scholarly journals Factors Determining the Choice of a Career in Geriatrics among Students in Geriatric in-Hospital Training: A Prospective Study of 74 Medical Students

Geriatrics ◽  
2020 ◽  
Vol 5 (4) ◽  
pp. 87
Author(s):  
Valentine Nuss ◽  
Jérémy Barben ◽  
Caroline Laborde ◽  
Jérémie Vovelle ◽  
Martha Deidda ◽  
...  

To understand why students in the 2nd cycle of medical studies choose to complete a Diploma of Specialized Studies (DSS) in geriatrics, we conducted a study to identify the factors influencing the choice of a future specialty. In addition, we assessed the impact of clinical in-hospital training (CIHT) in a geriatric hospital on the students’ selection of their future specialty. We included all students who completed CIHT in the geriatric facility of our University Hospital between 1 May and 31 October 2018. Data were collected using a two-part questionnaire: one part was given before CIHT and the other after. The students were classified into two groups: those considering a career in geriatrics (CIG) before CIHT, forming the group DSS geriatrics+ (GDSSG+), and those not considering it, constituting the group DSS geriatrics− (GDSSG−). Seventy-four students aged 22 years old were included. Of these students, 26% were considering a CIG before CIHT. This rate increased significantly to 42% after CIHT (p = 0.04). However, none of the students who indicated that they were potentially interested in pursuing geriatrics before CIHT preselected geriatrics as their first option. For more than 92% of the students, the comprehensive care of geriatric patients was an asset. The main drawbacks were diagnostic and therapeutic limitations (60% of students), then managing aging, disability, and neurocognitive disorders (55% of students). After CIHT, the view of geriatrics improved by 74%. In conclusion, geriatric CIHT improves students’ opinions of geriatrics and increases the number of students considering a CIG. However, geriatrics still suffers from a lack of prestige.

2020 ◽  
Author(s):  
Valentine Nuss ◽  
Jérémy Barben ◽  
Caroline Laborde ◽  
Jérémie Vovelle ◽  
Martha Deidda ◽  
...  

Abstract Background: To understand the reasons for the lack of attractiveness of the Diploma of Specialized Studies (DSS) in Geriatrics (DSSG), we conducted a study to identify the factors influencing medical students’ choice of their future specialty. In addition, we assessed the impact of in-hospital training (IHT) in the departments of our geriatric center on the students’ choice of their future specialty.Methods: We included all students who passed an IHT course in the geriatric center of our university hospital between 1 May 2018 and 31 October 2018. The data were collected using a questionnaire in two parts: one given before the IHT and the other after. The students were classified into two groups: those considering a career in geriatrics before IHT (GDSSG+) and those not considering it (GDSSG−). Results: Seventy-four students, aged a mean 22 years, were included. Of these students, 26%, were considering the possibility of a career in geriatrics before the IHT course (GDSSG+). This rate significantly increased to 42% after IHT (p=0.04). However, none of the students in GDSSG+ preselected geriatrics as their first option; general medicine was the most frequent option.For more than 92% of the students, the comprehensive care of geriatric patients was an asset. The main drawbacks were diagnostic and therapeutic limitations for 60% of the students, and managing aging, disability, and major neurocognitive disorders (MNCD) for 55%. After IHT, the view of geriatrics improved by 74%.Conclusion: Geriatric IHT improves students' opinions of geriatrics and significantly increases the number of students considering a potential career in geriatrics. However, geriatrics still suffers from a lack of prestige.


Author(s):  
Panagiotis Zis ◽  
Artemios Artemiadis ◽  
Panagiotis Bargiotas ◽  
Antonios Nteveros ◽  
Georgios M. Hadjigeorgiou

Objectives: The aim of this ecological study was to investigate what the impact of digital learning due to the COVID-19 pandemic was on the burnout and overall mental health (MH) of medical students. Background: During the unprecedented era of the COVID-19 pandemic, the majority of countries worldwide adopted very strong measures. Universities closed their doors, and education continued through digital learning lectures. Methods: An anonymous questionnaire was administered to all 189 eligible candidates before and during the COVID-19 pandemic. Mental health was assessed via the MH domain of the 36-item Short Form Health Survey (SF-36) and burnout with the Maslach Burnout Inventory—Student Survey (MBI-SS). Results: The overall response rate was 81.5%. The overall burnout prevalence did not differ significantly between the two periods (pre-COVID-19 18.1% vs. COVID-19 18.2%). However, the burnout prevalence dropped significantly in year 4 (pre-COVID-19 40.7% vs. COVID-19 16.7%, p = 0.011), whereas it increased significantly in year 6 (pre-COVID-19 27.6% vs. COVID-19 50%, p = 0.01). When looking at each MBI-SS dimension separately, we found that emotional exhaustion decreased significantly in year 4 but increased in year 6, and cynicism increased in all years. The overall MH deteriorated significantly between the two periods (pre-COVID-19 58.8 ± 21.6 vs. COVID-19 48.3 ± 23, p < 0.001). Conclusions: Digital learning in medical studies carries significant risks. Not only does the MH deteriorate, but cynicism levels also increase. Emotional exhaustion was found to increase particularly in final year students, who struggle with the lack of clinical experience just before they start working as qualified junior doctors.


2017 ◽  
Vol 169 (2) ◽  
pp. 133-136
Author(s):  
Rafał KRAKOWSKI

In this paper the concept of filtration and the problem of microbial contamination occurring in the fuels and oils was presented. Then the factors influencing the growth of bacteria in petroleum products were described in detail. In the next part of the article modeling of the impact of fuel microbial contamination on filtration efficiency was performed. The modeling presented in the article is an example showing how undesirable phenomenon is the microbial contamination and how pollution affects the other elements of the entire system. As part of the modeling, numerical model of filtration with the solution was presented. Then analysis results on the basis of the impurities concentration characteristics in the fuel as a function of the fouling thickness in the partition of the filter is performed. The development of impurities was divided into three stages. In the article for one case the trend line was presented. The article was completed conclusions.


2011 ◽  
Vol 16 (17) ◽  
Author(s):  
C Brandt ◽  
H F Rabenau ◽  
S Bornmann ◽  
R Gottschalk ◽  
S Wicker

The emergence of the influenza A(H1N1)2009 virus provided a major challenge to health services around the world. However, vaccination rates for the public and for healthcare workers (HCWs) have remained low. We performed a study to review the reasons put forward by HCWs to refuse immunisation with the pandemic vaccine in 2009/10 and characterise attitudes in the influenza season 2010/11 due to the emergence of influenza A(H1N1)2009. A survey among HCWs and medical students in the clinical phase of their studies was conducted, using an anonymous questionnaire, at a German university hospital during an influenza vaccination campaign. 1,366 of 3,900 HCWs (35.0%) were vaccinated in the 2010/11 influenza season. Of the vaccinated HCWs, 1,323 (96.9%) completed the questionnaire in addition to 322 vaccinated medical students. Of the 1,645 vaccinees who completed the questionnaire, 712 had not been vaccinated against the influenza A(H1N1)2009 virus in the 2009/10 season. The main reason put forward was the objection to the AS03 adjuvants (239/712, 33.6%). Of the HCWs and students surveyed, 270 of 1,645 (16.4%) stated that the pandemic had influenced their attitude towards vaccination in general. Many German HCWs remained unconvinced of the safety of the pandemic (adjuvanted) influenza vaccine. For this reason, effective risk communication should focus on educating the public and HCWs about influenza vaccine safety and the benefits of vaccination.


1985 ◽  
Vol 93 (6) ◽  
pp. 695-699 ◽  
Author(s):  
Alan G. Gibb ◽  
Ian J. Mackenzie

A prospective study was performed to determine the factors Influencing the extrusion rate of tympanostomy tubes. Nine hundred thirty-nine tubes were inserted In 589 patients and the extrusion of these tubes was reviewed up to a period of 27 months. The eight tubes used in the survey were the Shepard, Exmoor, Bobbin, Armstrong, Paparella, Shah, Arrow, and collar button. These tubes were inserted In strict rotation, the operator using the designated tube. The position, type of incision, presence of fluid, quality of tympanic membrane, and degree of difficulty of insertion were all recorded at operation. The sex, age, side of operation, and any simultaneous operative procedures were also recorded. The patients were reviewed the day after operation and then every 3 months thereafter until the tube was extruded. A definite pattern was Identified for the extrusion of each type of tube. At one end of the spectrum, Exmoor and Shepard tubes were, for the most part, extruded between 6 and 9 months after Insertion, while at the other end, most of the collar button tubes were still functioning at 18 months. The design of the tube was the only factor found to be a significant determinant of the extrusion of the tube, although the experience of the surgeon affected the extrusion rate of the Arrow tube. The different dimensions of the Exmoor and collar button tubes are examined and compared.


2021 ◽  
pp. 084653712110495
Author(s):  
Tong Wu ◽  
Wyanne Law ◽  
Nayaar Islam ◽  
Charlotte J. Yong-Hing ◽  
Supriya Kulkarni ◽  
...  

Purpose: To gauge the level of interest in breast imaging (BI) and determine factors impacting trainees’ decision to pursue this subspecialty. Methods: Canadian radiology residents and medical students were surveyed from November 2020 to February 2021. Training level, actual vs preferred timing of breast rotations, fellowship choices, perceptions of BI, and how artificial intelligence (AI) will impact BI were collected. Chi-square, Fisher’s exact tests and univariate logistic regression were performed to determine the impact of trainees’ perceptions on interest in pursuing BI/women’s imaging (WI) fellowships. Results: 157 responses from 80 radiology residents and 77 medical students were collected. The top 3 fellowship subspecialties desired by residents were BI/WI (36%), abdominal imaging (35%), and interventional radiology (25%). Twenty-five percent of the medical students were unsure due to lack of exposure. The most common reason that trainees found BI unappealing was repetitiveness (20%), which was associated with lack of interest in BI/WI fellowships (OR = 3.9, 95% CI: 1.6-9.5, P = .002). The most common reason residents found BI appealing was procedures (59%), which was associated with interest in BI/WI fellowships (OR, 3.2, 95% CI, 1.2-8.6, P = .02). Forty percent of residents reported an earlier start of their first breast rotation (PGY1-2) would affect their fellowship choice. Conclusion: This study assessed the current level of Canadian trainees’ interest in BI and identified factors that influenced their decisions to pursue BI. Solutions for increased interest include earlier exposure to breast radiology and addressing inadequacies in residency training.


2019 ◽  
Vol 25 (2) ◽  
pp. 323-342
Author(s):  
Tri Pujiati

Budaya merupakan salah satu tantangan utama yang ditemukan dalam menerjemahkan bahasa Inggris ke dalam bahasa Indonesia. Penelitian ini bertujuan untuk mengetahui dampak indeks budaya terhadap terjemahan Novel Eclipse karya Stephenie Meyer. Penelitian ini menggunakan metode kualitatif dan pendekatan semiotik dalam penerjemahan. Terdapat 30 data yang diambil dari novel Eclipse dan terjemahannya dalam bahasa Indonesia dengan teknik. Hasil penelitian ini menunjukkan bahwa (1) indeks budaya yang digunakan oleh penerjemah sebagai cara untuk mempertahankan budaya sumber itu sendiri memiliki dampak besar pada bahasa target. Ada beberapa terjemahan yang tidak dapat diterima dalam bahasa target karena maknanya tidak tersedia dalam bahasa Indonesia, indeks budaya lainnya diterima dalam bahasa target karena ada persamaan arti yang sesuai dengan bahasa sumber; (2) sebagai cara untuk menyelesaikan masalah dalam menerjemahkan budaya, penerjemah menggunakan prosedur transferensi dan naturalisasi. Terdapat 87% menggunakan prosedur transferensi dan 13% menggunakan naturalisasi. Simpulan umum dari penelitian ini menunjukkan bahwa beberapa strategi penerjemahan tersebut tidak akurat di dalam bahasa sasaran sehingga penerjemah perlu mempertimbangkan pemilihan prosedur yang tepat sehingga terjemahan yang dihasilkan dapat diterima dalam bahasa sasaran. Culture is one of the main important challenges found in translating English into Indonesian language. This research aims to know the impact of cultural index on translation of Eclipse Novel by Stephenie Meyer. This research uses qualitative method and semiotic approach in translation. There are 30 data taken from Eclipse novel and its translation in Indonesian language. The results of this study show that (1) cultural index which used by translator as a way to defend the source culture and source language (henceforth SL) itself has a great impact on target language (henceforth TL). There are some translations which cannot be accepted in target language because the meaning is not available in Indonesian language, the other cultural index are accepted in TL as there are equivalence meaning that correspondence the SL; (2) as a way to solve the problem in translating culture, the translator uses transference and naturalization procedure. There are about 87% used transference procedure and 13% used naturalization. The general conclusion of this study shows that some of these strategies are not accurate in the target language so translators need to consider the selection of the right procedure so that the resulting translation can be accepted in the target language.


1980 ◽  
Vol 8 (1) ◽  
pp. 75-79 ◽  
Author(s):  
Anthony B. Olejnik ◽  
Asenath A. Larue

Temporary mood states were induced to determine the impact of affect on moral reasoning. College students were randomly assigned to one of three experimental conditions: positive, negative, or neutral moods prior to completing the Defining Issues Test (DIT) of moral development. P-scores on the DIT were significantly higher in the positive affect condition than in either of the other conditions. These results are discussed in relation to previous studies on situational factors influencing moral judgments and social behaviors.


HortScience ◽  
2006 ◽  
Vol 41 (2) ◽  
pp. 459-462 ◽  
Author(s):  
Young-Ki Jo ◽  
David R. Smitely

Ataenius spretulus (Haldeman) (Coleoptera: Scarabaeidae) is the most common grub in golf course fairways in Michigan. Ataenius spretulus grubs are 3- to 10-fold more abundant in golf course fairways (mowed at a height of 1.5 cm) than in the roughs (mowed at a height of 5.0 cm or higher). Predation and infection by Paenibacillus sp. were previously reported to be greater in the rough, and may partially explain outbreaks of A. spretulus grubs in golf course fairways. In addition to natural enemies, cultural practices of irrigation and mowing could also be important factors, especially if A. spretulus prefers to oviposit in the fairway over the rough. In this paper we examine the impact of soil moisture and mowing height on oviposition and habitat selection. In a greenhouse experiment where A. spretulus adults were given a choice of turf maintained at fairway or rough height, no ovipositional preference for one or the other was observed. In three different growth chamber experiments where adults were allowed to choose among fairway or rough turf plugs held in soil at different moisture levels, adults preferred turf plugs in soil at a volumetric moisture content of 13% to 26% over turf plugs in soil at 8% to 9% moisture for their habitat selection. We conclude from these greenhouse and growth chamber experiments that A. spretulus adults do not choose turf habitat based on mowing height, but may be influenced by soil moisture levels.


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