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Progress in Health Sciences
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2012
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vol. 2
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issue 1
162-170
EN
Some historical accomplishments and discoveries made by medical students were achieved due to their talents, luck, observation, serendipity and "sudden unexplained understanding" of the fact, and also, due to proper atmosphere and encouragement induced by their mentor/ director/teacher.
EN
Introduction: Human health is largely determined by factors such as human behavior and style of life. Purpose: To evaluate selected patterns of behavior of medical students, such as smoking, alcohol abuse, drug use, and their assertiveness. Materials and methods: The study included 338 students from Bialystok, Poland, and 339 from Grodno, Belarus. The original questionnaire, Fasterström's Nicotine Addiction Test, Michigan Alcoholism Screening Test, Drug Use Problem Test, and Assertiveness Test according to Grębski were all used. Results: In both groups, the level of cigarette dependence was low, with 10% of the students from Poland and 15% from Belarus being habitual cigarette smokers. No significant differences were found in the frequency of alcohol consumption between Polish (57%) and Belarusian (52%) students. Of the respondents, 3.3% from Poland and 1.5% from Belarus met the criteria of alcohol dependence according to the MAST test. There were no statistically significant differences in the frequency of drug use between the Polish (1.5%) and Belarusian (1.8%) students. The average level of assertiveness was 16.2 for Polish students and 15.4 for Belarusian students, which was a significant difference. Conclusions: These results indicate similar percentages of Polish and Belarusian students smoke cigarettes, drink alcohol, and use drugs. In addition, Polish students were more assertive than Belarusian students.
EN
Introduction. Europe is the region with the greatest proportion of deaths (16%) attributable to tobacco smoking worldwide. Medical students and physicians should set an example of tobacco-smoking abstinence for their patients. Aim. The aim of the study was to compare opinions on behaviors and attitudes of Czech and Polish medical students about tobacco smoking and the position of a physician in anti-smoking counseling. Material and methods. The Global Health Professions Student Survey (GHPSS) was conducted among 707 medical students in Czech Republic in 2011 and among 1164 medical students in Poland. Results. Twety percent of polish and 25,7% of Czech medical students declared current tobacco smoking. Eighty-one percent in Poland and 60% in Czech Republic felt that physicians should be trained in smoking cessation techniques but only 27% of the medical students in Poland and 2,8% in Czech Republic , declared that such a course had been realized during the course of their education. Conclusion. Over a fifth of Polish students and a quarter of Czech students declared themselves as active smokers. It is worrying that about half of Polish students were exposed to environmental tobacco smoke, while only one-fifth of Czech students declared such exposure. Polish and Czech students agreed that the doctor will play an important role in the patient’s smoking cessation process and that physicians should give advice on quitting smoking.
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Introduction: Basic life support (BLS) with cardiopulmonary resuscitation (CPR) provided at the right time greatly improves survival following cardiac arrest. Adequate knowledge and skills related to BLS are essential requisites for medical students. This study aimed to explore the knowledge, attitudes, and practices related to BLS among undergraduate medical students of a medical college in Tamil Nadu, India. Materials and Methods: This was a descriptive, cross-sectional study conducted among 241 undergraduate medical students of a medical college in Tamil Nadu, between May and July 2012, using a pretested, semi-structured questionnaire devised based on American Heart Association Guidelines for BLS and CPR 2010. Results: The mean knowledge score of the participants was 4.55 ± 1.21 out of a possible high score of 6. The level of knowledge and attitudes related to BLS varied depending on the year of study, and this difference was statistically significant (p<0.05). The knowledge score decreased with increasing duration of training. The higher the year of study, the more positive the participants’ attitudes were. Only 12.9% of the participants had ever practised BLS. Twenty-one (21) participants (8.7%) expressed reluctance about performing BLS in a hospital setting, and 57.3% of the participants expressed reluctance about performing BLS in an out-of-hospital setting. Fear of acquiring infection, causing harm to the victim, and lack of confidence were the common causes for participants’ reluctance. Conclusions: The study reveals inadequate knowledge and practices related to BLS among students. The differences in knowledge and attitudes among students, depending on the year of study, point to the need for frequent refresher training and motivation of students.
EN
BackgroundThe aim of the study was to assess the state of knowledge of Medical University of Warsaw (MUW) students on COVID-19, modes of transmission and preventive measures.Material and MethodsThe study was conducted in October 2020. The participants were all the students attending classes at MUW – 8922 persons. All had completed the online training “Work safety and hygiene during COVID-19.” To assess their state of knowledge an online questionnaire was made available on the MUW e-learning platform. The questionnaire comprised 4 parts: (1) awareness of rules of hand hygiene, (2) medical aspects of COVID-19, (3) preventing SARS-CoV-2 infection transmission in health care facilities, and (4) preventing infection transmissions in the society.ResultsThe majority of students (93.9%) demonstrated a sufficient level of knowledge. The highest passing threshold was found on the medical programme (96.7% of students with satisfactory level of knowledge), dentistry (96.2%) and pharmacy (95.5%). The statistically significant factors that differentiated student results proved to be faculty (p < 0.001), study programme (p < 0.001), year of studies (p = 0.001), form of studies (p < 0.001). The participants most often showed full knowledge (100% correct answers in sub-area) of preventing infection transmissions in the society (93.3%) and medical aspects of COVID-19 (91.8%), less complete in terms of ways of preventing infection transmission in health care facilities (85.4%), and in particular hand hygiene rules (78.3%). All the variables characterizing academic status (study programme, faculty, year and form of studies) were statistically significant differentiating factors for students’ full knowledge in all of the 4 analyzed sub-areas, while students’ sex only in the sub-area of COVID-19 medical aspects.ConclusionsThere is a clear need for conducting systematic educational activities among students of all medical study programmes and assessing their level of knowledge in those areas that were identified as least frequently controlled, namely, hand hygiene and infection transmission in health care facilities.
EN
ObjectivesThe aim was to compare the prevalence of acute infection and seropositivity of SARS-CoV-2 among healthcare workers (HCWs) and medical students.Material and MethodsA high-volume, single-center analysis was conducted in the period of July 1‒August 1, 2020, at the Semmelweis University. Naso- and oropharyngeal samples were collected for polymerase chain reaction (PCR), and blood samples for anti-SARS-CoV-2 IgG. A questionnaire was also administered about the infection symptoms and the obtained results were assessed by profession and site of care delivery.ResultsFrom the total cohort (N = 7948), 4478 (56%) and 3470 (44%) were health professionals and medical students, respectively. They were mainly female (67%), and the mean age of HCWs and students was 40 and 25 years, respectively. By profession, physicians (1.5%) and other HCWs (1.8%) showed a comparable SARS-CoV-2 exposure. International students had the highest (2.1%), whereas Hungarian students had the lowest (0.6%) prevalence of seropositivity. The highest prevalence was detected among the staff of COVID-19 wards (12.1%). By PCR, medical students showed the lowest occurrence of active infection with a prevalence of 0.17%, while physicians and other HCWs had a higher prevalence (1.46% and 1.71%, respectively). By site of care delivery, positive test results were the most frequent at COVID-19 wards (3.8%).ConclusionsPhysicians and other HCWs showed comparable SARS-CoV-2 seropositivity prevalence, approximately twice as high as in the general population of Budapest. Hungarian students had lower prevalence of seropositivity than this reference. High prevalence among international students suggests that they had imported the infection. The very high prevalence of documented exposure among staff members at COVID-19 wards urges for improving the safety measures.
EN
ObjectivesSince 1991 hepatitis B vaccination has been mandatory for all newborns in Italy. The aim of the study was to verify the long-term seroprevalence and the efficacy of hepatitis B vaccination in medical students of the University of Siena.Material and MethodsA cross-sectional observational study was conducted on a population of 850 medical students of the University of Siena (322 males and 528 females, mean age: 23 years) by obtaining from the medical reports the serological analysis data for the total anti-hepatitis B antibodies (HBsAb) and information on hepatitis B vaccination (number of vaccine doses, age at the first vaccination, time since the final vaccination dose, country of origin). Raw odds ratios (ORs) and 95% confidence intervals (CIs) were initially calculated to evaluate the association between 2 variables. The adjusted ORs were then calculated using a multivariate logistic regression model to study the association between the variables and the possible confounding factors.ResultsOverall, 593 students (69.76%) were immunized against hepatitis B, while 257 (30.24%) had HBsAb antibody titer <10 mIU/ml. From the OR calculation, an inverse correlation emerged between seropositivity to hepatitis B and age, and between seropositivity to hepatitis B and the age at the first vaccination dose. There was also a correlation between seropositivity and the number of vaccination doses received. By performing the multivariate logistic analysis, correlations with these variables were confirmed.ConclusionsA significant part of the studied population was not immunized against hepatitis B virus, despite the fact that vaccination had been carried out as prescribed by law. The results of the study reaffirm the importance of health surveillance in subjects at biological risk such as medical students.
EN
BackgroundVision standards exist in many occupations with particular reference to medical science. The presence of a sufficient level of binocular vision is especially important in surgical specialty to perform visually demanding procedures. The purpose of this study was to reveal the level of awareness of one’s binocular status among medical students, and the significance of having binocular vision in terms of specialty choice.Material and Methodsself-constructed questionnaire was given to all subjects enrolled in the study. The first group comprised 53 students from the second and third year of the Medical University of Lodz, who then underwent an ophthalmological examination with binocularity assessment. The second group included 57 students of the last years of the Medical Faculty, who did the same survey and outlined how the ophthalmology course improved their knowledge of stereoacuity and vision requirements for the chosen specialty. Statistical analysis was performed using Person’s χ2 test.ResultsOverall, 32% (N = 17) of the students from the first group and 84% (N = 48) from the second group stated to be familiar with the term “binocularity” and its importance in performing surgical procedures. The awareness of the existing occupational contraindications related to low visual acuity and binocularity was declared by 16% (N = 9) and 54% (N = 31) of the subjects included in each group, respectively. University lectures were indicated as the main source of knowledge by 28% (N = 15) of the individuals from the first group and by 59% (N = 39) from the second group. The ophthalmology course was considered to be sufficiently covering the basics needed for the future doctor by 34 resident physicians (60%).ConclusionsThe medical students’ awareness of their own binocular status appears low. There is a strong need for implementing at least some quality standards for visual assessment to decide if a given student has an adequate eye function to participate in surgical procedures.
EN
ObjectivesA pandemic triggers certain attitudes and behaviors, resulting in the need for adequate social support. The aim of the study was to determine the factors influencing the estimated risk of SARS-CoV-2 infection and to assess the need for social support in a group of medical students.Material and MethodsThe survey was conducted among 981 people, including 814 women and 167 men. For this purpose, a self-assessment survey with 22 multiple-choice questions was used. The online survey was conducted on March 20–April 2, 2020, which can be considered as the first stage of the pandemic in Poland.ResultsThe tested model for the subjective SARS-CoV-2 infection risk assessment explained 32.6% of the dependent variable variance (F(7.945) = 66.61, p < 0.001). The model for adherence to the recommendations for reducing the risk of SARS-CoV-2 transmission explained 9.5% of the variability (F(8.943) = 12.39, p < 0.001), and the model for an increased need for social support due to the SARS-CoV-2 epidemic explained 27.4% of the variability (χ2(8) = 12.17, p = 0.144).ConclusionsFactors important for estimating the risk of SARS-CoV-2 infection and the need for social support in the group of medical students were determined. The subjective assessment of the stress level, infection symptoms experienced and the field of study proved to be crucial.
EN
Healthcare professionals are exposed not only to the ubiquitous stress, but also to the culture of perfectionism. Therefore, they need tools to achieve a balance between work and rest in order to effectively help their patients. The study objective is a review of the literature on the implementation of mindfulness in healthcare professionals and medical students. The authors searched the literature in PubMed and Google Scholar databases for publications about “mindfulness” in “healthcare professionals” and “medical students.” The search included manuscripts published to July 31, 2019. Mindfulness is a process of intentional paying attention to experiencing the present moment with curiosity, openness and acceptance of each experience without judgment. Mindfulness training leads to a better mood perception, lower stress perception, and responding to stimuli more effectively. All these features can have a potentially positive effect on healthcare service. The paper describes methods of intervention as well as their effects, which may be useful both in maintaining the well-being of healthcare professionals and in patient care. Mindfulness meditation has a beneficial effect on stress, depression, burnout, well-being and empathy among doctors, nurses and other healthcare workers. However, the method has a number of limitations, including a small number of participants, a high dropout rate in the intervention group and, above all, ceasing to practice mindfulness in the longer term after the course termination. Mindfulness can be widely implemented by healthcare professionals, thus improving their well-being and the quality of care they provide. Further standard scientific research is needed to confirm this impact.
EN
ObjectivesMedical students suffer from a considerable level of stress, which can result in the deterioration of their mental health, including depression or suicidal ideation. They are afraid to seek help due to stigmatization and environmental ostracism. The goal of the study is to analyze the psychological support and stress management programs for students supported by medical schools in PolandMaterial and MethodsThe authors sent out e-mails with 9 questions regarding the issue being analyzed to all 19 medical schools in Poland. They obtained answers from 15 such schools, which corresponds to a response rate of 79%. The study was conducted in 2018–2019, before the SARS-CoV-2 pandemic.ResultsDue to the lack of central regulations, support is provided by medical schools individually. Those solutions focus on short-term, temporary therapy. If a longer therapy is needed, students are redirected to external health providers. Moreover, information about the support is not transferred by student-friendly communication channels. Conclusions: Support should be flexible, and it should quickly adapt to the emerging trends and consider students’ feedback. A future model of psychological support could be a center organized as a transfer point between a university problem-solving facility and external health providers, concentrating on short-term activity. Quick support would eliminate potential complications and more serious mental problems.
EN
Objectives The purpose of the study was to investigate the relation between system values during medical education and styles of success in the medical career. Material and Methods The participants were first examined when they applied to the medical school. Questionnaires were given to these students each academic year. Medical doctors who had participated in the first phase of the study completed a questionnaire 4 years after their graduation, too. The baseline questionnaire measured the system values. The follow-up questionnaire included measures of quality of life, work stress and burnout, satisfaction with medicine as a career and professional competency. Results The identified 3 groups of students representing 3 types of careers had been different regarding their preferred terminal values and instrumental values. Out of 3 groups, 2 presented a high risk of burnout. What is more the life goals (terminal values) are relatively stable, but preferable modes of behavior (instrumental values) are likely to change. The most important differences between students who may suffer from burnout later as doctors and those who are at a lower risk are e.g., family security, freedom, happiness, mature love, self-respect, social recognition and wisdom. Conclusions The Rokeach Value Survey may be applied to identify specific tendencies in the development of medical career. The obtained results may be used by the medical school admission officers as well as resident selection committees in order to identify candidates who may be at risk of professional difficulties. Authors can identify during medical education which student will be at risk of professional burnout after studies. Thus there could be a selection of interventions directed toward differentiated groups of students, e.g.: supplying them with proper coping vs. guiding them, to increase life satisfaction and productivity. Int J Occup Med Environ Health 2018;31(6):823–835
EN
Objectives Social distancing and remote learning as one of the ways to fight against COVID-19 pandemic have affected universities and changed the lifestyle of many students. Psychoactive substances use was one of the way to deal with the anxiety caused by these new settings. Studies published so far have not provided a clear answer on whether COVID-19 leads to changes in the structure of alcohol consumption among medical students. The presented study attempted to answer this question based on the data available from the POLLEK study. Material and Methods The study group included 3 separate groups of medical students (recruited in the following academic years: 2019/2020, 2020/2021, and 2021/2022) with a total number of 899 students. To assess the characteristics of alcohol consumption the authors used a Polish version of the Alcohol Use Disorder Identification Test (AUDIT). Results Students surveyed during the lockdown lived in the family home much more often, reported good health, and declared consumption of a smaller number of alcoholic beverages. Their AUDIT scores were statistically significantly (p = 0.04) lower compared to the group surveyed before the pandemic (5 vs. 6, respectively). There were no significant differences in the AUDIT results between other study periods. Conclusions Lockdown due to COVID-19 pandemic might be associated with a decrease in alcohol intake among medical students. This may be due to a different place of residence of students, a family home rather than a dormitory. However, the debate on this topic seems to be still open.
EN
Objectives: The present study examined the relationship between medical student fatigue with psychological variables: emotional intelligence (EI), sense of coherence (SoC) (comprehensibility, manageability, and meaningfulness), quality of life (QoL), stress, and satisfaction with studying medicine. Material and Methods: The sample consisted of 566 medical students from the Medical University of Gdańsk, Poland. The instruments used were the Chalder Fatigue Scale, Schutte Self Report Emotional Intelligence Test, Sense of Coherence Questionnaire, and a questionnaire designed by the authors, comprised questions relating to the quality of life, stress levels, and satisfaction with studying medicine. Results: The results show that fatigue was negatively related to the ability to use emotions effectively in the management of one’s activities (EI), 1 aspect of SoC – a level of comprehensibility, QoL, and satisfaction with studying medicine. Fatigue is positively related to the ability to recognize, understand, and control emotions (EI) and stress connected with studying medicine. Conclusions: The outcomes of the study afford a better understanding of the relationship between selected variables in the field of individual differences in the context of fatigue in the medical student population. It may help medical educators and authorities to have a better understanding of the phenomenon of building resilience and increasing abilities to cope with the negative effects of chronic stress such as fatigue in the population of medical students. Early recognition of specific psychological features in medical students, such as misunderstanding emotions and their perception of environments as unstructured, would make it possible to prepare early support and development programmes.
PL
Wstęp. Każdego roku miliony Polaków zmagają się z grypą, zachorowaniami grypopodobnymi oraz ich powikłaniami. Powszechnie zalecane szczepionki o udowodnionej skuteczności nie cieszą się jednak dużą popularnością wśród społeczeństwa. W niniejszym badaniu podjęto próbę zebrania informacji od studentów kierunku lekarskiego z polskich uczelni na temat ich stosunku do szczepień przeciwko grypie oraz chęci zastosowania na sobie tego typu profilaktyki. Materiał i metody. Badanie przeprowadzono z udziałem 434 studentów kierunku lekarskiego z całej Polski. Głównym celem ankiety było zebranie informacji na temat opinii studentów wobec szczepień przeciwko grypie. Sondaż składał się z pytań zamkniętych, został przeprowadzony w marcu 2018 roku. Wyniki. Średni poziom wyszczepienia wśród studentów wynosi 18,9%. Objawy grypy lub choroby grypopodobnej częściej stwierdzono u osób, które nie poddały się szczepieniu. Choroba wystąpiła u 37% respondentów, którzy się zaszczepili. 43% ankietowanych, którzy nie poddali się szczepieniu, zachorowało. Wnioski. W świetle powyższych wyników można stwierdzić, że szczepionki przeciwko grypie są skuteczne. Studenci kierunku lekarskiego szczepią się rzadziej niż lekarze i inni przedstawiciele zawodów medycznych
EN
Introduction. Every year, millions of Poles struggle with influenza, its complications and diseases accompanied by the flu-like symptoms. However, commonly recommended and easily accessible vaccines with proven efficacy are not very popular among the society. This study attempts to gather information from medical students from Polish universities about their attitude to vaccination against influenza and their willingness to use this type of prophylaxis in the future. Material and methods. The study involved 434 medical students from across The Republic of Poland. The main purpose of the survey was to collect information about their opinions on vaccination against influenza. The survey consisted of single choice questions and was conducted in March 2018. Results. The average level of immunization among the students amounts to 18.9%. The symptoms of influenza or a flu-like illness were more often found in people who did not get vaccinated. The disease occurred in 37% of the respondents who were vaccinated. 43% of the respondents who did not submit to the vaccination fell ill. Conclusions. From the above results it can be concluded that influenza vaccines are effective. Medical students are vaccinated less frequently than doctors and other medical professionals
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