Medical students are subject to stress from sources related to medical training in addition to pe... more Medical students are subject to stress from sources related to medical training in addition to personal problems, resulting in significant mental distress. This study evaluates the scope of the problem in Tehran medical schools and sheds light on some of its associations. Students (604) of medicine from four medical schools in the city of Tehran responded to the Persian version of 28-item General Health Questionnaire (GHQ-28) in conjunction with a data collection sheet asking about age, sex, marital status, current training level, living place, grade point average in previous semester, and perceptions of their financial status. Of 602 students, 40.7% had mental distress (45.7% of female and 36.7% of male students). Distress was associated with being a woman (female to male odds ratio: 1.55) and very poor financial status (OR: 18.0).
A cross-sectional survey was conducted by random cluster sampling in the city of Tehran. Knowledg... more A cross-sectional survey was conducted by random cluster sampling in the city of Tehran. Knowledge of the drivers was assessed with 6 questions about national traffic laws. Attitude was assessed on a 7-item scale of drivers' perceptions. Behavior was observed by a police officer on 13 areas of assessment. Correlations were low among these three scores. Drivers with advanced education had higher scores on behavior. Knowledge, attitude, and behavior of these drivers did not seem associated.
The harmful effects of urban air pollution on general population in terms of annoying symptoms ar... more The harmful effects of urban air pollution on general population in terms of annoying symptoms are not adequately evaluated. This is in contrast to the hospital admissions and short term mortality. The present study protocol is designed to assess the association between the level of exposure to certain ambient air pollutants and a wide range of relevant symptoms. Awareness of the impact of pollution on the population at large will make our estimates of the pertinent covert burden imposed on the society more accurate. A cross sectional study with spatial analysis for the addresses of the participants was conducted. Data were collected via telephone interviews administered to a representative sample of civilians over age four in the city. Households were selected using random digit dialling procedures and randomization within each household was also performed to select the person to be interviewed. Levels of exposure are quantified by extrapolating the addresses of the study populatio...
A cross-sectional survey was conducted by random cluster sampling in the city of Tehran. Knowledg... more A cross-sectional survey was conducted by random cluster sampling in the city of Tehran. Knowledge of the drivers was assessed with 6 questions about national traffic laws. Attitude was assessed on a 7-item scale of drivers' perceptions. Behavior was observed by a police officer on 13 areas of assessment. Correlations were low among these three scores. Drivers with advanced education had higher scores on behavior. Knowledge, attitude, and behavior of these drivers did not seem associated.
Medical students are subject to stress from sources related to medical training in addition to pe... more Medical students are subject to stress from sources related to medical training in addition to personal problems, resulting in significant mental distress. This study evaluates the scope of the problem in Tehran medical schools and sheds light on some of its associations. Students (604) of medicine from four medical schools in the city of Tehran responded to the Persian version of 28-item General Health Questionnaire (GHQ-28) in conjunction with a data collection sheet asking about age, sex, marital status, current training level, living place, grade point average in previous semester, and perceptions of their financial status. Of 602 students, 40.7% had mental distress (45.7% of female and 36.7% of male students). Distress was associated with being a woman (female to male odds ratio: 1.55) and very poor financial status (OR: 18.0).
This study aims to clarify the effects of implementing a series of virtual patients in undergradu... more This study aims to clarify the effects of implementing a series of virtual patients in undergraduate surgery education on various dimensions of skills as applied to clinical problems. In a randomized controlled trial 48 surgery clerks were assigned to an intervention group who worked on 14 simulated cases of abdominal pain during 7 weeks in a computer lab and a control group without access to software. At the end of the intervention, both groups were tested by a structured, seven-part paper-based exam evaluating certain areas of competence. Forty-five students took the exam. Results showed a significant improvement in history taking (P < 0.001) and no improvement in scores related to appropriate use of radiology and lab tests, proposing differential diagnoses and management plans and factual knowledge. From the intervention group, 20 students completed a virtual case exam whose results had a poor correlation with the written exam. Overall, our findings indicate that virtual patients are strong tools in enhancing history-taking skills of students, but they do not affect other areas of competence significantly. Educators are recommended to be sceptical about enthusiastic reports on various computer applications and avoid falling into false expectations of their implementation.
BACKGROUND: The harmful effects of urban air pollution on general population in terms of annoying... more BACKGROUND: The harmful effects of urban air pollution on general population in terms of annoying symptoms are not adequately evaluated. This is in contrast to the hospital admissions and short term mortality. The present study protocol is designed to assess the association between the level of exposure to certain ambient air pollutants and a wide range of relevant symptoms. Awareness of the impact of pollution on the population at large will make our estimates of the pertinent covert burden imposed on the society more accurate. ...
Background: Active smoking and passive exposure to environmental tobacco smoke cause respiratory ... more Background: Active smoking and passive exposure to environmental tobacco smoke cause respiratory symptoms as well as long-term complications. We know little about the sources of exposure to tobacco smoke in our population and the symptoms that can be related to smoking in adults and children. Methods: A survey on the range of symptoms relevant to smoke exposure was conducted. Residents of Tehran were interviewed by telephone through random digit dialing. Exposure to tobacco smoke and other environmental ...
Medical students are subject to stress from sources related to medical training in addition to pe... more Medical students are subject to stress from sources related to medical training in addition to personal problems, resulting in significant mental distress. This study evaluates the scope of the problem in Tehran medical schools and sheds light on some of its associations. Students (604) of medicine from four medical schools in the city of Tehran responded to the Persian version of 28-item General Health Questionnaire (GHQ-28) in conjunction with a data collection sheet asking about age, sex, marital status, current training level, living place, grade point average in previous semester, and perceptions of their financial status. Of 602 students, 40.7% had mental distress (45.7% of female and 36.7% of male students). Distress was associated with being a woman (female to male odds ratio: 1.55) and very poor financial status (OR: 18.0).
A cross-sectional survey was conducted by random cluster sampling in the city of Tehran. Knowledg... more A cross-sectional survey was conducted by random cluster sampling in the city of Tehran. Knowledge of the drivers was assessed with 6 questions about national traffic laws. Attitude was assessed on a 7-item scale of drivers' perceptions. Behavior was observed by a police officer on 13 areas of assessment. Correlations were low among these three scores. Drivers with advanced education had higher scores on behavior. Knowledge, attitude, and behavior of these drivers did not seem associated.
The harmful effects of urban air pollution on general population in terms of annoying symptoms ar... more The harmful effects of urban air pollution on general population in terms of annoying symptoms are not adequately evaluated. This is in contrast to the hospital admissions and short term mortality. The present study protocol is designed to assess the association between the level of exposure to certain ambient air pollutants and a wide range of relevant symptoms. Awareness of the impact of pollution on the population at large will make our estimates of the pertinent covert burden imposed on the society more accurate. A cross sectional study with spatial analysis for the addresses of the participants was conducted. Data were collected via telephone interviews administered to a representative sample of civilians over age four in the city. Households were selected using random digit dialling procedures and randomization within each household was also performed to select the person to be interviewed. Levels of exposure are quantified by extrapolating the addresses of the study populatio...
A cross-sectional survey was conducted by random cluster sampling in the city of Tehran. Knowledg... more A cross-sectional survey was conducted by random cluster sampling in the city of Tehran. Knowledge of the drivers was assessed with 6 questions about national traffic laws. Attitude was assessed on a 7-item scale of drivers' perceptions. Behavior was observed by a police officer on 13 areas of assessment. Correlations were low among these three scores. Drivers with advanced education had higher scores on behavior. Knowledge, attitude, and behavior of these drivers did not seem associated.
Medical students are subject to stress from sources related to medical training in addition to pe... more Medical students are subject to stress from sources related to medical training in addition to personal problems, resulting in significant mental distress. This study evaluates the scope of the problem in Tehran medical schools and sheds light on some of its associations. Students (604) of medicine from four medical schools in the city of Tehran responded to the Persian version of 28-item General Health Questionnaire (GHQ-28) in conjunction with a data collection sheet asking about age, sex, marital status, current training level, living place, grade point average in previous semester, and perceptions of their financial status. Of 602 students, 40.7% had mental distress (45.7% of female and 36.7% of male students). Distress was associated with being a woman (female to male odds ratio: 1.55) and very poor financial status (OR: 18.0).
This study aims to clarify the effects of implementing a series of virtual patients in undergradu... more This study aims to clarify the effects of implementing a series of virtual patients in undergraduate surgery education on various dimensions of skills as applied to clinical problems. In a randomized controlled trial 48 surgery clerks were assigned to an intervention group who worked on 14 simulated cases of abdominal pain during 7 weeks in a computer lab and a control group without access to software. At the end of the intervention, both groups were tested by a structured, seven-part paper-based exam evaluating certain areas of competence. Forty-five students took the exam. Results showed a significant improvement in history taking (P < 0.001) and no improvement in scores related to appropriate use of radiology and lab tests, proposing differential diagnoses and management plans and factual knowledge. From the intervention group, 20 students completed a virtual case exam whose results had a poor correlation with the written exam. Overall, our findings indicate that virtual patients are strong tools in enhancing history-taking skills of students, but they do not affect other areas of competence significantly. Educators are recommended to be sceptical about enthusiastic reports on various computer applications and avoid falling into false expectations of their implementation.
BACKGROUND: The harmful effects of urban air pollution on general population in terms of annoying... more BACKGROUND: The harmful effects of urban air pollution on general population in terms of annoying symptoms are not adequately evaluated. This is in contrast to the hospital admissions and short term mortality. The present study protocol is designed to assess the association between the level of exposure to certain ambient air pollutants and a wide range of relevant symptoms. Awareness of the impact of pollution on the population at large will make our estimates of the pertinent covert burden imposed on the society more accurate. ...
Background: Active smoking and passive exposure to environmental tobacco smoke cause respiratory ... more Background: Active smoking and passive exposure to environmental tobacco smoke cause respiratory symptoms as well as long-term complications. We know little about the sources of exposure to tobacco smoke in our population and the symptoms that can be related to smoking in adults and children. Methods: A survey on the range of symptoms relevant to smoke exposure was conducted. Residents of Tehran were interviewed by telephone through random digit dialing. Exposure to tobacco smoke and other environmental ...
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