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1.
J Affect Disord ; 296: 315-321, 2022 01 01.
Artigo em Inglês | MEDLINE | ID: mdl-34600968

RESUMO

BACKGROUND: The majority of medical students in China have experienced home confinement and a reliance on online resources to study medicine since the outbreak of COVID-19. More time spent studying online during the COVID-19 pandemic may be a potential risk factor for problematic smartphone use, since smartphones have become the most commonly used device for accessing the internet. The objective of the present study was to explore the association between anxiety, smartphone problematic use and sleep disturbance among medical students during the enforced COVID-19 home confinement. METHODS: Altogether, 666 medical students validly answered a self-administered questionnaire, which included the Chinese version of the Generalized Anxiety Disorder scale, Smartphone addiction scale - short version, and the PROMIS Sleep Disturbance scale (short form). Hierarchical multiple regression analyses were employed to explore the associated factors of anxiety. Structural equation modeling was conducted to test hypothesized associations. RESULTS: Anxiety was significantly associated with problematic smartphone use and sleep disturbance among medical students during the COVID-19 pandemic. Problematic smartphone use not only directly affected anxiety, but also exerted a significant indirect effect on anxiety via sleep disturbance. A significant decrease of the path coefficient of problematic smartphone use on anxiety (from ß=0.53 to ß=0.22, P<0.01) was observed with sleep disturbance being modeled as a mediator. LIMITATIONS: Limitations include its cross-sectional design and samples recruited from only one medical school. CONCLUSIONS: The detrimental impact of problematic smartphone use and the importance of sleep health on mitigating anxiety should be highlighted and incorporated into medical education.


Assuntos
COVID-19 , Estudantes de Medicina , Ansiedade/epidemiologia , China/epidemiologia , Estudos Transversais , Humanos , Pandemias , SARS-CoV-2 , Sono , Smartphone
2.
Ann Ig ; 34(1): 45-53, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-34698761

RESUMO

Background: Tobacco products represent a major health risk factor and a potent way to help transmission of COVID-19. Current data regarding consumption of these products in the region are scarce. The aim of this study was to evaluate patterns of cigarette, hookah and other tobacco products consumption among undergraduate students from the University of Sarajevo before the COVID-19 outbreak in the country. Methods: This cross-sectional study based on a National Youth Tobacco Survey (NYTS) was conducted among undergraduate students from the University of Sarajevo in Bosnia and Hercegovina via an online questionnaire from 22nd to 26th of January 2020. Results: Out of 605 students involved in the study, most of them were female (N=429, 70.9%); 363 (60.0%) were enrolled in medical sciences; 159 (26.3%) were attending the 3rd year of their curriculum; 224 (37%) were original from Canton Sarajevo and 514 (84.9%) were living in urban environment. Two hundred thirty five students out of 605 (38.8%) were current smokers and 117 (19.3%) hookah smokers. Being female (OR=0.539, 95% CI 0.368-0.790, p=0.002), in the 1st or 2nd year of study (OR=0.805, 95% CI 0.667-0.972, p=0.024) and living in a rural environment (OR=0.335, 95% CI 0.191-0.585, p<0.001) were associated with reduced risk of cigarette consumption, while older age (22+ years) (OR=1.287, 95% CI 1.122-1.476, p<0.001) increased the same risk. On the other side, being female (OR=0.595, 95% CI 0.380-0.930, p=0.023), of younger age (18-21 years) (OR=0.832, 95% CI 0.743-0.932, p=0.001) and medical science student (OR=0.567, 95% CI 0.328-0.978, p=0.041) were associated with decreased risk of consuming hookah. Conclusions: This study provides an insight in prevalence of smoking among students at the University of Sarajevo. More antismoking efforts are needed, especially in urban environments; and a follow-up study, to be planned in the near future, should determine whether COVID-19 pandemic (and all the modifications of lifestyles connected with it) have eventually changed tobacco consumption patterns among undergraduate students.


Assuntos
COVID-19 , Cachimbos de Água , Estudantes de Medicina , Produtos do Tabaco , Adolescente , Adulto , Idoso , Bósnia e Herzegóvina/epidemiologia , Estudos Transversais , Feminino , Seguimentos , Hábitos , Humanos , Pandemias , SARS-CoV-2 , Uso de Tabaco/epidemiologia , Adulto Jovem
3.
Ann Anat ; 239: 151832, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-34536539

RESUMO

The attitudes of medical students towards the clinical importance of neuroanatomy have been little studied. Because it has been reported that medical students find neuroanatomy difficult and can have 'neurophobia', here we test the hypothesis that early-stage medical students across Europe have a low regard for neuroanatomy's clinical relevance. The work was conducted under the auspices of the Trans-European Pedagogic Research Group (TEPARG), with just over 1500 students from 12 European medical schools providing responses to a survey (52% response rate) that assessed their attitudes using Thurstone and Chave methodologies. Regardless of the university surveyed, and of the teaching methods employed for neuroanatomy, our findings were not consistent with our hypothesis. However, the students had a less favourable opinion of neuroanatomy's importance compared to gross anatomy; although their attitudes were more positive than previously reported for histology and embryology. The extent to which neuroanatomy plays a significant role in the early years of medical education is moot. Nevertheless, we conclude that in addition to newly recruited medical students being informed of the subject's role in a healthcare profession, we advocate the use of modern imaging technologies to enhance student understanding and motivation and cognisance of the core syllabus for the subject being developed by the International Federation of Associations of Anatomists (IFAA).


Assuntos
Educação de Graduação em Medicina , Estudantes de Medicina , Atitude , Currículo , Humanos , Neuroanatomia/educação , Faculdades de Medicina , Inquéritos e Questionários
4.
Ann Anat ; 239: 151777, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-34082082

RESUMO

Dissections are a fundamental practical methodology for teaching human anatomy. However, this experience can be stressful, generating anxiety situations among students. This study tries to understand the attitudes, reactions, fears and anxiety state among students earning a physiotherapy degree when facing their first prosection. A cross-sectional before-and-after study was carried out with students who were provided with an anonymous "ad hoc" questionnaire and the State-Trait Anxiety Inventory (STAI).The values obtained from the total STAI questionnaire remained stable and unchanged during the prosection (p>0.05). The levels of trait anxiety (TA) and state anxiety (SA) remained stable except in female students, who showed higher TA and SA scores, with a significance of p<0.05 before and after the prosection. Although 100% of the students were satisfied with the dissection practices, the experience can provoke stressful responses and should be addressed using coping mechanisms, especially among female students.


Assuntos
Anatomia , Estudantes de Medicina , Ansiedade , Cadáver , Estudos Transversais , Dissecação , Feminino , Humanos , Modalidades de Fisioterapia , Inquéritos e Questionários
5.
Ann Anat ; 239: 151802, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-34265385

RESUMO

There is little consistency in student contact hours and teaching activities used in medical curriculums across North America, and controversy exists regarding the most efficient or effective way to teach musculoskeletal (MSK) anatomy in medical school. The purpose of this investigation was to retrospectively examine academic performance and levels of course satisfaction among first year medical students who had completed an intensive 2-week MSK anatomy course during the pre-clerkship portion of their Association of Faculties of Medicine in Canada accredited undergraduate medical program. Course data from formative and summative student evaluations, as well as end-of-course satisfaction surveys were analyzed for a homogenous group of 549 first-year medical students over a 5-year period. Data indicated that student's academic performance on both formative and summative evaluations for the 2-week MSK anatomy course were consistently high, and not significantly different from the results for other system-based 1st year anatomy courses delivered over longer durations. Likert data from end-of-course surveys also suggested that student feedback regarding the course was overwhelmingly positive, and that the 2-week MSK anatomy course had the highest level of overall satisfaction when compared to all other first-year anatomy courses. These results can be used to help in the design and implementation of MSK anatomy courses within medical curriculums, and contribute to a growing body of literature which is focused on examining the effect of curricular design on MSK anatomy learning in a medical education setting.


Assuntos
Anatomia , Educação de Graduação em Medicina , Educação Médica , Estudantes de Medicina , Anatomia/educação , Currículo , Humanos , Estudos Retrospectivos
6.
Clin Imaging ; 81: 67-71, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-34619566

RESUMO

PURPOSE: International student surveys have shown significant anxiety about pursuing radiology as a career due to artificial intelligence (AI). For a counterpart study in the US, we examined the impact of AI on US medical students' choice of radiology as a career, and how such impact is influenced by students' opinions on and exposures to AI and radiology. METHODS: Students across 32 US medical schools participated in an anonymous online survey. The respondents' radiology ranking with and without AI were compared. Among those considering radiology within their top 3 choices, change in radiology ranking due to AI was statistically examined for association with baseline characteristics, subjective opinions, and prior exposures. RESULTS: AI significantly lowered students' preference for ranking radiology (P < .001). One-sixth of students who would have chosen radiology as the first choice did not do so because of AI, and approximately half of those considering radiology within their top 3 choices remained concerned about AI. Ranking radiology lower due to AI was associated with greater concerns about AI (P < .001), less perceived understanding of radiology (P = .02), predicting a decrease in job opportunities (P < .001), and exposure to AI through medical students/family (P = .03) as well as through radiology attendings and residents (P = .03). Education on AI during radiology rotations, followed by pre-clinical lectures, was the most preferred way to learn about AI. CONCLUSION: AI has a significantly negative impact on US medical students' choice of radiology as a career, a phenomenon influenced by both individual concerns and exposure to AI from the medical community.


Assuntos
Radiologia , Estudantes de Medicina , Inteligência Artificial , Humanos , Radiografia , Inquéritos e Questionários
8.
Med Educ Online ; 27(1): 2007577, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34821211

RESUMO

Medical students experience extensive pressure during their undergraduate courses. Given the complex associations between psychological factors in association with academic pressure. We investigated the study with objectives: To examine psychological factors related to academic pressure by analysing interactions between 'study motivation', 'study environment', 'study conditions', 'teacher quality', 'training programme', 'management system', 'evaluation', and 'extracurricular activities' using a network analysis approach. A total of 878 medical students majoring in general medicine from the first, third, and fifth years of a six-year course at the largest medical university in central and highland regions of Vietnam were involved in this cross-sectional study. The approach used was convenient cluster sampling with a self-administered questionnaire by the participants. Network analysis for pairwise correlations between psychological factors was estimated . Important factors in the network analysis were calculated using centrality indices including node strength (S), closeness (C), and betweenness (B). The higher score of S, C, and B indicate the more importance of the node. The results obtained from the network analysis of eight psychological factors showed that 'teaching quality' was mostly connected with other factors overall, while the 'training programme' was seen in both genders and freshman students. 'Study conditions' and 'training programme' were mostly connected with other factors in junior and senior students, respectively. The strong pairwise correlation was confirmed: management system and evaluation activity, followed by study environment and study conditions, and teaching quality and training programme. Additionally, nodes with high centrality were shown to be 'management system' (S = 0.97, C = 0.019, B = 1), and 'training programme' (S = 0.96, C = 0.021, B = 4). Our study findings indicate that satisfaction with the training programme amongst eight psychological factors is the most important factor affecting academic pressure among medical students. The training programme is linked with teaching quality, whereas the management system is correlated with evaluation activity.


Assuntos
Estudantes de Medicina , Estudos Transversais , Feminino , Humanos , Masculino , Motivação , Inquéritos e Questionários , Vietnã
9.
Med Educ Online ; 27(1): 2007561, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34813397

RESUMO

INTRODUCTION: Many medical schools are moving toward integrated curricula in response to the 2010 Carnegie report. However, there is often apprehension that student performance on standard assessment metrics of medical knowledge acquisition could suffer during the transition period. Therefore, we sought to analyze the impact of curriculum redesign on the medical knowledge acquisition of the transitional cohort, as measured by NBME subject exam scores. METHODS: The University of Wisconsin School of Medicine and Public Health Legacy curriculum followed a standard 2 + 2 medical school educational model, including traditional, department-based, third-year clinical clerkships. In the new ForWard curriculum, students enter clinical rotations one semester earlier, and those core clinical experiences are organized within four integrated blocks combining traditional clerkship specialties. This retrospective program evaluation compares NBME subject exam scores between the final cohort of Legacy third-year students (2016-17) and first cohort of ForWard students (2018) for the Adult Ambulatory Medicine, Medicine, Neurology, Obstetrics and Gynecology, Pediatrics, Psychiatry, and Surgery exams. RESULTS: NBME subject exam mean scores ranged from 75.5-79.4 for the Legacy cohort and 74.9-78.7 for the ForWard cohort, with no statistically significant differences in scores identified for each individual exam analyzed. Results remained constant when controlled for student demographic variables. DISCUSSION: Faculty and students may worry about impacts to the transitional cohort during curriculum redesign, however our results suggest no substantive negative effects to acquisition of medical knowledge during transition to an integrated curriculum. Further monitoring is necessary to examine whether medical knowledge acquisition remains stable or changes after the integrated curriculum is established.


Assuntos
Estágio Clínico , Educação de Graduação em Medicina , Obstetrícia , Estudantes de Medicina , Adulto , Criança , Currículo , Avaliação Educacional , Humanos , Estudos Retrospectivos , Faculdades de Medicina
10.
Med Educ Online ; 27(1): 2005458, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34821207

RESUMO

The transition from being a medical student to a fully qualified registered doctor is a challenging time in the lives of intern doctors (IDs). Throughout those challenging times they face many challenges which significantly impact their professional lives as well as their transitional experience. This study aimed to identify the transitional challenges experienced by IDs in Vanuatu. This qualitative study was conducted using a phenomenological approach whereby data collection is done through semi-structured in-depth interviews. Ethical approval was obtained before the commencement of this study. Twenty-seven participants were IDs of Vila Central Hospital and Northern Provincial Hospital in Vanuatu who were either current IDs and had worked for more than 6 months or had completed internship within the past 2 years. The willing IDs were consented on paper before they participated in the interview. The interview data was then transcribed verbatim and interpreted thematically. The participating IDs in the study were between the ages of 27 and 36 years old. Twenty two were current interns while the remaining five had recently completed their internship and now working as registered doctors. Three subthemes were identified as challenges through thematic analysis in this study; intern's welfare not met; different medical training institution; and transitional shock. Those subthemes were later categorized. The study findings have identified that intern's welfare needs improvement along with diverse training medical schools, and the transitional internship encounters were significant challenges experienced by IDs. There is indeed a need for healthcare providers, medical leaders, and relevant stakeholders to recognize and address these challenges.


Assuntos
Internato e Residência , Médicos , Estudantes de Medicina , Adulto , Humanos , Pesquisa Qualitativa , Vanuatu
11.
Med Educ Online ; 26(1): 1998944, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34720060

RESUMO

Amongst medical undergraduates, the perception of educational environment (EE) has been associated with academic achievement and positive attitude toward the course. Nonetheless, there are sparse data on how it influences various learning processes and outcomes especially within psychiatry training. Consistent with situativity and self-determination learning theories, we hypothesized that a positive perception of the EE within psychiatry postings will be beneficial for the learning process, specifically pertaining to greater motivation to learn, better engagement, allowing them to feel more equipped, and greater appreciation of the subject. The DREEM (Dundee Ready Education Environment Measure) was administered to fourth-year medical undergraduate students from the Yong Loo Lin School of Medicine, Singapore, undergoing psychiatry rotations from 2015 to 2019. The students also completed five additional items evaluating the specific learning processes (motivation to learn, engagement, equipping, and appreciation of the subject) and overall rating of the posting. We examined the relationship between DREEM domains and learning processes using correlation analysis. We explored learning processes as mediators of the relationship between total DREEM scores and overall rating of the posting. Altogether, 1343 (response rate 89.5%) medical undergraduates participated in the study. The overall DREEM score was 157.01 ± 15.86. Overall DREEM and subdomain scores were significantly correlated with several learning processes (r = 0.354 to 0.558, all p < .001). Motivation and engagement were significant mediators of the relationship between total DREEM scores and overall rating of the psychiatry posting. Our results highlighted that a positive perception of EE was associated with the specific learning processes that mediated the overall rating of the posting. In the context of relevant learning theories and our study findings, improvement of the EE within undergraduate psychiatry training can potentially enhance overall learning experience through better motivation and engagement of our learners.


Assuntos
Educação de Graduação em Medicina , Psiquiatria , Estudantes de Medicina , Humanos , Percepção , Inquéritos e Questionários
12.
BMC Med Educ ; 21(1): 557, 2021 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-34724950

RESUMO

BACKGROUND: Pakistan has not been a major contributor to medical research, mainly because of the lack of learning opportunities to medical students. With the increase in online learning systems during COVID-19, research related skills can be taught to medical students via low-cost peer taught virtual research workshops. AIM OF THE STUDY: To assess the effectiveness of a comprehensive low-cost peer-taught virtual research workshops amongst medical students in Pakistan. METHODS: This quasi-experimental study assessed the effectiveness of five virtual research workshops (RWs) in improving core research skills. RWs for medical students from across Pakistan were conducted over Zoom by medical students (peer-teachers) at the Aga Khan University, Pakistan, with minimal associated costs. The content of the workshops included types of research, ethical approval and research protocols, data collection and analysis, manuscript writing, and improving networking skills for research. Improvement was assessed via pre-and post-quizzes for each RW, self-efficacy scores across 16 domains, and feedback forms. Minimum criteria for completion of the RW series was attending at least 4/5 RWs and filling the post-RW series feedback form. A 6-month post-RW series follow-up survey was also emailed to the participants. RESULTS: Four hundred medical students from 36 (/117; 30.8%) different medical colleges in Pakistan were enrolled in the RWs. However, only 307/400 (76.75%) medical students met the minimum requirement for completion of the RW series. 56.4% of the participants belonged to the pre-clinical years while the rest were currently to clinical years. The cohort demonstrated significant improvement in pre-and post-quiz scores for all 5 RWs (p <  0.001) with the greatest improvement in Data Collection and Analysis (+ 34.65%), and in self-efficacy scores across all domains (p <  0.001). 166/307 (54.1%) participants responded to the 6 months post-RWs follow-up survey. Compared to pre-RWs, Research involvement increased from 40.4 to 62.8% (p <  0.001) while proportion of participants with peer-reviewed publications increased from 8.4 to 15.8% (p = 0.043). CONCLUSION: Virtual RWs allow for a wide outreach while effectively improving research-related knowledge and skills, with minimal associated costs. In lower-middle-income countries, virtual RWs are a creative and cost-effective use of web-based technologies to facilitate medical students to contribute to the local and global healthcare research community.


Assuntos
Educação à Distância , Educação Médica/métodos , Grupo Associado , Estudantes de Medicina , Humanos , Paquistão
13.
Med Educ Online ; 26(1): 1994906, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34727840

RESUMO

Medical education has increasingly shifted towards replacing large lectures with a combination of online and smaller in-person group sessions. This study compares the efficacy of a virtual Opioid Overdose Prevention and Response Training (OOPRT) for first-year medical students with an identical in-person training. During their first unit of medical school, students in the class of 2023 (cohort 1) received OOPRT in-person and students in the class of 2024 (cohort 2) received training via Zoom. Aside from the delivery format, trainings were identical. Both cohorts completed identical surveys at medical school entry and post-training to evaluate knowledge and experiences using the Opioid Overdose Knowledge Scale, Opioid Overdose Attitudes Scale, Medical Conditions Regard Scale, and Naloxone Related Risk Compensation Beliefs. Of 430 students, 84.2% (362: 124 in cohort 1; 238 in cohort 2) completed baseline and post-training surveys. Students reported significantly improved opioid overdose knowledge and attitudes in all 4 knowledge and 3 attitudes subscales after training. Only one outcome differed by training type: knowledge of opioid overdose signs. Cohorts did not differ in opinions of training; 97.2% enjoyed it and 99.4% believed future classes should receive it. Medical students' attitudes and knowledge significantly improved after OOPRT; only one of 13 outcomes showed a cohort difference. There were no differences in enjoyment, indicating that switching to virtual learning does not undermine the learning experience. Further studies are needed to confirm that these results can be extended to other medical school topics where small group interactive discussion is preferred.


Assuntos
Overdose de Drogas , Overdose de Opiáceos , Estudantes de Medicina , Overdose de Drogas/tratamento farmacológico , Overdose de Drogas/prevenção & controle , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Antagonistas de Entorpecentes/uso terapêutico
14.
BMC Med Educ ; 21(1): 560, 2021 Nov 02.
Artigo em Inglês | MEDLINE | ID: mdl-34727904

RESUMO

BACKGROUND: The aim of the study was to obtain feedback from medical students in Russia regarding their e-learning experience during COVID-19 Pandemic. METHODS: Thirteen thousand forty students from 46 Medical Schools in Russia completed an original evaluation form validated by 6 experts. Criterion and construct validity were determined in a pilot study (n = 46). The study design was based on the use of Google Forms. Participants used the Visual Analog Scale from 1 to 10 to assess the level of knowledge acquired. RESULTS: 95.31% of medical schools in Russia switched to e-learning during the Pandemic. 39.8% of the students stated that the time to prepare for the class has doubled. For 19.9% of them, it increased by one third, while 26.6% did not report any changes. 38,4% of the participants are satisfied with particular elements of e-learning, 27.5% like such a format, 22.9% do not like it, and 11.2% could not answer the question. The average scores for the knowledge assessment were 5.9 for the humanities, 6.1 for fundamental science, and 6.0 for clinical training. CONCLUSIONS: The most important findings are increased self-instruction time, insufficient knowledge gained and territorial and socio-economic inequalities within the country. Meanwhile, most students favor distance learning or its particular elements. Consequently, medical education leaders in Russia should consider the implementation of blended training in medicine taking into account specific regional factors, ensuring its effectiveness at all stages.


Assuntos
COVID-19 , Educação à Distância , Educação Médica/métodos , Estudantes de Medicina , Humanos , Pandemias , Projetos Piloto , Federação Russa
15.
BMC Med Educ ; 21(1): 571, 2021 Nov 11.
Artigo em Inglês | MEDLINE | ID: mdl-34763706

RESUMO

BACKGROUND: Online education has been used as an adjunct modality for teaching and it attracts attention in recent years as many medical students can not accomplish their clerkship in the hospital due to COVID-19 pandemic. This study aims to collect the articles related to online surgical education for medical students, and to analyze the effectiveness of online education and the perceptions of the medical students. METHOD: We performed a systemic literature search in PubMed, MEDLINE, EMBASE, ERIC and Cochrane library. Keywords used for searching included "medical student", "online education", "online teaching", "online learning", "distance learning", "electronic learning", "virtual learning" and "surgical". Medical education research study quality instrument (MERSQI) was used for the evaluation of the quality of the searched articles. RESULTS: From 1240 studies retrieved from the databases, 13 articles were included in this study after screening. The publication year was from 2007 to 2021. The mean MERSQI score of the 13 searched articles was 12.5 +/- 1.7 (range 10.0-14.5). There were totally 2023 medical students who attended online surgical curriculum. By online course, improvement of understanding and knowledge on the studied topics could be reached. The confidence in patient encounters could be improved by online curriculum with sharing experiences, discussing, and role playing. However, students felt concentration was poor during online course. Medical students studying through video platform could get better test scores than those studying with textbooks. Regarding basic surgical skills, online teaching of suturing and knot-tying could be possible and was appreciated by the students who could practice away from the hospital and get feedbacks by instructors through online environment. The scores for the clinical competence assessment for incision, suturing and knot-tying were found to be no significant difference between the online teaching group and face-to-face teaching group. CONCLUSION: Online surgical curriculum for medical students is not easy but inevitable in the era of COVID-19 pandemic. Although online course is not the same as physical course, there are some efforts which could be tried to increase the effectiveness. Basic surgical skills could also be taught effectively through online platform. Even if the COVID-19 pandemic is over in the future, online curriculum could still be a helpful adjunct for surgical education.


Assuntos
COVID-19 , Estudantes de Medicina , Currículo , Humanos , Pandemias , Percepção , SARS-CoV-2
16.
Front Public Health ; 9: 746387, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34778180

RESUMO

Background: During the initial phase of the COVID-19 pandemic, the University of Bologna Medical School surveyed medical students to learn more about their preparation to confront challenges posed by the pandemic and whether it affects perceptions of viral infection risk. This information could help design risk-reduction interventions with training to mitigate possible viral exposure. Method: A cross-sectional online survey examining students' characteristics, volunteer status, adoption of evidence-based preventive measures, trust in information sources used, infectious disease training, and knowledge of PPE usage in relation to perceived risk of infection from SARS-CoV-2 in daily living, academic, and healthcare activities. A multivariate path model estimated the simultaneous influences of all exogenous factors on perceived risk. A Poisson regression model assessed the same multivariate effects on knowledge of PPE usage. Results: The analysis sample included 537 respondents. Perceived risk of infection was highest in hospital activities. On average, students were able to use only four out of seven types of PPE albeit they adopted most of the evidence-based preventive measures. Adoption of preventive measures was positively associated with perceived risk of COVID infection. Conversely, training on PPE usage and volunteer work were associated with lower perceived risk in healthcare setting and higher PPE knowledge. Conclusion: Implementing early safety-based educational programs remedy students' lack of knowledge in infectious disease prevention and mitigate their risk of infection. Voluntary work should be encouraged with potential benefit for both their continued medical training and strengthening the healthcare system's response to public health emergencies.


Assuntos
COVID-19 , Estudantes de Medicina , Estudos Transversais , Humanos , Itália/epidemiologia , Pandemias , Equipamento de Proteção Individual , SARS-CoV-2 , Confiança , Voluntários
17.
Salud Colect ; 17: e3599, 2021 Oct 13.
Artigo em Espanhol | MEDLINE | ID: mdl-34752023

RESUMO

Leftover and expired medicines in households must be disposed of in such a way as to ensure the population's safety, while generating the lowest possible negative impact on the environment. In this context, the aim of this study was to explore drug disposal practices related to home medicine cabinets among medical students in Quito, Ecuador. Between December 2018 and January 2019, 498 students from different semesters were surveyed. Data show that up to 30.3% of students had flushed their medicines down the toilet at least once, while 7.2% acknowledged that they had removed the medicines from their packaging to deposit them in a household garbage disposal. A secondary aim of the study was to analyze expired and leftover drugs in participants' medicine cabinets. Metformin was the most common medication found, followed by acetaminophen, spironolactone, and ibuprofen. This study shows the urgent need to develop multisectoral strategies for the implementation of policies on pharmaceutical domestic waste, which will make it possible to control and reduce the negative impact on both the environment and public health.


Assuntos
Saúde Pública , Estudantes de Medicina , Equador , Humanos , Inquéritos e Questionários
20.
Artigo em Inglês | MEDLINE | ID: mdl-34769887

RESUMO

E-learning has become an increasingly important part of higher education and is currently used both for distance education and as a complement to teaching on the campus. In this study, we investigated the acceptance of the e-learning platform (ELP) ClinicalKey Student (ELSEVIER©) among first-year medical students. Furthermore, we asked whether acceptance (i.e., digital activities) and user behavior changed during the COVID-19 lockdown. Two first-year medical student study cohorts were followed: one cohort during the COVID-19 lockdown and another cohort one year before the lockdown. Different parameters, such as online versus offline studying, daily activities or users versus nonusers, were recorded and evaluated. Additional surveys were conducted to understand why the students used the ELP. In the non-pandemic cohort, 68 out of 251 enrolled students registered in the ELP, while the number of registered students significantly increased during the COVID-19 lockdown (201 out of 255 enrolled 2nd semester students). The increase in registered users was paralleled by an increase in daily activities normalized per user and day. Despite this increase in ELP activities, the relative distribution of different user types (i.e., online versus offline users) did not change. To conclude, this study demonstrates that the COVID-19 lockdown increases the receptivity of medical students to an ELP, but the way the students work with the ELP remains unchanged.


Assuntos
COVID-19 , Instrução por Computador , Educação à Distância , Estudantes de Medicina , Controle de Doenças Transmissíveis , Humanos , Pandemias , SARS-CoV-2
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