WCIM 2014 SEOUL KOREA 141
Poster Session
The Korean Journal of Internal Medicine Vol. 29, No. 5 (Suppl. 1)
PS 0356 Epidemiology and Public Health Mental Health Status among Medical Students: A Pri- ority Research Area
M. Tasdik HASAN1, Naima AFROZ2, Anindita GHOSH2
International Centre for Diarrhoeal Disease Research, Bangladesh1, Shaheed Suhrawardy Medical Col- lege, Bangladesh2
Background: Medical education across the globe is inherently stressful and as a result poor mental health or depression can occur. Therefore it becomes imperative to study the mental health status and depression among medical-students as these constitute neglected, less fi nanced, under diagnosed & under treated public health problems in Bangladesh.
Objectives: The general objective was to assess the mental health status of medical students in Bangladesh. Specifi c objectives were to assess the magnitude of depres- sion, suicidal tendency, sleeping pattern and to relate the relevant socio demographic characteristics with different parameters of mental health status.
Methods: This cross sectional study was done in two medical colleges in between July- December 2013 involving 227 students from 1st to 5th year. By convenient sampling technique data were collected by a pre tested structured interviewer-admin- istered questionnaire and analysis was done by SPSS 18.0 version. The questionnaire was formed by using the standard and validated PHQ-9 to assess MH status and ICD- 10 criteria of depression to identify depression among the respondents.
Results: Poor mental health status and depression was found in 33.5% and 38.9% of subjects where in 3.6%, 14.5%, 20.8% medical students were with severe, moderate and mild degree of depression respectively. 44.8% respondents had adequate sleep in a normal day where rest are either insomniac or hypersomniac. 17.6% medical stu- dents had suicidal tendency or attempted suicide at least for once.
Conclusions: The results revealed a clear picture of poor mental health status, preva- lence of depression in junior medical students marginally more in males & associated with academic year of the study. So, medical students should be given care and sup- port in order to promote resilience and personal fulfi llment, and for enhancement of professionalism and patient care.
PS 0359 Epidemiology and Public Health The Prevalence of Unidentifi ed Disease in Cipto Man- gunkusumo National Hospital Year 2010 and Sociode- mographic Factors Related
Nanda Lucky PRASETYA1, Muchtaruddin MANSYUR2, Andy OMEGA1, Adam PRABATA1, Aghnia PERMATASARI1, Ayudhia KARTIKA1
Faculty of Medicine, Universitas Indonesia, Indonesia1, Community Medicine, Universitas Indonesia, Indonesia2
Background: Diagnosing is a main verb in medicine. Diagnosis is set based on clinical reasoning. Factors contributing in clinical reasoning are clinical competency and other factors related with physician; sociodemographical factor and others related with pa- tients; diagnostic facility and others related to health policy.
Methods: This descriptive-analytic cross sectional research was done in 904 medical re- cord of adult polyclinic patient, using proportional random sampling and chi square anal- ysis to show how many disease could not be identifi ed, and what factors signifi cantly contribute.
Results: Although Cipto Mangunkusumo Hospital is a referral centre and national hospi- tal, our research found that there is 5,60% (n =51) of polyclinic cases are diagnosed as Unidentifi ed Disease (ICD10: R69), ranked at 4th after Senile Cataract, Hypertension, and DM Type 2. Their 84,30% (n=43) are from Internal Medicine Department, mainly from Unspecifi ed Division (patient of more than one division or unmentioned) for 63% (n=27), and Pulmonology Division for 33% (n=14). At this research also, we were going to fi nd the connection between Unidentified Disease and one of the factors contributing in clinical reasoning: Sociodemographical Factors. The variables are age, gender, educational level, employment, and health insurance. We found no variable is signifi cantly related to Unidentifi ed Disease (all p>0,05).
Conclusions: Hence, the other factors beside Sociodemographical Factors have contribu- tion to clinical reasoning that is set up to Unidentifi ed Disease: physician’s factors (clinical competency and others), diagnostic facility, and others. However, which one defi nitely contributing is still questionable as CM Hospital is educational hospital; have thousands of doctors consist of consultants, residents, and others; one of the most complete diagnostic facility in nation. Further research shall be done to defi ne this relatively big number of disease which still being unidentifi ed in national referral hospital.
PS 0360 Epidemiology and Public Health Relation between Pack-Years Tobacco Smoking and Overt Hepatic Encephalopathy in Known Hepatic Pa- tients
Mohammed ABD ELFATTAH DARWESH1, Wessam ARAFA1, Omneya ALI1, AbdAllah BASTAWESY1
Faculty of Medicine, Alexandria University, Egypt1
Background: Hepatic encephalopathy is a syndrome observed in patients with liver cirrhosis and the development of hepatic encephalopathy is explained, to some extent, by the effect of neurotoxic substances, which occurs in the setting of cirrhosis and portal hypertension. Few studies have been conducted to evaluate the risk of smoking in developing hepatic encephalopathy.
Methods: This was a cross sectional study of 93 (males=64, females=29) previously diagnosed hepatic patients recently admitted in Alexandria university Main hospital using pretested questionnaire tool. Chi square test of independence and Pearson’s cor- relation coeffi cient were used to analyze our data. Cox proportional models, stratifi ed by gender, were used to estimate hazard ratios.
Results: We have found that 78% of hepatic patients who are smoker have a previous history of overt hepatic encephalopathy with evidence of relation between smoking status and developing hepatic coma (P <.0001) and the hepatic patients who are smokers had a higher risk of developing hepatic comas than who never smoke (HR 2.521, 95% CI 1.197 – 5.310) and the risk is found to be higher in females (HR 7.554, 95% CI 1.370 – 41.652). Smoking pack-years were also associated with increasing the risk of developing hepatic comas (HR 1.000, 95% CI 0.993 – 1.007).
Conclusions: Our fi ndings suggest an evidence of relation between tobacco smoking and development of hepatic comas in known hepatic patients. So, we strongly recom- mend educating hepatic patients to quit smoking especially female hepatic patients.
PS 0361 Epidemiology and Public Health Infl uence of an Epidemiological Condition of City Waste on Respiratory Disease at Inhabitants City
Vohid KHUJAEV1, Keldiyor BEKMURODOV1 Jomboy Medical Center, Uzbekistan1
Background: It’s obvious, that all set of factors of an inhabitancy can be subdivided into a state of health of citizens on primary, having the natural nature and secondary factors, occurrence and which development occurs as set of processes social and technogenic. It’s possible to show also, that social processes are capable, in what that limits to infl uence on frequencies of respiratory
Methods: In the given researches are applied serology methods on revealing bacterio- logical and fungi diseases of bodies of breath and IFA on revealing microorganisms of respiratory bodies
Results: In researches on infl uence of factors of pollution of an atmosphere on a state of health of children it’s noted in all age groups. In the most polluted area excess of disease on a class of illnesses of bodies of breath in 2,1 times, leather and hypo- dermic cellulose in 2,7 times, in 2 times above disease of blood and bodies is noted.
The greatest infl uence pollution of an atmosphere renders on increase in desease of children illnesses of bodies of breath in age groups 1-2 and 3-6 age. The complex estimation of a state of health of children on the basis of the profound medical survey of schoolboys of 7-11 years has shown, that the total of healthy children in highly pol- luted area made 6,6, while in control -19,4. More than thirds of pupils in polluted area have functional deviations, at 60,5 various chronic diseases were generated. In control area into this group entered 36,1 schoolboys.
Conclusions: Carried out researches show infl uence of city waste of airpollution, can promote failure of adaptation and occurrence of disease. The most determined com- munications with factors of pollution of atmospheric air have such illnesses of bodies of breath.
