Syria: What should health care professionals do?

In Syria, inability to access healthcare has become part of daily life for millions of people. The deliberate targeting of healthcare as a weapon of war is a shocking reality

Medical students’ views of clinical environments.

Background: Monitoring the quality of clinical learning environments (CLEs) is immensely important in medical education. Objective indicators of the quality of the CLE can be used to measure learner perceptions and to inform educational improvements; however, many established tools were not designed for use in clinical settings and are not theoretically grounded. Our aim was to apply a new tool to the new context of a UK setting to explore the perceptions of senior medical students in a number of different CLEs. “Monitoring the quality of clinical learning environments is immensely important in medical education”. Methods: The four-factor Undergraduate Clinical Education Environment Measure (UCEEM) was translated into English, and used to gather fina-year medical students’ perceptions of four different specialties they had rotated through: Emergency Medicine (EM), General Surgery (GS), Medicine for the Elderly (ME), and Obstetrics and Gynaecology (O&G). The UCEEM was distributed in paper form. Students were asked to complete it in relation to two of the four specialties. Results/findings: Year-5 medical students (n = 132) returned a completed UCEEM. For opportunities to learn in and through work experience EM was reported the most positively. ME was perceived to be the most prepared for student entry. Students reported being well received by staff and made to feel part of the team within GS, EM and ME, but less so in O&G. Discussion: UCEEM appears to be a useful tool for evaluating medical student perceptions of CLEs. Theoretically robust, UCEEM is straightforward to administer and to score. It has the potential to be used by time-pressured educators to collect baseline and comparative data for evaluation and improvement purposes

Psoriasis

Psoriasis is a chronic, persistent, life-long inflammatory disease. Psoriasis is an inflammatory disease presenting with red scales on the skin, most commonly at the elbows and knees. At the moment there is no complete cure for this disease but there are a wide range of therapies which can control it, and the patients can live a normal life. However this brings on the patients an economic burden, which increases in proportion with the severity of the diseasepeer-reviewe

Improving Medical Students\u27 Safety Injection Behavior in Panembahan Senopati Hospital by Leaflet, Movie, and Intensification

Background: In 2006, Yogyakarta contributes 0.8% Hospital Acquired Infection (HAI\u27s) of total HAI\u27s in Indonesia. In 2010 6-16% HAI\u27s occurred in the Teaching Hospital. Sharps injury is one of the causes of HAI\u27s. Center for Disease Control and Prevention (CDC) stated that there was 385,000 sharps injury/year. Sharps injury can cause a pathogen transmission, such as Hepatitis B Virus, Hepatitis C Virus and Human Immunodeficiency Virus and inflict a financial loss up to $71 to$5,000. Data from Colombo, 2012 stated that 95% of 168 medical students experienced sharp injury. In Indonesia from August-October 2008 at Sardjito Hospital occurred 43.3% sharp injury and some of them was medical students. Panembahan Senopati Bantul Hospital accepts 40 medical students every year. The Revised Injection Safety Assessment Tool (Tool C – Revised) was used to assess how well-behaved the health worker provided injections to enhance sharp safety. Objective : To improve medical student\u27s safety injection behavior in Panembahan Senopati Hospital. Method: This research is an action research (AR) type. The research is done in two cycles, first, the acting component was leaflets and movie; second was intensification. Students\u27 safety injection behavior was evaluated by using Revised Injection Safety Assessment Tool (Tool C – Revised), before and after the action. Results: Before the research, the medical students\u27 knowledge on sharp safety was 30% until 80% and the action on safety injection was 33,3% until 70%. After the research the knowledge increased is 80% until 100% and the action is 88,9% until 100%. Conclusion: The improvement of sharp safety knowledge in medical students is 10% until 60% and the action of safety injection in medical students is 30% until 66,7%. The result of this study was reported to The Education and Training Committee of Panembahan Senopati Hospita

KNOWLEDGE AND ATTITUDE REGARDING VASECTOMY ANDTUBAL LIGATION AMONG THE LEBANESE POPULATION

Vasectomy and tubal ligation are reliable, safe, effective and permanent methods of birth control. The objective of this study is to assess the knowledge and attitude regarding vasectomy and tubal ligation among the general Lebanese population. Descriptive crosssectional survey approach was adopted for the present study. Stratified sampling was used according to the percentage of the Lebanese population living in each governorate, in the months of September 2017 to March 2018. A self-constructed survey including 35 closeended questions was set up. SPSS version 23.0 was used to analyze the data. Four hundred seventy married people with at least one child were included in this study. The mean knowledge score (/10) for tubal ligation in females (2.76±1.75) was better than that of males (2.12±1.71). For vasectomy, the mean knowledge score (/10) was almost equal in both males (2.86±1.95) and females (2.79±2.16). 3.0% of males considered doing vasectomy and 17.3% of females considered doing tubal ligation. Among males who rejected vasectomy (97%), preference of other methods (30%) and religious reasons (28%) were the main causes of rejection. While for females who rejected tubal ligation (82.4%), 41% preferred using other contraceptive methods. Notable lack of knowledge and interest concerning both vasectomy and tubal ligation was found among the general Lebanese population

Stress and depression among veterinary medical students

While existing literature suggests that professional students (e.g., medical, dental, law, nursing, etc.) experience high levels of stress and depression, the experiences of veterinary medical students have been less well examined. The purpose of this study was to explore the levels of stress and depression among veterinary medical students and to examine the relationship between these variables. Study participants were 1,245 veterinary medical students from North America. The findings provide support for the assertion that veterinary medical students experience high levels of stress and depression. Results also indicated that there is a correlation between stress and depression for veterinary medical students and that female students experience higher levels of stress and depression than their male counterparts.Accepted manuscrip

Stress among medical students of Gorgan (South East of Caspian Sea), Iran

Objective: This study aims to estimate the prevalence of psychological stress and association between the levels of stress and study variables among Gorgan medical students. Materials and methods: All three year medical students (129 basic sciences students) in Gorgan Faculty of Medicine, Golestan University of medical Sciences, were asked to complete the Kessler 10 questionnaire. Results: The findings showed mild, moderate and severe stress among 26.22%, 20.50% and 14.75% study subjects. 39.35% of medical students had no stress. There was statistically significant association between year of study and stress levels (p= 0.040). Conclusion: The results indicate that there is a decrease in the psychological health of first year medical students. Provided that stress management courses are organised by medical schools, when the students arrive, they will cope up with the stress in coming years. These courses may reduce the negative effects of stress on medical students. By providing such courses and reducing stress level, medical students may improve their medical education

Polycystic ovary syndrome

Polycystic ovary syndrome (PCOS), previously referred to as Stein-Leventhal syndrome, is a worldwide disorder affecting about one fifth of women in their reproductive years. It causes disturbances in reproductive, endocrine and metabolic functions. PCOS is the focus of a great deal of research and studies indicate that its prevalence is on the increase. The main characteristics of PCOS are ovulatory dysfunction, hyperandrogenism, insulin resistance and obesity but one need to investigate and exclude other functional disorders which may resemble PCOS. A key feature of the PCOS is an increased level of luteinizing hormone (LH) which may prevent the maturation of the ovum when it completes the first meiotic division and may thus be responsible for causing infertility in some womenpeer-reviewe

The experiences of medical students and junior doctors with dyslexia: a survey study

Little research exists concerning dyslexia in medical education. A qualitative study highlighted issues such as bullying and a lack of support. This project aimed to quantify those findings. An online survey was sent to junior doctors in parts of the United Kingdom. Seventy-five participated. Most (53%) were diagnosed with dyslexia at university / medical school. Most reported that dyslexia impacted upon their self-image (59%) and self-esteem (73%). Nearly half (46%) felt it influenced their career pathway choices within medicine. Participants reported bullying at medical school-from peers (24%), from academic teachers (14%), and from clinical teachers (27%); and also at work-from peers (25%), from academic teachers (13%), and from clinical teachers (23%). 88% reported that foundation schools provided no support, 92% that NHS Trusts provided none, and 90% that their deaneries provided none. The sorts of supports which seemed to be lacking were "psychological" or "pastoral" supports

ADHD Awareness Among Medical Students

Background: Early recognition of attention deficit hyperactivity disorder (ADHD) is needed to prevent its psychosocial and educational consequences. We aimed to study ADHD awareness among medical students and identify correlating and contributing factors to their lack of knowledge. Methods: nbspA cross sectional study included 5th year medical students attending their pediatric rotation from September 15, 2012 until June 15, 2013 at King Abdulaziz University hospital, Jeddah, Kingdom of Saudi Arabia. A structured 25-item questionnaire was designed to examine their demographics, educational experience, and awareness questions about ADHD. Results: Of 120 approached students, 111 were included with ages ranging from 20-29 years (mean 22) and 69% being females. Most students 69 (62%) were enrolled during their pediatric rotation and 97 (87%) already completed their psychiatry course. Although most students (67%) recognized ADHD, only 13 (12%) categorized their level of knowledge as very good or excellent. Only 24% correctly recognized ADHD subtypes and 58% did not know what is the initial required management step. Only 19 students (17%) correctly recognized all ADHD features based on the DSM IV criteria with a mean correct score of 69% (standard deviation 14). No correlations were found with their age, gender, completing their pediatric/ psychiatry rotation, or specialty interests. Conclusions: Medical studentrsquos level of knowledge about ADHD needs improvement. This has to be corrected in order to improve early recognition and intervention. Increased ADHD education and exposure during pediatric/neuroscience modules are needed in our region