Demographic, Clinical and Radiological Features of Healthcare Workers and Two Index Cases That Were Infected with COVID-19 (SARS-Cov-2)

To evaluate the index cases leading to the transmission of healthcare workers (HCWs) in Rize/Turkey Recep Tayyip Erdogan University Faculty of Medicine Education and Research Hospital with COVID-19 infection and the clinical features of infected HCWs. The first two COVID-19 test positive patients treated at Rize/Turkey between 10.03.2020 and 12.04.2020 and HCWs those who examined these two patients whose COVID-19 PCR test results were positive were included in this study. In Rize/Turkey, the first and second cases of positive COVID-19 which was recorded on 13.03.2020 on 25.03.2020, 27 HCWs (female, 63%, n = 17 and male, 37%, n = 10 and the mean age was 33.2 ± 6.9 years) who contacted during the treatment of these cases and became COVID-19 positive were examined. The median of symptom duration (days) of the HCWs was 5 days (range: 0–17 days). Fever, 55.6% (n = 15); malaise, 44.4% (n = 12); cough, 40.7% (n = 11); sore throat, 33.3% (n = 9); myalgia, 33.3% (n = 9); dyspnea, 14.8% (n = 4); diarrhea, 22.2% (n = 6); vomiting, 14.8% (n = 4); anosmia, 18.5% (n = 5); ageusia, 22.2% (n = 6) and headache, 37% (n = 10) of the cases. The rates of headache in female HCWs infected with COVID-19 were found to be significantly higher compared to men (52.9%). None of them had severe clinical situation requiring intensive care follow-up or acute respiratory distress syndrome (ARDS). Laboratory measurements of HCWs were carried out at the first when they had symptoms and when they recovered, and results were compared accordingly. The thorax computerized tomography (CT) findings of HCWs were normal in 74.1% (n = 20) of total. HCWs were initially affected by the COVID-19 pandemic. Early measures provided by the Health authorities, access to diagnosis and treatment, and the young age average in HCWs prevented severe outcomes such as severe clinical course and mortality at the beginning of the outbreak.

Expectations and educational needs of rheumatologists, rheumatology fellows and patients in the field of precision medicine in Canada, a quantitative cross-sectional and descriptive study

Background Precision medicine, as a personalized medicine approach based on biomarkers, is a booming field. In general, physicians and patients have a positive attitude toward precision medicine, but their knowledge and experience are limited. In this study, we aimed at assessing the expectations and educational needs for precision medicine among rheumatologists, rheumatology fellows and patients with rheumatic diseases in Canada. Methods We conducted two anonymous online surveys between June and August 2018, one with rheumatologists and fellows and one with patients assessing precision medicine expectations and educational needs. Descriptive statistics were performed. Results 45 rheumatologists, 6 fellows and 277 patients answered the survey. 78% of rheumatologists and fellows and 97.1% of patients would like to receive training on precision medicine. Most rheumatologists and fellows agreed that precision medicine tests are relevant to medical practice (73.5%) with benefits such as helping to determine prognosis (58.9%), diagnosis (79.4%) and avoid treatment toxicity (61.8%). They are less convinced of their usefulness in helping to choose the most effective treatment and to improve patient adherence (23.5%). Most patients were eager to take precision medicine tests that could predict disease prognosis (92.4%), treatment response (98.1%) or drug toxicity (93.4%), but they feared potential negative impacts like loss of insurability (62.2%) and high cost of the test (57.5%). Conclusions Our study showed that rheumatologists and patients in Canada are overall interested in getting additional precision medicine education. Indeed, while convinced of the potential benefits of precision medicine tests, most physicians don’t feel confident in their abilities and consider their training insufficient to incorporate them into clinical practice.

IMPACT OF DISASTERS ON DISASTER MEDICINE EDUCATION

Introduction: Disaster medicine is a novel but rapidly evolving medical specialty. It aims for evidence based practices as they are essential for contemporary medicine. Every calamity provides input for development. Researchers in the field study these events for the purpose of amending theory and practice to reflect new challenges. The better the understanding of the shortfalls reported is, the greater will the worth for disaster medical response to the upcoming events be. Purpose: The objective of the study is to demonstrate the connection between disasters and commencement and evolution in disaster medicine education and to highlight the significance of lessons learned for practice improvement. Materials and methods: By means of the descriptive method, lessons learned from disaster medical support to some of the most significant catastrophic events in recent years are presented. Comparative and deductive analyses are performed in order to assess the influence of disasters on the evolution of disaster medical support education and training. Results: Analysis of the most consequential disasters proves that the affected countries have implemented disaster medical support planning, organization, and management changes. These changes in policy and practice lead to amendments and advances in disaster medical tuition. Conclusion: As a conclusion, disaster medicine education reliance on the best practices approved throughout the disaster relief operations is noted. Every gained experience and lesson learned have to be implemented into the lectures and seminars, thus transforming real life achievements into knowledge and wisdom.

Useful Teaching Strategies in STEMM (Science, Technology, Engineering, Mathematics, and Medicine) Education during the COVID-19 Pandemic

The impacts of the COVID-19 pandemic throughout the world continue. These impacts influence many aspects of life, work, healthcare, and education in the U.S., which are drastically affected by the COVID-19 pandemic. Thus, a considerable challenge to tertiary-level education has been how to adapt our teaching styles and modalities to keep all stakeholders (students, faculty, teaching assistants, and staff) safe in lectures and labs. This viewpoint presents 15 teaching lessons and tips for undergraduate and graduate STEMM (Science, Technology, Engineering, Mathematics, and Medicine) education for face-to-face, hybrid, and distance learning. The goal was to describe teaching strategies that could be adaptable to most STEMM courses, independent of the classroom size, which is valuable for those educational settings capable of migrating from a classroom to either a hybrid or strictly online teaching environment. Although some of these teaching tips were straightforward, we believe collectively that they (1) provide safety and stability to the students and the instructors; (2) help to improve communications between faculty and students that the pandemic had strained; (3) strengthen student attention; (4) facilitate the transition from the classroom to online teaching; (5) enable the use of new technologies; and (6) offer teaching practices we imagined for educational scenarios post-SARS-CoV-2. Finally, we hope these teaching strategies offer valuable insight as we continue to navigate STEMM education during the ongoing COVID-19 pandemic.

Pendidikan Obat Berbasis Sekolah Menggunakan Metode Permainan Piano (Pintar dengan Obat)

Obat merupakan sediaan yang tersusun atas satu atau lebih senyawa kimia yang memberikan khasiat dalam menjaga dan meningkatkan kesehatan masyarakat. Tetapi pada sisi lain obat bisa membahayakan kesehatan jika tidak digunakan sesuai aturan yang ditetapkan. Hal ini mengindikasikan bahwa setiap obat memiliki rasio manfaat dan resiko yang berbeda dan batasan ini menjadi tolak ukur keamanan obat. Berdasarkan fakta tersebut, diperlukan pengetahuan dan wawasan terkait obat yang dimulai dari masa pendidikan tingkat kanak-kanak hingga menengah atas untuk mempengaruhi tingkah laku penggunaan obat-obatan di lingkungan keluarga maupun masyarakat. Salah satu bentuk kegiatan yang mungkin dilakukan adalah berupa permainan dalam pendidikan obat bernama PIANO (pintar dengan obat). Permainan ini menekankan konsep pemberdayaan siswa dalam meningkatkan kemampuan memahami obat secara komprehensif sehingga pada akhirnya diharapkan terjadi perubahan sikap dan perilaku positif dalam peggunaan obat yang rasional dan sekaligus secara tidak langsung dapat mencegah penyalahgunaan obat. Hasil pengamatan kegiatan menunjukkan bahwa para siswa sangat antusias mengikuti kegiatan dan hasil analisis data menunjukkan adanya pengaruh permainan PIANO yang dilakukan dalam peningkatan pengetahuan mengenai obat.School-Based Medicine Education Using the Piano Game Method (Smart with Medicine)ABSTRACT Drugs are preparations composed of one or more chemical compounds that provide efficacy in maintaining and improving public health. But on the other hand drugs can be dangerous to health if not used according to established rules. This indicates that each drug has a different ratio of benefits and risks and this limit is a measure of drug safety. Based on these facts, knowledge and insight related to drugs are needed starting from the level of childhood education to senior high school to influence the behavior of the use of drugs in the family and community. One form of activity that might be carried out is in the form of a game in drug education called PIANO (smart with drugs). This game emphasizes the concept of empowering students in enhancing the ability to comprehend drugs comprehensively so that ultimately positive attitude and behavior changes in rational use of drugs are expected and at the same time indirectly can prevent drug abuse. The observations of the activities showed that the students were very enthusiastic about participating in the activities and the results of data analysis showed that there was an influence of the PIANO game which was done in increasing knowledge about the drug. Keywords: drug education, games, smart with medicine, piano