Developing knowledge and clinical competency in a respiratory system-based practice of final-year medical students through a novel structured bedside teaching module Lalita Fernandes, Anthony Menezes Mesquita J Edu Health Promot , 7: Respiratory diseases are a major cause of mortality and morbidity worldwide.
A sound knowledge of management of respiratory diseases is thus very vital. The clinical exposure of undergraduate medical students is limited to 2 weeks in pulmonary medicine. We hypothesized that the short duration of posting can be best utilized by developing need-based modules for bedside teaching. This study aimed to determine gain in knowledge and skills of final-year medical students in diagnosis and management of common pulmonary diseases and assess students' perception of the module.
A one-group pretest-posttest quasi-experimental study design enrolled a convenience sample of 48 final-year medical students. Twenty-four students were posted at a given time for the bedside clinical posting in pulmonary medicine between August and November These students were divided randomly into two groups of 12 students each.
All students consented to be part of the study. Two trained faculty taught in rotation. The bedside teaching module was prepared by Delphi technique and curriculum was based on Kern's six-step approach. History taking, physical examination, tuberculosis, chronic obstructive pulmonary disease, asthma, lung cancer, chest X-rays, and spirometry were taught. Students were administered pre- and post-test questionnaires to assess knowledge, while Objective Structured Clinical Examination assessed skills.
Students' feedback questionnaire evaluated the teaching module. A two-tailed paired sample t-test assessed mean gain in knowledge and skills. Effect size was calculated by Cohen's d, while Cronbach's alpha estimated the reliability testing of perception questionnaire. Mean pre- and posttest knowledge scores were Mean pre- and posttest skills scores were 7.
Most students stated that the module enhanced their clinical skills, helped to understand difficult material, and promoted inquiry and thinking. Cronbach's alpha for perception questionnaire was 0. Structured bedside teaching module in pulmonary medicine improved the knowledge and skills of undergraduate medical students.
The contents and various teaching methodologies were evaluated positively. To provide quality care to the patient's perspective and patient satisfaction are two major multidimensional concepts. In India, patient satisfaction with dental services has received only minor attention as the importance of the teeth is always neglected. To assess the satisfaction level among patients toward dental treatment rendered at an academic institution. A cross-sectional study was conducted among voluntary camp patients visiting Department of Public Health Dentistry, Swami Devi Dyal Hospital and Dental College, Barwala, using a item closed ended questionnaire which included demographic details, attitude, and practices of the participants and their satisfaction level to the treatment rendered to them was graded as highly satisfied, satisfied, and not satisfied.
The data were analyzed using SPSS version 18 which covered both descriptive and inferential statistics. Curative and preventive treatment was mostly required in younger age groups whereas extraction and prosthetic rehabilitation were found to be present in older age groups.
Lack of education and awareness was the most common reason behind not seeking treatment. Imparting proper and appropriate information regarding the dental treatment will definitely change the attitude of the patients, thus help in raising the satisfaction levels. Experience of people with physical disability: People with physical disability are vulnerable in disasters because of their mobility limitations.
They are unable to escape from hazards and their needs have been somewhat neglected in planning and relief measures. This study aimed to identify the mobility needs of people with physical disability during earthquakes across different provinces of Iran. A qualitative study was conducted using 18 semi-structured interviews with participants who had a kind of mobility disability.
The participants, across six provinces of Iran who had experienced an earthquake, were selected by purposive sampling in two ways of snowballing and maximum variation in The mobility needs included house and workplace adaptation, spare assistive devices, easy access to vehicles, special facilities for emergency evacuation, adaptation and accessibility of shelters, adapted bathroom and toilet, and transferring by others.
By considering needs and experiences of people with physical disability in disaster planning, appropriate interventions can be arranged to promote the level of response in disasters.
Such measures can have a significant role in maintaining the lives and health of such people. Simultaneously along with information technology progress, knowledge has considered as a fundamental base for economic growth for the time being. In today's knowledge-based economy, production and exploitation of knowledge play the main roles in the process of wealth creation.
The current revolution in information technology has given new light to the importance of knowledge such that it has now become the base of economy in today's world. Considering key contributions of knowledge management in competitiveness of organizations and their entry into global arenas, this study sought to evaluate the impact of different aspects of intellectual property on innovations in computer and health information system HIS units at selected medical center in the city of Isfahan during The present study seeks to evaluate the impact of different aspects of intellectual property on innovations in computer and HIS units at selected medical centers in the city of Isfahan during Population of this research includes staff working in computer and HIS units of 10 medical centers.
Data were collected using a questionnaire made by the researcher. A written questionnaire also referred to as self-administered questionnaire is a data collection tool in which written questions are presented that are to be answered by study individuals, where for the case of the present study include staff members working at computer and HIS units of 10 medical centers.
In the first stage, medical factors were determined by experts of Isfahan University of Medical Sciences as intellectual property. Factors were then distributed randomly among employees during a survey, after considering their validity and reliability.
Descriptive and inferential statistics were used for data analysis. Data analysis showed that innovation is one of the most important indicators of intellectual capital in computer and HIS units of medical centers and has a higher than average importance.
The results of this study, in addition to providing guidelines in the management of intellectual capital in Isfahan province hospitals, can be used as a model for improving innovation in hospitals and understanding various factors affecting organizational innovation. Oral health comparison between pregnant and nonpregnant women: A comment on Payal et al.
Beta-thalassemia is the most severe form of thalassemia major in which where the person needs regular blood transfusions and medical cares. The genetic experiment of prenatal diagnosis PND has been effective in the diagnosis of fetus with thalassemia major.
This study was aimed to evaluate educational interventions on perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action and self-efficacy in beta-thalassemia carriers and suspected couples on doing a PND genetic test in Andimeshk.
In this quasi-experimental study, beta-thalassemia carriers and suspected couples were randomly assigned to intervention and control groups. The data were collected using a researcher-made validated questionnaire using the self-administrated method.
Before the intervention, questionnaires for both groups were completed, and then, an educational intervention was done for the intervention group during a month in four sessions for 30 min. After 2 months, the questionnaire was completed again by both groups. Data were analyzed using SPSS software version Today, the problem of obesity is a chronic condition that affects all age groups in developed and developing countries.
Since adolescence is a transitional period and behavioral patterns formed in this period affect people in their adult years, attention to obesity and extra weight in this age group is more important than other groups. Therefore, this study aims to investigate the effects of nutrition education course on awareness of female 1st-year high school students of Isfahan based on transtheoretical model TTM of behavioral change.
In this semi-empirical study, 64 female 1st-year high school students with weight problem were selected using nonpercent stratified sampling and divided into two control and test groups. Data gathering was carried out using researcher-made nutrition awareness and stages of change questionnaire whose validity and reliability was confirmed.
Participants in the test group participated in a 2-month education with sessions every 2 weeks and received one brochure and 3 educational massages each week.
Data were analyzed using independent t-test and Mann—Whitney test. The results showed that the average nutrition awareness score of students in test group was significantly higher than control group after intervention. Students in test group were also in higher stages of change compared to control group after intervention. The results show that TTM was effective in changing nutritional behavior in students.
Substance use among outdoor treatment-seeking patients with mental illness: Substance abuse and mental disorder often coexist and may cause several consequences in sociooccupational functioning and health care and management. Indian data are sparse in this area. The aim of the study was to examine the sociodemographic profile, pattern, and prevalence of alcohol and substance use among person suffering with mental illness and to compare with those without mental illness.
A total of 80 treatment-seeking patients with mental illness and 80 nontreatment seeking healthy accompanying persons were assessed for current substance use. The data collected were analyzed using the Chi-square and Student's t-test. Substance use was found 2. Substance-using participants comprised mainly males belonging to rural residence. The substance using cases were more unmarried, less educated, poorer economically, and more nuclear family structures that substance-using controls.
When compared with non-substance using cases, cases with substance use had more males than females and lower education. Although both groups were almost similar in term of marital status, family structure, residence, and socioeconomic status. Among both groups, most common substance use was tobacco, followed by alcohol and cannabis.
Although all the substances were more prevalent among cases than controls. The prevalence of any substance use was highest among cases with psychotic disorder Tobacco and cannabis use was most prevalent among cases suffering with psychotic disorders, whereas alcohol use was most prevalent among cases suffering with unipolar depression. Mentally ill individuals are vulnerable to develop substance use, thus they are doubly jeopardized.
The susceptibility of these individuals stem from lesser insight, need for stimulation, to decrease the anhedonia induced by psychoactive medicines and poor awareness hence this group of individuals has several health and social consequences; therefore, they require due attention.
A better care, support, and education are needed for substance using patients with mental illness to improve their prognosis and also help in their appropriate rehabilitation. Patients undergoing hemodialysis have a low level of health and mindfulness technique in mind-body medicine is used to help patients with chronic illness.
Therefore, this clinical trial was conducted to determine the effect of the mindfulness program on the general health of patients undergoing treatment with hemodialysis.
Sixty hemodialysis patients were selected through the convenient method and randomly divided into experimental and control groups. Both groups completed demographic information questionnaire and general health questionnaire. Then, the experimental group received 8 sessions of mindfulness training and the control group received 8 sessions of education in relation to end-stage renal disease and hemodialysis.
Educational sessions were performed for both groups in the second 30 min after hemodialysis for 1 h in six individual sessions and two 1. Immediately after and 1 month after the intervention, the General Health Questionnaire was completed by both groups. Nevertheless, after intervention in the experimental group, the mean of general health disorder score decreased from