in the Student Direction Unit i: en

Introducción: La educación universitaria constituye un proceso generador de muchas tensiones para los estudiantes de todo el mundo, que se ha asociado a altos niveles de estrés, ansiedad y depresión. Objetivo: Describir las manifestaciones de estrés académico en estudiantes del tercer año de la carrera de Medicina. Métodos: Se realizó un estudio descriptivo, transversal y retrospectivo de 10 estudiantes de la Facultad de Medicina No. 1 de Santiago de Cuba, diagnosticados con estrés académico en la Unidad de Orientación Estudiantil, desde enero hasta junio de 2022. Resultados: Predominó el estrés moderado en 70,0 % de los alumnos, con una primacía del sexo femenino (50,0 %). La frecuencia de intensidad de la preocupación fue expresada en el valor categorial mucho (70,0 %). Entre los principales factores estresores identificados figuraron: sobrecarga de tareas y trabajos, evaluaciones de los profesores y participación en clase, que en su totalidad forman parte de la dinámica del proceso formativo de la carrera. También prevaleció la diversidad de estrategias de afrontamiento a dicho estrés. Conclusiones: El estrés académico se presentó mayormente en las esferas afectiva y conductual de los estudiantes y se asoció a sucesos vivenciales como factores estresores.

Introduction: University education constitutes a process that generates many tensions for the students from all over the world, which has been associated with high stress levels, anxiety and depression. Objective: To describe the manifestations of academic stress in students from the third year of Medicine. Methods: A descriptive, cross-sectional and retrospective study of 10 students from the Medicine Faculty No. 1 was carried out in Santiago de Cuba, diagnosed with academic stress in the Student Direction Unit, from January to June, 2022. Results: The moderated stress prevailed in 70.0 % of the students, with a primacy of female sex (50.0 %). The frequency of intensity of the concern was expressed in the categorical value (70.0 %) as many. Among the main identified factors that cause stress we can mention: excess of tasks and works, professors evaluations and participation in class that are part of the dynamics in the training process of the career. Also, the diversity of strategies to face this stress prevailed. Conclusions: The academic stress was mostly present in the affective and behavioral spheres of the students and was associated with events experienced as factors that cause stress.

Consecuencias psicológicas del sexting y relación con el estrés académico / Psychological consequences of sexting and relationship with the academic stress

Se presenta el caso de una estudiante de segundo año medicina, atendida en la Unidad de Orientación Estudiantil de la Facultad de Medicina No. 1 de la Universidad de Ciencias Médicas de Santiago de Cuba, entre septiembre y diciembre de 2021, por presentar problemas académicos y manifestaciones de estrés debido a que fue víctima de acoso verbal y psicológico por parte de sus compañeros de grupo a partir de un acto de sexting por parte de su pareja. Teniendo en cuenta lo anterior se le dio seguimiento para un mejor estudio y se comparten los hallazgos con la comunidad científica en general.

The case of a second year medicine student is presented, assisted in the Student Orientation Unit of Medicine Faculty No. 1 in the University of Medical Sciences from Santiago de Cuba, between September and December, 2021, due to academic problems and stress manifestations because she was victim of verbal and psychological harassment by her groupmates as a result of an act of sexting by her couple. Taking into account the above-mentioned she was followed up for a better study and findings are shared with the scientific community in general.

La educación antisísmica con estudiantes de medicina a través de un proyecto comunitario / Anti-seismic education of medical students through a community project

La prevención ante los desastres acaecidos por sismos constituye una problemática en determinadas regiones vulnerables en Cuba, y una prioridad en la formación de estudiantes de medicina. En este trabajo, las opiniones de los autores se fundamentan en la influencia que tiene un proyecto comunitario, para actuar ante situaciones sísmicas, en la preparación de los estudiantes de medicina, pues favorece una mayor calidad profesional y contribuye a enriquecer su labor preventiva con la población. Como parte del proceso, participaron 46 estudiantes de cuarto año de la Facultad de medicina No. 1, de Santiago de Cuba, en el período comprendido entre septiembre de 2016 a febrero de 2018(AU)

Prevention of earthquake disasters is a problem in certain vulnerable regions of Cuba, and a priority in the training of medical students. In this work, the authors' opinions are based on the influence that a community project has, to act in seismic situations, in the preparation of medical students, since it favours a higher professional quality and contributes to enriching their preventive work with population. As part of the process, 46 fourth-year students from the Faculty of Medicine No. 1, Santiago de Cuba, participated in the period from September 2016 to February 2018(AU)

A dependência de smartphone em estudantes de medicina: uma revisão narrativa / Smartphone dependence in medical students: a narrative review

Introdução: As tecnologias trouxeram mudanças inéditas na forma de comunicação entre as pessoas, bem como novas potencialidades na educação. A ampliação do uso do smartphone trouxe novas perspectivas e pode se apresentar como uma potente ferramenta educacional. Entretanto, impactos negativos do uso excessivo do dispositivo são observados, principalmente na população de jovens universitários, como transtornos físicos e psicológicos. Diante disso, faz-se necessário a compreensão do fenômeno, a identificação e o manejo desta dependência comportamental. Objetivo: Esse estudo teve como objetivo identificar e discutir a dependência de smartphone em estudantes de medicina e suas repercussões na saúde física e emocional, bem como apresentar as formas de identificação da dependência de smartphone e as abordagens destinadas a minimizarem o uso patológico desta tecnologia. Metodologia: Trata-se de um estudo qualitativo de revisão narrativa, necessário para se discutir a dependência do smartphone pelos estudantes de medicina nos dias de hoje. Conclusão: O uso excessivo do smartphone é uma realidade, principalmente na população universitária. O reconhecimento do uso disfuncional do aparelho se faz cada vez mais importante, uma vez que os impactos negativos na saúde física e mental são evidentes em diversas publicações em todo mundo. Entretanto, medidas para manejo da dependência se tornam tão importantes quanto a identificação do problema

Introduction: Technologies have brought unprecedented changes in the way people communicate, as well as new potential in education. The expansion of smartphone use has brought new perspectives and presents itself as a powerful educational tool. However, negative impacts of the excessive use of the device are observed mainly in the population of young university students. Therefore, it is necessary to understand, identify and manage this behavioral dependence. Objective: This study aimed to identify and discuss smartphone dependence in medical students and its repercussions on physical and emotional health, as well as to present ways of identifying smartphone dependence and the approaches aimed at minimizing the pathological use of this technology. Methodology: This is a qualitative study of narrative view, necessary to discuss smartphone dependence among medical students today. Conclusion: The excessive use of the smartphone is a reality, especially in the university population. The recognition of dysfunctional use of the device is becoming increasingly important, since the negative impacts on physical and mental health are evident in several publications worldwide. However, measures to manage addiction become as important as identifying the problem

[Impact of patient testimony in the education of medicine and pharmacy students]. / Patients acteurs et formation en oncologie pour futurs médecins et pharmaciens.

The initiative from patients suffering from cancer or having had the disease in speaking about their illness to medical students during an internship in a cancer control center of the faculty of medicine and to pharmacy students at the university of Strasbourg was implemented in 2014. This action was coordinated by the French Cancer League as part of the National French cancer plan 3. After training, ten patients teachers were able to freely and spontaneously explain their diagnostic and therapeutic journey as well as their feelings about the disease and their relationship with their oncologists in front of 187 medical students and 131 pharmacy students. A moderator, often a former cancer teacher, helped coordinate the discussions. Questionnaires were given to students, patients teachers and moderators in order to assess the merits of the action and the expected benefits at the end of the training. A second questionnaire was sent to the students six months after the interviews. The assessment was made by an independent firm. The students' responses were very favorable and this training met their expectations in almost 98% of the cases and 1/3 of the students were destabilized by this training. Patients teacher were very satisfied with their intervention and felt that they were able to convey a message. Six months later, the 30% of student respondents said that these testimonies had or could have an impact on their practices. This is the first assessment of the interest of resource patients in teaching cancer patients about medical and pharmacy students.

El desarrollo de la habilidad solucionar problemas de salud de carácter urgente en estudiantes de la carrera de Medicina / The development of skills to solve urgent health problems in the medicine student

RESUMEN Introducción: El egreso de un médico general competente demanda que desde el pregrado aprenda a solucionar los problemas de salud más prevalentes. Objetivo: Diseñar un sistema de tareas docentes que contribuya a que el estudiante de Medicina desarrolle la habilidad de solucionar problemas de salud de carácter urgente presentes en el paciente adulto. Método: En el curso escolar 2017-2018, en el servicio de Medicina Intensiva del Hospital General Docente "Dr. Agostinho Neto" se realizó un estudio de corte transversal y con enfoque cualitativo. Se utilizaron métodos teóricos, empíricos y matemático-estadísticos. Se hizo un pre-experimento en el que se aplicó un sistema de tareas docentes dirigido a satisfacer el objetivo que se declaró, en el que participaron 25 estudiantes seleccionados aleatoriamente. Resultados: La autoevaluación del estudiante y su examen de desempeño mostró que en el 64,0 % de ellos mejoró su preparación para este fin y logró el desarrollo de la habilidad. Conclusiones: Se fundamenta desde el punto de vista teórico que la solución de estos problemas de salud de carácter urgente adquiere el carácter de habilidad profesional para el médico dada su implicación en el modo de actuación profesional. Se diseña un sistema de tareas docentes que posibilita esta aspiración y se demuestra su viabilidad para su instrumentación en la práctica pedagógica.

ABSTRACT Introduction: The graduation of competent general practitioners demand from them the learning of skills to solve the most common urgent health issues from early stages of the undergraduate level. Objective: To design a system of teaching tasks aiming to the development of problem-solving skills in the medicine student regarding common urgent health problems in adult patients. Method: During the school year 2017-2018, a qualitative-focused cross-sectional study was undertaken in the intensive care service at the General Teaching Hospital ¨Dr. Agostinho Neto¨. In the research, theoretical, empirical and mathematical-statistical methods were used. A pre experiment was carried out, applying a system of teaching tasks aimed to the goals already set, in a group of 25 randomly-selected students. Results: Self-evaluation of the students, and their performance in the exams showed an improvement in 64.0% of them, and the development of the skills required. Conclusions: From a theoretical point of view, is obvious that the resolution of urgent health problems is a keystone skill in the practitioners, due to the importance it has in their career. On that path, a system of tasks is developed in order to show the students how to improve on these skills, and the viability to make this tasks into the current teaching program is proved.

Differences in attitude toward prevention of suicide between nursing and medicine students: A study in Mexican population.

The aim of the present study was to evaluate the attitude toward suicide prevention in medicine and nursing students attending University in south Mexico, considering their family and personal history of suicide. Demographic features and self-reported personal and family history of suicide were evaluated in 355 Mexican students at the Health Sciences School. Their views toward suicide prevention was assessed using the Attitude Toward Suicide Prevention scale. Comparisons between medicine and nursing students were performed, as well as between had or had-not previous personal or family history of suicide. Our results support that nursing students showed the most negative attitude toward suicide prevention. Therefore, training programs and strategies encouraging a better attitude in suicide prevention are necessary to be implemented. It is also necessary to consider cultural, ethnic and family backgrounds of the students/of the population when developing new strategies.

Evaluación final de Informática Médica para la formación de habilidades investigativas en estudiantes de medicina / Final evaluation of medical computer science for the training on investigative skills in medicine students

Se realizó un estudio descriptivo en la Facultad de Ciencias Médicas de Holguín, desde enero del 2017 hasta igual periodo del 2018, con vistas a caracterizar el proceso de evaluación final de la disciplina Informática Médica correspondiente al plan de estudio D para el desarrollo de habilidades investigativas en los estudiantes de medicina. El universo estuvo constituido por los resultados del trabajo final de las asignaturas Informática, Bioestadística y Metodología; la muestra, por los 40 trabajos finales de Metodología de la Investigación que tuvieron mayores dificultades en el informe escrito y 16 profesores de Informática Médica. Se utilizó la revisión documental, la observación y la entrevista. Se calcularon valores absolutos y porcentajes. Los resultados del trabajo final mostraron excelente promoción. El indicador defensa resultó el de mayor dificultad con 60,0 por ciento de los trabajos evaluados de regular y mal. La evaluación final contribuyó al desarrollo de la habilidad investigativa.

A descriptive study was carried out in Holguín Medical Sciences Faculty, from January, 2017 to the same period in 2018, with the aim of characterizing the process of final evaluation of the Medical Computer discipline corresponding to the study plan D for the development of investigative skills in the medicine students. The universe was constituted by the results of the final work of the subjects Computer science, Biostatistics and Methodology; the sample was constituted by the 40 final works of Methodology of Investigation which had the greatest difficulties in the written report and by 16 professors of Medical Computer science. The documental review, observation and interview were used. Absolute values and percentages were calculated. The results of the final work showed excellent promotion. The indicator defense was that of greatest difficulty with 60.0 percent of the evaluated works as average and poor. The final evaluation contributed to the development of the investigative skill.

Qualidade de vida e fatores associados à suspeição de transtornos mentais comuns em estudantes de Medicina em universidade de integração latino-americana / Quality of life and associated factors with suspicion of common mental disorders in Medicine students at a university of latin american integration

Nesta tese, objetivou-se caracterizar o perfil, os fatores associados à suspeição de Transtornos Mentais Comuns (TMC) e a autopercepção da qualidade de vida (QV) nos estudantes do curso de Medicina da Universidade Federal da Integração Latino-Americana (UNILA). Foi realizado um estudo analítico transversal com 202 alunos brasileiros e estrangeiros latinoamericanos. O questionário Perfil do Participante foi validado através do índice de validade de conteúdo (IVC) e aplicado nos alunos brasileiros e estrangeiros. Foram aplicados nos estudantes brasileiros o Self-Reporting Questionnaire-20 (SRQ-20) e o World Health Organization Questionnaire for Quality of Life - bref (WHOQoL-BREF) para avaliação da suspeição de TMC e da QV, respectivamente. Foram observadas diferenças estatisticamente significativas entre os grupos de alunos brasileiros e estrangeiros. As médias de idade (p = 0,006), da renda familiar (p = 0,002) e de horas por semana de atividade física (p < 0,0001) eram maiores nos brasileiros, assim como, foi encontrado menor número de pessoas que viviam com a renda familiar média (p = 0,002) e maior porcentagem de alunos que consideraram o autodesempenho acadêmico bom/excelente (p = 0,032) neste grupo. A condição de estar solteiro (p < 0,0001), ter religião (p = 0,007), nunca ter feito tratamento psiquiátrico/psicológico (p < 0,0001), sexo feminino (p = 0,041) e menor média da carga horária de sono diária (p < 0,0001) foram observadas em maior porcentagem nos estrangeiros. A prevalência de suspeição de TMC no grupo de estudantes brasileiros foi de 40% com IC95%: [0,31 ; 0,49]. Através da análise pela regressão logística, os domínios psicológico (p < 0,0001) e físico (p = 0,028) do WHOQoL-BREF, o período do curso (p = 0,039), a alimentação (p = 0,009) e achar o curso estressante (p = 0,034) foram associados à suspeição de presença de TMC no grupo de brasileiros. A partir dos resultados encontrados nesse trabalho, verifica-se a necessidade de pesquisas de causalidade de suspeição de TMC e de intensificar os conhecimentos, ampliar a prática de condutas no dia a dia e planejar ações a favor da saúde mental e saúde física do futuro médico

This thesis aimed to characterize the profile, the associated factors with suspicion of Common Mental Disorders (CMD) and the self-perception of quality of life (QoL) in Medicine students at the Federal University of Latin American Integration (UNILA). A cross-sectional analytical study was conducted with 202 Brazilian and foreign (latin american) students. The Participant Profile questionnaire was validated through the content validity index (CVI) and applied to Brazilian and foreign students. Self-Reporting Questionnaire-20 (SRQ-20) and World Health Organization Questionnaire for Quality of Life - bref (WHOQoL-BREF) were applied to Brazilian students to evaluate suspicion of CMD and QoL, respectively. Statistically significant differences were observed between groups of Brazilian and foreign students. The average age (p = 0.006), family income (p = 0.002) and hours per week of physical activity (p < 0.0001) were higher in Brazilians, and a lower number of people living with average family income (p = 0.002) and higher percentage of students who considered good / excellent academic self-performance (p = 0.032) in this group. The condition of being single (p < 0.0001), having religion (p = 0.007), never having received psychiatric / psychological treatment (p < 0.0001), female gender (p = 0.041) and lower average daily load of sleep (p < 0.0001) were observed in higher percentage in foreign students. The prevalence of suspected CMD in Brazilian students was 40% with 95% CI: [0.31 ; 0.49]. Through logistic regression analysis, the psychological (p < 0.0001) and physical (p = 0.028) domains of the WHOQoLBREF, the course time (p = 0.039), the diet (p = 0.009) and finding the course stressful (p = 0.034) were associated with suspected presence of CMD in the group of Brazilians students. From the results found in this study, it is necessary to investigate causality of suspected CMD and to intensify knowledge, to expand the practice of daily conduct and to plan actions and to improve of mental health and physical health of the future Medicine doctor

Ingressantes no curso de medicina de uma instituição de ensino superior pública / Ingressants in the medicine course of an institution of public higher education

Introdução: O presente artigo busca identificar o perfil sociodemográfico do estudante ingressante no curso de Medicina Universidade do Estado de Mato Grosso (UNEMAT), bem como o motivo de escolha pelo curso. Metodologia: Aplicou-se um questionário aos alunos que ingressaram no curso de Medicina da UNEMAT a partir do semestre letivo 2015/1, perfazendo o total de cinco, das dez existentes turmas, e abrangendo um total de 141 estudantes. Resultados e Discussão: Dos ingressantes no período pesquisado, 76 (54%) são do sexo feminino e 65 (46%) do sexo masculino, revelando o aumento da inserção feminina no curso de Medicina e o futuro equilíbrio com o sexo masculino. A maioria dos alunos do curso de Medicina da instituição é jovem, com idade entre 18 a 23 anos. São advindos de 20 Estados da Federação, prevalecendo estudantes do estado de Mato Grosso, reflexo, provavelmente, da manutenção do ingresso por vestibular próprio no segundo semestre letivo. Mais da metade dos pesquisados estudaram em escolas particulares, tanto no ensino fundamental (52%) quanto no ensino médio (64%) e realizaram cursos preparatórios pré-vestibulares. A vocação pela profissão foi motivo de escolha pela Medicina de 78% dos alunos, optando pela UNEMAT devido à ausência de mensalidade e por não ser aprovado em outra instituição. Dentre os participantes da pesquisa, a infraestrutura não foi apontada como um dos principais motivos pela escolha do curso de Medicina do estabelecimento de ensino. Conclusão: O perfil do estudante que ingressa no curso de Medicina da UNEMAT é jovem, sendo a maioria do sexo feminino, que escolheu a Medicina por vocação a profissão, realizou mais de um vestibular, escolheu a UNEMAT pela ausência de mensalidade e não foi a sua primeira opção de instituição. Espera-se que esses dados possam contribuir com os gestores para elaboração de estratégias de mudanças e para a discussão e reflexão crítica acerca do ensino médico no Brasil.

Introduction: This article aims to identify the sociodemographic profile of the incoming student in the Medical University of the State of Mato Grosso (UNEMAT) course, as well as the reason for choosing the course. Methodology: A questionnaire was applied to the students who entered the medical course of UNEMAT from the academic semester 2015/1, making a total of five, out of the ten existing classes, and covering a total of 141 students. RESULTS AND DISCUSSION: 76 (54%) of the study participants were female and 65 (46%) male, revealing the increase in female insertion in the medical school and the future balance with males. Most of the institution's medical students are young, aged 18 to 23 years. They are coming from 20 States of the Federation, prevailing students from the state of Mato Grosso, probably reflecting the maintenance of admission by their own entrance exam in the second semester. More than half of those surveyed studied in private schools, both in elementary school (52%) and high school (64%), and attended pre-college preparatory courses. The vocation for the profession was the medical choice of 78% of the students, opting for UNEMAT due to the absence of monthly fees and not being approved in another institution. Among the participants of the research, the infrastructure was not indicated as one of the main reasons for choosing the medical course of the educational establishment. Conclusion: The profile of the student who joins the medical course of UNEMAT is young, with the majority female, who chose medicine by profession, performed more than one college entrance exam, chose UNEMAT for lack of tuition and did not go to your first choice of institution. It is hoped that this data can contribute with the managers for the elaboration of strategies of changes and for the discussion and critical reflection about the medical education in Brazil.

What shall we do for family medicine?

In November 2014 the Pakistan Medical and Dental Council directed that Family Medicine should be taught to final year medical students. Family Medicine will be strengthened as a result. This paper considers some implications of the decision, identifying first the need for more information on primary care services, especially in the private sector, to enable planning of the curriculum and attachments to public and private units. The challenges to medical colleges in providing what will be largely experiential learning are described and the importance of training practitioners is emphasised. The urgent need to overcome the virtual absence in Pakistan of postgraduate training in Family Medicine described, and the quality standards of primary care are explored and the need for attention in the face of student learning is described. Recommendations are offered, including an advisory board on Family Medicine to audit its introduction and performance.

Efectividad del laminario histológico interactivo de Morfofisiología II en estudiantes de primer año de la carrera de medicina / Effectiveness of the Morphophysiology II interactive histological laminario in the first year students of the medicine career

Se realizó un estudio experimental, con vistas a medir la efectividad del laminario histológico interactivo de Morfofisiología II, en 32 estudiantes de primer año de la carrera de medicina, pertenecientes al Policlínico Docente "José Martí Pérez" de Santiago de Cuba, durante el primer trimestre del 2012. La muestra se dividió en 2 grupos (A y B), distribuidos aleatoriamente; los integrantes del primero usaron la bibliografía básica para el estudio de la asignatura, y los del segundo emplearon además, el laminario antes citado. Se concluyó que dicho software fue efectivo, puesto que los estudiantes del grupo B obtuvieron mejores calificaciones que los del A.

An experimental study was carried out, with the aim of measuring the effectiveness of the Morphophysiology II interactive histological laminario, in 32 first year students of the medicine career, belonging to "José Martí Pérez" Teaching Polyclinic from Santiago de Cuba, during the first trimester of 2012. The sample was divided into 2 randomly distributed groups (A and B). The member of the first group used the basic literature for studying the subject, and those of the second group used besides the literature, the above mentioned laminario. It was concluded that the software was effective, since the students of group B obtained better qualifications that those of group A.

Creation and implementation of a national emergency medicine fourth-year student examination.

BACKGROUND: A National Board of Medical Examiners examination does not exist for Emergency Medicine (EM) students. To fill this void, the Clerkship Directors in Emergency Medicine tasked a committee with development of an examination for 4th-year (M4) EM students, based on a published syllabus, and consisting of questions written according to published question-writing guidelines. STUDY OBJECTIVES: Describe examination development and statistics at 9 months. METHODS: The committee reviewed an existing EM student question database at www.saemtests.org for statistical performance, compliance with item-writing guidelines, and topic inclusion within the published EM M4 syllabus. For syllabus topics without existing questions, committee members wrote new items. LXR 6.0 software (Applied Measurement Professionals, Inc., Georgetown, SC) was used for examination administration. Data gathered included numbers of examinations completed, mean scores with SD, and point biserial correlation (rpb). RESULTS: Of the 553 questions assessed, 157 questions met the stated criteria, and 37 were included in the examination. Thirteen new questions were written by committee members to cover all curriculum topics. The National EM M4 Examination was released online August 1, 2011. Nine months later, the examination had been completed 1642 times by students from 27 clerkships. Mean score was 79.69% (SD 3.89). Individual question difficulties ranged from 26% to 99%. Question rpbs ranged from 0.067 to 0.353, mean 0.213 (SD 0.066). CONCLUSIONS: A national group of EM educators developed an examination to assess a published clerkship syllabus. The examination contains questions written according to published item-writing guidelines, and exhibits content validity, appropriate difficulty levels, and adequate question discriminatory ability.

Estrés académico en estudiantes de medicina de primer año con bajo rendimiento escolar / Academic stress in first year medicine students with low school performance

Se hizo un estudio descriptivo y transversal de estudiantes de medicina con bajo rendimiento académico, pertenecientes a la Facultad de Ciencias Médicas No. 2 de Santiago de Cuba en el semestre comprendido desde octubre de 2008 hasta abril de 2009, con vista a determinar las causas de ello. Se halló un predominio de altos niveles de estrés en estos educandos, sobre todo del sexo femenino, así como también de las situaciones estresantes: sobrecarga de tareas y deberes escolares, evaluaciones docentes y tiempo limitado para realizar el trabajo. De todas las reacciones evaluadas, las más intensas fueron las psicológicas, en tanto la estrategia de afrontamiento más usada resultó ser la emoción. En la casuística, el patrón de conducta de tipo A prevaleció en los alumnos con altos niveles de estrés

A descriptive and cross-sectional study of medicine students with low academic performance, belonging to the Medical College No. 2 from Santiago de Cuba was carried out in the semester from October, 2008 to April, 2009, with the objective of determining its causes. A prevalence of high stress levels in these students, mainly of the female sex, as well as of stressing situations was found: overload of tasks and of school duties, teaching evaluations and limited time to carry out the work. Of all the evaluated reactions, the most intense were the psychological ones, while the most used coping strategy was the emotion. The behaviour pattern type A prevailed in the students with high stress levels in the case material

Avaliação da prevalência de sobrepeso, do perfil nutricional e do nível de atividade física nos estudantes de medicina da Universidade de Ciências da Saúde de Alagoas - UNCISAL / Evaluation of the prevalence of overweight, nutritional profile and the level of physical activity in the students of medicine of the Alagoas Sciences of the Health University - UNCISAL

Objetivos: O objetivo deste estudo foi verificar a prevalência de sobrepeso, o perfil nutricional e o nível de atividade física nos estudantes da Faculdade de Medicina da UNCISAL. Métodos: Foram avaliados acadêmicos do 1° ao 6° ano de medicina num total de 120 pessoas, sendo 104 homens e 16 mulheres. Para a avaliação dos dados foram utilizados apenas os dos acadêmicos do sexo masculino. Para determinação de o sobrepeso foram utilizados os parâmetros da OMS 2002: IMC igual P/A2, em que P igual Peso (quilos) e A igual Altura (metros), dado: IMC maior que 25Kg/m2 igual sobrepeso; IMC maior que 30Kg/m2 igual Obesidade. Para o nível adequado de atividade física foi considerado como duas ou mais vezes por semana de atividade física. Resultados: As prevalências de sobrepeso foram: 1° ano 18,75%; 2° ano - 47,4%; 3° ano - 52,6%; 4° ano - 65%; 5° ano - 66,7% e 6° ano - 83,3% entre os estudantes de medicina. Dos 104 acadêmicos, 64,4% revelaram não praticar nenhum tipo de atividade física regular (1° ano - 56,25% e 6° ano - 64,42%), enquanto apenas 37% o faziam ao menos duas vezes por semana. O perfil nutricional foi avaliado por meio de recordatório alimentar. Conclusão: Concluímos que a prevalência de sobrepeso aumenta à medida que os acadêmicos de medicina vão se es aproximando do final do curso, sendo também relacionada ao sedentarismo crescente e à alimentação inadequada.

Factores curriculares relacionados con las actitudes hacia la promoción de la salud en estudiantes de Medicina / Curricular factors related to attitudes toward health promotion in medicine students

El objetivo del presente trabajo fueexplicar la relación entre factores curriculares y las actitudes hacia la promoción de la salud, que tienen los estudiantes de medicina de la Universidad de Caldas, entre los años 2002 y 2003 en la ciudad de Manizales. Se calculó una muestra de 230 estudiantes, de los cuales se aplicó una encuesta y una escala Liker a 173. Además se realizaron 4 grupos focales y el análisis documental de los principios del currículo oficial de programa de medicina y del plan de estudios. Se encontró que el 66.5% de los estudiantes presentó actitud indiferente hacia la promoción de la salud, el 15% actitud positiva y actitud muy positiva el 2.9%; para el 13.9% la actitud fue negativa y muy negativa para el 1.7 %. Lasmaterias de las áreas básica, clínicas, quirúrgicas y de salud mental, presentan enfoque mórbido excepto las asignaturas de pediatría, pues son las únicasque involucran componentes como promoción de la salud en la formación del estudiante. Los hallazgos demuestran que los currículos oficial y oculto fortalecen la formación clínica y reproducen la impronta institucional que ha tenido el programa, lo que podría explicar la actitud indiferente hacia la promoción de la salud

The objective of this work was to explain the relationship between the curricular factors and attitudes towards health promotion of the medicine students at the Universidad de Caldas between 2002 and 2003 in the city of Manizales. A sample of 230 students was estimated, from which a poll was applied to 173 in the Liker scale. Additionally, four focal groups were organized, and the documental analysis was carried out of the official curricular principles of the Medicine Program, and of the study plan. It was found that 66.5% of the students showed an indifferent attitude towards health promotion, 15% showed a positive attitude and 2.9% showed a very positive attitude; 13.9% showed a negative attitude and 1.7% showed a very negative attitude. The courses in the basic areas, clinical, surgical and mental health show a morbid focus except for the Pediatric courses which involve components of health promotion in the integral formation of the students. The findings show that the official and hidden curricula strengthen the clinical formation and reproduce the institutional profile of the program, which could explain the indifference towards the health promotion