This study explores the environmental sensitivity of first-year teacher education stu dents,focusing on the relationship between their Earth Science performance,demographic factors,and their cognitive and emotional re...This study explores the environmental sensitivity of first-year teacher education stu dents,focusing on the relationship between their Earth Science performance,demographic factors,and their cognitive and emotional responses to environmental challenges.Using a descriptive correlational design within a mixed-methods framework,the research incorporates tools such as the Environmental Sensitivity Test(EST),focus group discussions(FGDs),and eco-mapping to comprehensively collect and analyze data.The findings reveal that while students exhibit a general awareness of environmental issues,this awareness does not consistently translate into sustainable practices,particularly in areas such as water conservation and waste management.A weak and statistically insignificant correlation was identified between Earth Science performance and environmental sensitivity,indicating that academic achievement in the subject does not necessarily lead to environmentally responsible behaviors.The results underscore the importance of teacher education programs integrating principles of behavioral psychology,experiential learning,and focused environmental education.Specifically,secondary science teachers should be equipped with practical strategies,such as implementing project-based learning,organizing community-centered environmental initiatives,and fostering interdisciplinary approaches to sustainability.These interventions address the gap in preparing future educators to effectively advocate for and implement sustainable practices.Strengthening teacher preparation programs with these components ensures that science educators are better equipped to cultivate a new generation of environmentally responsible citizens.展开更多
Objective:To explore the application value of the modified Peyton’s four-step teaching method in bridge experimental courses for undergraduate medical students.Methods:100 undergraduate medical students from Bethune ...Objective:To explore the application value of the modified Peyton’s four-step teaching method in bridge experimental courses for undergraduate medical students.Methods:100 undergraduate medical students from Bethune Hospital of Shanxi from July 2023 to July 2024 were selected and grouped using a random number method.The control group received a conventional training program,while the observation group received a modified Peyton’s four-step teaching and training program.The DOPS scores and teaching satisfaction scores of the two groups of undergraduate medical students were compared.Results:After intervention,the scores of each dimension of the DOPS for the undergraduate medical students in the observation group were higher than those in the control group.The teaching satisfaction scores of the undergraduate medical students after teaching were lower in the control group than in the observation group.The differences between the two groups were statistically significant(P<0.05).Conclusion:The modified Peyton’s four-step teaching program developed in this study can promote teaching and learning methods for undergraduate medical students,improve teaching satisfaction levels,and help administrators stabilize the medical team.展开更多
The purpose of this research is to analyze the causal mechanisms of learning difficulties of middle school students and use them to propose strategies to help them.This research is particularly valuable for its focus ...The purpose of this research is to analyze the causal mechanisms of learning difficulties of middle school students and use them to propose strategies to help them.This research is particularly valuable for its focus on middle school students.Research on this critical transition period is often lacking compared to primary and high school.Therefore,this research establishes a structured equation model and analyzes the data from the survey using the partial least squares method.The data were obtained from a 13,900 Wenzhou City,China students’questionnaire.The research found that learning strategies were the most significant influences on learning effectiveness,followed by learning motivation and learning relationships.Meanwhile,learning relationships had a significant impact on learning pressure.Therefore,this research proposes targeted support strategies.It aims to enhance learning motivation(Set achievable learning goals for each student with learning difficulties based on their actual situation),optimize learning strategies(Encourage students with learning difficulties to learn self-regulatory strategies such as goal setting,time management,and self-reflection),and improve learning relationships(Establish a good social network to promote positive interaction between students with learning difficulties and their peers).At the same time,it reduces students’learning pressure.Ultimately,the learning effectiveness of students with learning difficulties is improved.展开更多
BACKGROUND Revisiting the epidemiology of posttraumatic stress symptoms(PTSSs)among university students during the coronavirus disease 2019(COVID-19)pandemic as well as understanding the mental health help-seeking beh...BACKGROUND Revisiting the epidemiology of posttraumatic stress symptoms(PTSSs)among university students during the coronavirus disease 2019(COVID-19)pandemic as well as understanding the mental health help-seeking behavior of individuals with PTSSs has critical implications for public mental health strategies in future medical pandemics.AIM To investigate the prevalence and correlates of PTSSs among university students during the first wave of the COVID-19 pandemic in China and to examine mental health help-seeking behaviors among these students.METHODS A total of 2507 Chinese university students were recruited via snowball sampling.The students completed the Seven-item Screening Scale for Post-traumatic Stress Disorder during the first wave of the COVID-19 pandemic in China.Sociodemo-graphic characteristics,pandemic-related characteristics,and mental health help-seeking behaviors of students with PTSSs were also collected.RESULTS The prevalence of PTSSs among the participants was 28.0%.Seven significant correlates of PTSSs were identified(odds ratio=1.23-3.65,P≤0.024):Female sex,being 19 years old or older,living with others or alone,a low level of family economic status,fair or poor interpersonal relationships,severe or very severe local pandemic,and having family members diagnosed with COVID-19.However,only 3.28%of the students with PTSSs reported seeking help from mental health specialists.Among the 23 students who sought help from mental health specialists,13 opted for online or telephone-based psychological consultation.CONCLUSION Our data suggest that there was a high risk of PTSSs among university students and a high level of unmet mental health needs during the COVID-19 pandemic.The delivery of mental health services online or via telephone is a promising approach to address these unmet needs.展开更多
Objective: The importance of culture in nursing lies in its influence on patients’ health perceptions, behaviors, and responses to care. Despite the challenges posed by the complexity of studying culture, there remai...Objective: The importance of culture in nursing lies in its influence on patients’ health perceptions, behaviors, and responses to care. Despite the challenges posed by the complexity of studying culture, there remains a critical need to develop cultural competence in nursing. This study investigated how nursing students in rural Indonesia enhance their cultural competence through education and practice. Methods: This study employed a qualitative descriptive phenomenological approach. It conducted face-to-face interviews with 32 students across 6 regions, selected purposively. Thematic analysis was employed to evaluate the results. Results: Five themes emerge in this research: perceptions of cultural competence, learning cultural competence in the classroom, practical experience, learning expectations related to cultural competence, and cultural learning barriers. Conclusions: Enhancing cultural competence necessitates enriched curricula, adept clinical mentors, and continual student evaluation. This iterative assessment informs tailored strategies for nurturing cultural proficiency.展开更多
Objective:To assess the level of nursing students’knowledge about delirium and its associated risk factors.Delirium is a clinical syndrome characterized by alterations in cognition and psychomotor activity.Since deli...Objective:To assess the level of nursing students’knowledge about delirium and its associated risk factors.Delirium is a clinical syndrome characterized by alterations in cognition and psychomotor activity.Since delirium is common among geriatric patients,adequate preparedness of nursing students to assess and manage delirious geriatric patients is necessary to improve potential nurses’quality of care and communication with this group.Limited research work was conducted to address nursing students’knowledge about delirium.Methods:This cross-sectional descriptive study was conducted from October 2022 to February 2023.A convenience sampling was used,and 319 valid questionnaires were obtained from nursing students from six Jordanian governmental and private universities,who were at least in their third academic year.An adopted delirium knowledge scale was used to collect data.Descriptive statistics and an independent t-test were used for data analysis.Results:The mean for general knowledge about delirium was 57.5%.The mean for knowledge of delirium risk factors was 61.8%.Nursing students in their fourth academic year scored significantly higher on both general knowledge and risk knowledge scales than students in the third academic year.Conclusions:Nursing students’knowledge regarding delirium and its risk factors was low.Educational efforts should be maximized for incorporating and addressing the topic of delirium in the undergraduate nursing curriculum.Implications of this study include revising nursing curricula to ensure that students receive enough education on delirium,including its detection,diagnosis,and management.The implications also include giving nursing students the chance to gain experience in caring for delirious patients and providing them with the tools and resources they need to assess and manage delirium.展开更多
BACKGROUNDLimited research exists on attitudes and barriers to organ donation in the UnitedArab Emirates, highlighting the need for a deeper understanding of public perceptionsand challenges.AIMTo assess the attitudes...BACKGROUNDLimited research exists on attitudes and barriers to organ donation in the UnitedArab Emirates, highlighting the need for a deeper understanding of public perceptionsand challenges.AIMTo assess the attitudes and barriers toward organ donation.METHODSA cross-sectional study was adopted and included 607 samples consisting ofstudents, faculty, and staff who were selected from three universities in Ajmanand who had signed consent forms. A validated self-administered questionnairethat included 13 attitudes and 14 barrier items was used as a tool. The reliabilityof the tool was 0.89 (Cronbach's alpha). In the analysis of attitude scores, responseswere rated on a scale from 0 to 4, with 0 representing 'strongly disagree'and 4 representing 'strongly agree' for supportive attitudes towards organdonation. Participants with a total attitude score of 39 or higher indicated agreementor strong agreement with all items, reflecting a generally supportiveattitude toward organ donation. Lower scores suggested that the respondent wasneutral or disagreed with one or more items, indicating a less supportive attitudetoward organ donation. Knowledge about organ donation was assessed by selfadministeredquestionnaire that included 13 items. Analysis was done using SPSSversion 29. χ2 was used to assess associations between variables.RESULTSMost participants were young (≤ 30 years old, 83.7%), female (79.2%), from World Health Organization Eastern Mediterranean Region countries (69.5%), Muslim (82.4%), students (80.6%), single(83.9%), and from a nursing college (33.1%). The majority had no personal or family history of organ donation(93.2% and 93.9%, respectively). Supportive attitudes toward organ donation were significantly associated withreligion (P = 0.003), working status (P = 0.009), university (P = 0.019), and knowledge (P < 0.001). Additionally,those with a personal or family history of organ donation were significantly more supportive (56.8% vs 33.3%, P =0.004). Lack of awareness was the most reported barrier for organ donation (64.1%) followed by being afraid oforgan donation due to medical procedures required (51.9%).CONCLUSIONThe findings suggest that supportive attitudes toward organ donation are influenced by demographic factors,personal experiences, and knowledge levels. Lack of awareness and fear of medical procedures were the mostreported barriers to organ donation. These results highlight the need for targeted educational programs to increaseawareness and promote positive attitudes toward organ donation.展开更多
Background: Hepatitis B virus (HBV) is a primary reason for liver cancer and continues to be a worldwide public health issue. The likelihood of contracting HBV is greater in healthcare workers (HCWs) compared to indiv...Background: Hepatitis B virus (HBV) is a primary reason for liver cancer and continues to be a worldwide public health issue. The likelihood of contracting HBV is greater in healthcare workers (HCWs) compared to individuals who are not in healthcare professions. Medical students are classified as a high-risk demographic since, like HCWs, they often come into contact with bodily fluids and blood during their clinical training. By 2030, a greater proportion of people will have received HBV vaccinations, thereby halting the spread of new infections—The Somali Ministry of Health with the help of various agencies announced to eradicate hepatitis from Somalia. The priority actions are national hepatitis strategy, hepatitis survey, public awareness, training, and capacity building. Objectives: This study aims to assess the knowledge, attitude, and vaccination status of Hepatitis B infection among medical university students in Mogadishu, Somalia, 2024. Methods: Cross-sectional study design was used in this study and the survey was carried out among medical students enrolled in Universities from April 1, 2023 to June 30, 2023. The data was analyzed using SPSS version 26.0 software, Chi-square analysis and Logistic regression analysis to identify associations between demographic factors and HBV knowledge, attitudes, and vaccination status, as well as perspectives and immunization status concerning viral hepatitis. Results: The study achieved a response rate of (96%), with 230 participants. Most students (76.5%) were aged 26 - 30 years, and (60.8%) were male. Nearly half (48.7%) were in their third year of study, and the majority (36.1%) were from the Medicine and Surgery department. While 92.2% had heard of HBV, gaps in understanding were evident. About 37.8% erroneously believed HBV could spread via handshakes, and only 33.9% were aware HBV is treatable. Awareness of HBV’s severe complications, such as liver cirrhosis and liver cancer, was reported by 61.3%, and 83% understood that vaccination could prevent infection. Positive attitudes towards HBV vaccination were prevalent. Most participants (81.3%) supported vaccination before sexual activity, and 78.3% endorsed mandatory HBV vaccination policies for healthcare workers. However, 87.4% expressed concerns about the vaccine promoting unsafe sexual behavior, and 96.1% cited cultural resistance as a barrier to vaccination. A significant proportion (80.86%) of students had not been vaccinated against HBV. Among vaccinated students, 17.4%, 15.7%, and 47.82% had received one, two, and three doses, respectively. Barriers to vaccination included safety concerns (77.4%), lack of time (86.52%), and doubts about efficacy (42.61%). Conclusion: This study highlights gaps in knowledge and vaccination coverage among medical students, which are critical for their health and future clinical practice. Enhancing awareness and vaccination rates can empower students to advocate for preventative measures in their professional environments. Despite high awareness of HBV, knowledge gaps and cultural barriers persist, affecting attitudes and vaccination uptake among medical students. Educational interventions addressing misconceptions, cultural resistance, and vaccine safety are critical. Increased advocacy for mandatory vaccination policies in healthcare settings is also essential to improve HBV prevention methods.展开更多
Background:While traditional meditation practices are known for their mental health benefits,they often face limitations such as restricted access and environmental distractions.To address these challenges and enhance...Background:While traditional meditation practices are known for their mental health benefits,they often face limitations such as restricted access and environmental distractions.To address these challenges and enhance meditation effectiveness,this study implemented an immersive virtual reality meditation(IVRM)program and examined its potentialmental health benefits among university students-a population that frequently experiences significant psychological distress.Methods:Nineteen university students participated in eight 15-min sessions of an IVRM program designed to promote mindfulness and relaxation over the course of one month.Perceived stress and anxiety levels were assessed using validated self-report measures at baseline(T1)and post-intervention(T2).Twotailed paired t-tests were conducted to evaluate the preliminary efficacy of the program,and effect sizes were reported using Cohen’s d.Results:Significant reductions were observed from pre-to post-intervention in perceived stress(t(18)=3.694,p<0.001,SE=0.17,d=−0.85)and perceived anxiety(t(18)=5.113,p<0.01,SE=0.10,d=−1.20),both indicating large effect sizes.Conclusion:Our findings provide preliminary evidence that the IVRMprogramcan reduce stress and anxiety levels in university students.The positive results suggest that IVRM has the potential to serve as a novel,technology-based meditation intervention for individuals at elevated risk for developingmental health disorders.Furthermore,our study suggests important implications for future research.展开更多
Early onset of hypertension (HTN) raises the risk of cardiovascular disease (CVD), the leading cause of death in the U.S. For university students who do not follow healthy diets or lifestyles, high blood pressure (BP)...Early onset of hypertension (HTN) raises the risk of cardiovascular disease (CVD), the leading cause of death in the U.S. For university students who do not follow healthy diets or lifestyles, high blood pressure (BP) may be markedly prevalent. Researchers utilized a cross-sectional design to assess HTN prevalence and its risk factors among college students (N = 123). Self-administered surveys comprising four validated questionnaires: the Perceived Stress Scale (PSS), Rapid Eating Assessment for Participants-Shortened (REAPS), Dietary Approaches to Stop Hypertension Quality (DASH-Q), and the U.S. Adult Food Security Survey (FSS) were employed. Additionally, physical measurements were conducted, including height, weight, waist circumference (WC), and BP. Results indicated that 71.6% of students had elevated BP, with 24.4% classified as Stage 1 HTN and 23.6% as Stage 2 HTN. Notably, 60% of students reported low adherence to the DASH diet and a mean REAPS score of 26.3 out of 39. Students experiencing marginal food security had higher systolic blood pressure (SBP) 131.7 ± 16.8 mm Hg compared to those with high food security 123.03 ± 11.7 mm Hg (p = 0.028). Furthermore, REAPS scores showed a negative correlation with diastolic blood pressure (DBP) (β = −0.201, p = 0.03). Significant predictors for SBP included WC (β = 0.40, p β = −0.33, p β = 0.16, p = 0.046). The findings highlight the need for BP screenings and nutrition education programs to improve dietary habits among college students, which may help reduce HTN and its associated long-term risks for CVD.展开更多
Objective:To understand the current situation of career planning awareness and readiness of freshman medical students with a background in digital medicine,and to provide references for optimizing the medical educatio...Objective:To understand the current situation of career planning awareness and readiness of freshman medical students with a background in digital medicine,and to provide references for optimizing the medical education system and career guidance.Methods:A cross-sectional study was conducted on freshman medical students at a university in Yunnan Province using questionnaire survey.Results:A total of 272 questionnaires were distributed and 264 valid questionnaires were returned,yielding an effective response rate of 97.10%.The average score of digital medical awareness of freshman medical students was(70.50±8.81),and 63.63%of the students had a high awareness(score≧70);The average score of career planning awareness and readiness of freshman medical students was(91.76±14.87),and 60.63%of students had high awareness and readiness(score≧90).Pearson correlation analysis showed that the total score of digital medical awareness was positively correlated with the total score of career planning awareness and readiness(r=0.13,P<0.05).Conclusion:Freshman medical students’career planning awareness and readiness are generally good,but their practical application of digital medical-related skills still needs improvement.It is suggested that schools strengthen the integration of interdisciplinary curriculum,introduce digital vocational training modules,and formulate differentiated guidance strategies for different majors to enhance students’professional competitiveness in the digital medical era.展开更多
This study aimed to explore how core self-evaluations and gender influence interpersonal adjustment and depression risk.Participants were 1748 college students(female=59.73%,male=40.27%,mean age=18.71 years,SD=0.78 yea...This study aimed to explore how core self-evaluations and gender influence interpersonal adjustment and depression risk.Participants were 1748 college students(female=59.73%,male=40.27%,mean age=18.71 years,SD=0.78 years).The students completed the Interpersonal Adjustment Scale for College Students,Center for Epidemiological Studies Depression Scale,and Core Self-evaluation Scale.The results of Linear regression and mediated moderated effects modeling revealed that college students with higher interpersonal adjustment and core self-evaluation scores were at lower risk for depression.Core self-evaluation mediated the relationship between interpersonal adjustment and depression in college students for lower risk for depression.Gender moderated the relationship between interpersonal adjustment and core self-evaluation in college students for higher risk for depression in female students.From thesefindings,we conclude that interpersonal adjustment and core self-evaluation are significant for screening depression risk college students.Moreover,female students may benefit from targeted interventions aimed at their interpersonal adjustment for reducing their risk of depression.展开更多
This study examined the impact of teacher-student relationship quality on students’risk of bullying victimiza-tion and the mediating roles of student-student relationships and student engagement in this relationship....This study examined the impact of teacher-student relationship quality on students’risk of bullying victimiza-tion and the mediating roles of student-student relationships and student engagement in this relationship.A total of 656 Chinese junior high school students(females=361,mean age=13.75,SD=0.98)completed validated measures of teacher-student relationship quality,student-student relationship quality,student engagement,and bullying victimization.Regression analysis results indicated that higher teacher-student relationship quality predicted a lower risk of student bullying victimization.Serial mediating effect testing of the student-student relationship quality and student engagement revealed that these factors fully mediated the relationship between teacher-student relationship quality and bullying victimization,resulting in a lower risk of bullying victimization.The results showed that student-student relationship quality had a more substantial mediating effect than student engagement.Thefindings support the Socio-Ecological Framework,suggesting that within the Microsystem,interactions between individuals and their immediate environments significantly impact their behavior.Specifically,thesefindings suggest that good teacher-student relationships can enhance the quality of student-student relationships and student engagement,thereby preventing and reducing the occurrence of bullying victimization.展开更多
Objective:The objective of this research is to thoroughly investigate the extent of mutual interference among clinical internships,postgraduate entrance examinations,and employment by examining engineering contradicti...Objective:The objective of this research is to thoroughly investigate the extent of mutual interference among clinical internships,postgraduate entrance examinations,and employment by examining engineering contradictions,thus offering theoretical insights and guidance for medical students to attain high-quality outcomes in clinical internships.Methods:A combination of literature reviews,questionnaires,interviews,and observations of internships was utilized,followed by a statistical analysis to assess the levels of interference among the three factors.Results:The senior participants achieved significantly higher scores than their junior counterparts in evaluations of comprehensive humanistic quality,understanding professional values,communication abilities,clinical skills,and attitudes towards learning,with differences that were statistically significant(p<0.05).After applying an interactive training approach that merges early clinical practice with foundational medical education,both groups displayed notable enhancements in activity content,formats,instructor attitudes,clinical performance,and the blending of theory with practice(p<0.05).Conclusion:By emphasizing‘early clinical’education,students are effectively engaged in clinical practice through active involvement,leading to feedback-oriented training.This strategy not only improves the overall quality of internships but also reduces the risk of scheduling conflicts with postgraduate entrance examinations and employment opportunities.展开更多
Objective:This study aimed to investigate the learning expectations of undergraduate nursing students regarding the flipped Health Assessment course.Methods:This descriptive,qualitative study was conducted at a medica...Objective:This study aimed to investigate the learning expectations of undergraduate nursing students regarding the flipped Health Assessment course.Methods:This descriptive,qualitative study was conducted at a medical university in Fuzhou,Fujian Province,China.An interview outline was designed based on the core dimensions of Expectation Confirmation Theory(expectation sources,expectation content,and expectation importance).Thirty second-year undergraduate nursing students who had completed first-year basic medical courses and were about to take the flipped Health Assessment course were interviewed between June and July 2022.Interview data were analyzed using qualitative content analysis.Results:Five major themes and thirteen subthemes were identified.Theme 1 was expectation sourcesperceived learning difficulties from past experiences,which included four subthemes:insufficient autonomous learning ability,confusion regarding learning methods,insufficient engagement in learning,and low professional identity.Theme 2 included knowledge and information expectations,which comprised three subthemes:knowledge to improve professional competence,knowledge to enhance academic competitiveness,and knowledge to boost self-efficacy.Theme 3 comprised logical expectations and included two subthemes:flexible teaching methods and efficient instructional tools.Theme 4,pleasure expectations,included two subthemes:vivid teaching styles and diversified teaching evaluations.Theme 5 comprised professional value expectations and included two subthemes:teachers'responsible professional attitudes and gentle emotional support.Conclusion:Students'learning expectations originate from perceived learning difficulties,such as insufficient learning autonomy and engagement,confusion about learning methods,and a lack of professional identity.They showed various learning expectations for the flipped Health Assessment course,including knowledge and information,logic,pleasure,and professional value expectations.展开更多
With the deepening of cross-cultural educational cooperation between China and Malaysia,the cross-cultural challenges that Chinese overseas students face in Malaysia due to language and cultural differences have becom...With the deepening of cross-cultural educational cooperation between China and Malaysia,the cross-cultural challenges that Chinese overseas students face in Malaysia due to language and cultural differences have become increasingly prominent.Focusing on Chinese graduate students at a public university in Malaysia where English is the medium of instruction,this study employs a scale survey method in conjunction with IBM SPSS 26.0 and Smart PLS 4.0 for data analysis to quantitatively explore the level of language anxiety and its relationship with cross-cultural adaptability and learning motivation.The results indicate that most Chinese graduate students experience notable language anxiety,which is significantly negatively correlated with cross-cultural adaptability,especially academic adaptability,but is not related to learning motivation.Furthermore,the study reveals the complex influencing mechanism of language anxiety within multicultural educational environments and offers suggestions for improvement tailored to Malaysia’s unique educational context.These include utilizing technological tools for language interventions,optimizing classroom teaching strategies,enhancing language learning motivation through external incentives,strengthening training for cross-cultural adaptation skills,and promoting deeper cross-cultural communication.This study provides theoretical support and practical references for alleviating language anxiety and enhancing the cross-cultural adaptability of Chinese overseas students.展开更多
BACKGROUND Dysfunctional beliefs about sleep may influence academic performance through their impact on sleep quality.Differences in chronotype can further moderate this relationship,particularly among students with i...BACKGROUND Dysfunctional beliefs about sleep may influence academic performance through their impact on sleep quality.Differences in chronotype can further moderate this relationship,particularly among students with irregular sleep patterns.AIM To examine the indirect effects of dysfunctional beliefs about sleep on academic performance through sleep quality while considering individual differences in chronotypes among medical students.METHODS The participants were categorized by chronotype and administered the Dysfunctional Beliefs and Attitudes about Sleep Scale and the Pittsburgh Sleep Quality Index and reported their grade point averages(GPAs).Mediation analysis was performed to examine indirect pathways through sleep quality.RESULTS Dysfunctional sleep beliefs did not directly affect academic success but indirectly impaired GPA via reduced sleep quality,especially in evening-type students.CONCLUSION Chronotype moderates the relationship between sleep quality and academic performance, highlighting the need for targeted cognitive interventions.展开更多
This study investigates the mental health challenges faced by international nursing students in the Philippines during a global health disruption like the COVID-19 pandemic,particularly focusing on symptoms of depress...This study investigates the mental health challenges faced by international nursing students in the Philippines during a global health disruption like the COVID-19 pandemic,particularly focusing on symptoms of depression,anxiety,and stress(DAS).With the first incidence of global outbreak in the Philippines reported in 2020,the pandemic has intensified psychological distress among international students,who already struggle with sociocultural adjustment issues such as alienation and culture shock.The study aimed to determine the prevalence and contributing factors of DAS among this group.Using descriptive statistics and the DASS-21 tool,the research found that international nursing students exhibited alarmingly high levels of depression,anxiety,and stress.Pearson’s test of association was employed to explore relationships between DAS symptoms and demographic variables.Results highlighted key predictors of mental health distress,including age,gender,length of stay in the country,and sleep patterns.These findings address a significant gap in existing literature concerning international students’mental health in the Philippines during pandemics.The study concludes by urging healthcare providers and policymakers to integrate these insights into emergency preparedness plans and educational reforms,emphasizing the importance of supporting the psychological well-being of international students during crises.Replication with additional variables is recommended for a more comprehensive understanding.展开更多
AIM:To evaluate the effects of refractive errors and binocular vision anomalies on the quality of life(QOL)of university students.METHODS:This cross-sectional analytical study was conducted on university students usin...AIM:To evaluate the effects of refractive errors and binocular vision anomalies on the quality of life(QOL)of university students.METHODS:This cross-sectional analytical study was conducted on university students using simple random sampling.Objective refraction,ocular alignment,vergence and accommodative performance were measured and assessed in all participants.Data on QOL were collected using the College of Optometrists in Vision Development-Quality of Life(COVD-QOL)Questionnaire.The effect of mentioned parameters on the QOL were evaluated.RESULTS:Totally 726 students with mean age of 21.35±1.88y were evaluated in this study,51.5%of whom were female.Esophoria was caused significantly lower QOL in the domains of somatic symptoms and occupationalphysical symptoms(P<0.05);Besides,esotropia decreased QOL in domains of somatic symptoms P=0.002 and psychological factors(P=0.023).Students with accommodation insufficiency experienced more symptoms in all domains(P<0.05)except for psychological factors(P=0.07).Increasing in the near point of convergence and accommodation and decreases QOL and increasing accommodative facility increases QOL(all P<0.05).Myopia and astigmatism cause decrease in QOL(both P<0.05),but hyperopic students had better QOL in comparison with others(P<0.05).CONCLUSION:Screening programs and treatment of refractive errors and binocular vision anomalies,especially phoria and accommodative insufficiency,positively impact the QOL and academic achievements of university students.展开更多
文摘This study explores the environmental sensitivity of first-year teacher education stu dents,focusing on the relationship between their Earth Science performance,demographic factors,and their cognitive and emotional responses to environmental challenges.Using a descriptive correlational design within a mixed-methods framework,the research incorporates tools such as the Environmental Sensitivity Test(EST),focus group discussions(FGDs),and eco-mapping to comprehensively collect and analyze data.The findings reveal that while students exhibit a general awareness of environmental issues,this awareness does not consistently translate into sustainable practices,particularly in areas such as water conservation and waste management.A weak and statistically insignificant correlation was identified between Earth Science performance and environmental sensitivity,indicating that academic achievement in the subject does not necessarily lead to environmentally responsible behaviors.The results underscore the importance of teacher education programs integrating principles of behavioral psychology,experiential learning,and focused environmental education.Specifically,secondary science teachers should be equipped with practical strategies,such as implementing project-based learning,organizing community-centered environmental initiatives,and fostering interdisciplinary approaches to sustainability.These interventions address the gap in preparing future educators to effectively advocate for and implement sustainable practices.Strengthening teacher preparation programs with these components ensures that science educators are better equipped to cultivate a new generation of environmentally responsible citizens.
文摘Objective:To explore the application value of the modified Peyton’s four-step teaching method in bridge experimental courses for undergraduate medical students.Methods:100 undergraduate medical students from Bethune Hospital of Shanxi from July 2023 to July 2024 were selected and grouped using a random number method.The control group received a conventional training program,while the observation group received a modified Peyton’s four-step teaching and training program.The DOPS scores and teaching satisfaction scores of the two groups of undergraduate medical students were compared.Results:After intervention,the scores of each dimension of the DOPS for the undergraduate medical students in the observation group were higher than those in the control group.The teaching satisfaction scores of the undergraduate medical students after teaching were lower in the control group than in the observation group.The differences between the two groups were statistically significant(P<0.05).Conclusion:The modified Peyton’s four-step teaching program developed in this study can promote teaching and learning methods for undergraduate medical students,improve teaching satisfaction levels,and help administrators stabilize the medical team.
基金2025 Wenzhou Key Research Base of Philosophy and Social Science(Wenzhou University Learning Science and Technology Research Centre)Research Project:Investigation and Strategy Research on the Causes of Middle School Students’Learning Difficulties in the Context of the Leading Country in Education.
文摘The purpose of this research is to analyze the causal mechanisms of learning difficulties of middle school students and use them to propose strategies to help them.This research is particularly valuable for its focus on middle school students.Research on this critical transition period is often lacking compared to primary and high school.Therefore,this research establishes a structured equation model and analyzes the data from the survey using the partial least squares method.The data were obtained from a 13,900 Wenzhou City,China students’questionnaire.The research found that learning strategies were the most significant influences on learning effectiveness,followed by learning motivation and learning relationships.Meanwhile,learning relationships had a significant impact on learning pressure.Therefore,this research proposes targeted support strategies.It aims to enhance learning motivation(Set achievable learning goals for each student with learning difficulties based on their actual situation),optimize learning strategies(Encourage students with learning difficulties to learn self-regulatory strategies such as goal setting,time management,and self-reflection),and improve learning relationships(Establish a good social network to promote positive interaction between students with learning difficulties and their peers).At the same time,it reduces students’learning pressure.Ultimately,the learning effectiveness of students with learning difficulties is improved.
文摘BACKGROUND Revisiting the epidemiology of posttraumatic stress symptoms(PTSSs)among university students during the coronavirus disease 2019(COVID-19)pandemic as well as understanding the mental health help-seeking behavior of individuals with PTSSs has critical implications for public mental health strategies in future medical pandemics.AIM To investigate the prevalence and correlates of PTSSs among university students during the first wave of the COVID-19 pandemic in China and to examine mental health help-seeking behaviors among these students.METHODS A total of 2507 Chinese university students were recruited via snowball sampling.The students completed the Seven-item Screening Scale for Post-traumatic Stress Disorder during the first wave of the COVID-19 pandemic in China.Sociodemo-graphic characteristics,pandemic-related characteristics,and mental health help-seeking behaviors of students with PTSSs were also collected.RESULTS The prevalence of PTSSs among the participants was 28.0%.Seven significant correlates of PTSSs were identified(odds ratio=1.23-3.65,P≤0.024):Female sex,being 19 years old or older,living with others or alone,a low level of family economic status,fair or poor interpersonal relationships,severe or very severe local pandemic,and having family members diagnosed with COVID-19.However,only 3.28%of the students with PTSSs reported seeking help from mental health specialists.Among the 23 students who sought help from mental health specialists,13 opted for online or telephone-based psychological consultation.CONCLUSION Our data suggest that there was a high risk of PTSSs among university students and a high level of unmet mental health needs during the COVID-19 pandemic.The delivery of mental health services online or via telephone is a promising approach to address these unmet needs.
基金supported by an internal grant from Universitas Citra Bangsa(Number 6/VI/LP3M/UCB/22).
文摘Objective: The importance of culture in nursing lies in its influence on patients’ health perceptions, behaviors, and responses to care. Despite the challenges posed by the complexity of studying culture, there remains a critical need to develop cultural competence in nursing. This study investigated how nursing students in rural Indonesia enhance their cultural competence through education and practice. Methods: This study employed a qualitative descriptive phenomenological approach. It conducted face-to-face interviews with 32 students across 6 regions, selected purposively. Thematic analysis was employed to evaluate the results. Results: Five themes emerge in this research: perceptions of cultural competence, learning cultural competence in the classroom, practical experience, learning expectations related to cultural competence, and cultural learning barriers. Conclusions: Enhancing cultural competence necessitates enriched curricula, adept clinical mentors, and continual student evaluation. This iterative assessment informs tailored strategies for nurturing cultural proficiency.
文摘Objective:To assess the level of nursing students’knowledge about delirium and its associated risk factors.Delirium is a clinical syndrome characterized by alterations in cognition and psychomotor activity.Since delirium is common among geriatric patients,adequate preparedness of nursing students to assess and manage delirious geriatric patients is necessary to improve potential nurses’quality of care and communication with this group.Limited research work was conducted to address nursing students’knowledge about delirium.Methods:This cross-sectional descriptive study was conducted from October 2022 to February 2023.A convenience sampling was used,and 319 valid questionnaires were obtained from nursing students from six Jordanian governmental and private universities,who were at least in their third academic year.An adopted delirium knowledge scale was used to collect data.Descriptive statistics and an independent t-test were used for data analysis.Results:The mean for general knowledge about delirium was 57.5%.The mean for knowledge of delirium risk factors was 61.8%.Nursing students in their fourth academic year scored significantly higher on both general knowledge and risk knowledge scales than students in the third academic year.Conclusions:Nursing students’knowledge regarding delirium and its risk factors was low.Educational efforts should be maximized for incorporating and addressing the topic of delirium in the undergraduate nursing curriculum.Implications of this study include revising nursing curricula to ensure that students receive enough education on delirium,including its detection,diagnosis,and management.The implications also include giving nursing students the chance to gain experience in caring for delirious patients and providing them with the tools and resources they need to assess and manage delirium.
文摘BACKGROUNDLimited research exists on attitudes and barriers to organ donation in the UnitedArab Emirates, highlighting the need for a deeper understanding of public perceptionsand challenges.AIMTo assess the attitudes and barriers toward organ donation.METHODSA cross-sectional study was adopted and included 607 samples consisting ofstudents, faculty, and staff who were selected from three universities in Ajmanand who had signed consent forms. A validated self-administered questionnairethat included 13 attitudes and 14 barrier items was used as a tool. The reliabilityof the tool was 0.89 (Cronbach's alpha). In the analysis of attitude scores, responseswere rated on a scale from 0 to 4, with 0 representing 'strongly disagree'and 4 representing 'strongly agree' for supportive attitudes towards organdonation. Participants with a total attitude score of 39 or higher indicated agreementor strong agreement with all items, reflecting a generally supportiveattitude toward organ donation. Lower scores suggested that the respondent wasneutral or disagreed with one or more items, indicating a less supportive attitudetoward organ donation. Knowledge about organ donation was assessed by selfadministeredquestionnaire that included 13 items. Analysis was done using SPSSversion 29. χ2 was used to assess associations between variables.RESULTSMost participants were young (≤ 30 years old, 83.7%), female (79.2%), from World Health Organization Eastern Mediterranean Region countries (69.5%), Muslim (82.4%), students (80.6%), single(83.9%), and from a nursing college (33.1%). The majority had no personal or family history of organ donation(93.2% and 93.9%, respectively). Supportive attitudes toward organ donation were significantly associated withreligion (P = 0.003), working status (P = 0.009), university (P = 0.019), and knowledge (P < 0.001). Additionally,those with a personal or family history of organ donation were significantly more supportive (56.8% vs 33.3%, P =0.004). Lack of awareness was the most reported barrier for organ donation (64.1%) followed by being afraid oforgan donation due to medical procedures required (51.9%).CONCLUSIONThe findings suggest that supportive attitudes toward organ donation are influenced by demographic factors,personal experiences, and knowledge levels. Lack of awareness and fear of medical procedures were the mostreported barriers to organ donation. These results highlight the need for targeted educational programs to increaseawareness and promote positive attitudes toward organ donation.
文摘Background: Hepatitis B virus (HBV) is a primary reason for liver cancer and continues to be a worldwide public health issue. The likelihood of contracting HBV is greater in healthcare workers (HCWs) compared to individuals who are not in healthcare professions. Medical students are classified as a high-risk demographic since, like HCWs, they often come into contact with bodily fluids and blood during their clinical training. By 2030, a greater proportion of people will have received HBV vaccinations, thereby halting the spread of new infections—The Somali Ministry of Health with the help of various agencies announced to eradicate hepatitis from Somalia. The priority actions are national hepatitis strategy, hepatitis survey, public awareness, training, and capacity building. Objectives: This study aims to assess the knowledge, attitude, and vaccination status of Hepatitis B infection among medical university students in Mogadishu, Somalia, 2024. Methods: Cross-sectional study design was used in this study and the survey was carried out among medical students enrolled in Universities from April 1, 2023 to June 30, 2023. The data was analyzed using SPSS version 26.0 software, Chi-square analysis and Logistic regression analysis to identify associations between demographic factors and HBV knowledge, attitudes, and vaccination status, as well as perspectives and immunization status concerning viral hepatitis. Results: The study achieved a response rate of (96%), with 230 participants. Most students (76.5%) were aged 26 - 30 years, and (60.8%) were male. Nearly half (48.7%) were in their third year of study, and the majority (36.1%) were from the Medicine and Surgery department. While 92.2% had heard of HBV, gaps in understanding were evident. About 37.8% erroneously believed HBV could spread via handshakes, and only 33.9% were aware HBV is treatable. Awareness of HBV’s severe complications, such as liver cirrhosis and liver cancer, was reported by 61.3%, and 83% understood that vaccination could prevent infection. Positive attitudes towards HBV vaccination were prevalent. Most participants (81.3%) supported vaccination before sexual activity, and 78.3% endorsed mandatory HBV vaccination policies for healthcare workers. However, 87.4% expressed concerns about the vaccine promoting unsafe sexual behavior, and 96.1% cited cultural resistance as a barrier to vaccination. A significant proportion (80.86%) of students had not been vaccinated against HBV. Among vaccinated students, 17.4%, 15.7%, and 47.82% had received one, two, and three doses, respectively. Barriers to vaccination included safety concerns (77.4%), lack of time (86.52%), and doubts about efficacy (42.61%). Conclusion: This study highlights gaps in knowledge and vaccination coverage among medical students, which are critical for their health and future clinical practice. Enhancing awareness and vaccination rates can empower students to advocate for preventative measures in their professional environments. Despite high awareness of HBV, knowledge gaps and cultural barriers persist, affecting attitudes and vaccination uptake among medical students. Educational interventions addressing misconceptions, cultural resistance, and vaccine safety are critical. Increased advocacy for mandatory vaccination policies in healthcare settings is also essential to improve HBV prevention methods.
文摘Background:While traditional meditation practices are known for their mental health benefits,they often face limitations such as restricted access and environmental distractions.To address these challenges and enhance meditation effectiveness,this study implemented an immersive virtual reality meditation(IVRM)program and examined its potentialmental health benefits among university students-a population that frequently experiences significant psychological distress.Methods:Nineteen university students participated in eight 15-min sessions of an IVRM program designed to promote mindfulness and relaxation over the course of one month.Perceived stress and anxiety levels were assessed using validated self-report measures at baseline(T1)and post-intervention(T2).Twotailed paired t-tests were conducted to evaluate the preliminary efficacy of the program,and effect sizes were reported using Cohen’s d.Results:Significant reductions were observed from pre-to post-intervention in perceived stress(t(18)=3.694,p<0.001,SE=0.17,d=−0.85)and perceived anxiety(t(18)=5.113,p<0.01,SE=0.10,d=−1.20),both indicating large effect sizes.Conclusion:Our findings provide preliminary evidence that the IVRMprogramcan reduce stress and anxiety levels in university students.The positive results suggest that IVRM has the potential to serve as a novel,technology-based meditation intervention for individuals at elevated risk for developingmental health disorders.Furthermore,our study suggests important implications for future research.
文摘Early onset of hypertension (HTN) raises the risk of cardiovascular disease (CVD), the leading cause of death in the U.S. For university students who do not follow healthy diets or lifestyles, high blood pressure (BP) may be markedly prevalent. Researchers utilized a cross-sectional design to assess HTN prevalence and its risk factors among college students (N = 123). Self-administered surveys comprising four validated questionnaires: the Perceived Stress Scale (PSS), Rapid Eating Assessment for Participants-Shortened (REAPS), Dietary Approaches to Stop Hypertension Quality (DASH-Q), and the U.S. Adult Food Security Survey (FSS) were employed. Additionally, physical measurements were conducted, including height, weight, waist circumference (WC), and BP. Results indicated that 71.6% of students had elevated BP, with 24.4% classified as Stage 1 HTN and 23.6% as Stage 2 HTN. Notably, 60% of students reported low adherence to the DASH diet and a mean REAPS score of 26.3 out of 39. Students experiencing marginal food security had higher systolic blood pressure (SBP) 131.7 ± 16.8 mm Hg compared to those with high food security 123.03 ± 11.7 mm Hg (p = 0.028). Furthermore, REAPS scores showed a negative correlation with diastolic blood pressure (DBP) (β = −0.201, p = 0.03). Significant predictors for SBP included WC (β = 0.40, p β = −0.33, p β = 0.16, p = 0.046). The findings highlight the need for BP screenings and nutrition education programs to improve dietary habits among college students, which may help reduce HTN and its associated long-term risks for CVD.
文摘Objective:To understand the current situation of career planning awareness and readiness of freshman medical students with a background in digital medicine,and to provide references for optimizing the medical education system and career guidance.Methods:A cross-sectional study was conducted on freshman medical students at a university in Yunnan Province using questionnaire survey.Results:A total of 272 questionnaires were distributed and 264 valid questionnaires were returned,yielding an effective response rate of 97.10%.The average score of digital medical awareness of freshman medical students was(70.50±8.81),and 63.63%of the students had a high awareness(score≧70);The average score of career planning awareness and readiness of freshman medical students was(91.76±14.87),and 60.63%of students had high awareness and readiness(score≧90).Pearson correlation analysis showed that the total score of digital medical awareness was positively correlated with the total score of career planning awareness and readiness(r=0.13,P<0.05).Conclusion:Freshman medical students’career planning awareness and readiness are generally good,but their practical application of digital medical-related skills still needs improvement.It is suggested that schools strengthen the integration of interdisciplinary curriculum,introduce digital vocational training modules,and formulate differentiated guidance strategies for different majors to enhance students’professional competitiveness in the digital medical era.
基金supported by the Education Working Committee of the Xinjiang Uygur Autonomous Region Party Committee(grant number 2023GZYB10).
文摘This study aimed to explore how core self-evaluations and gender influence interpersonal adjustment and depression risk.Participants were 1748 college students(female=59.73%,male=40.27%,mean age=18.71 years,SD=0.78 years).The students completed the Interpersonal Adjustment Scale for College Students,Center for Epidemiological Studies Depression Scale,and Core Self-evaluation Scale.The results of Linear regression and mediated moderated effects modeling revealed that college students with higher interpersonal adjustment and core self-evaluation scores were at lower risk for depression.Core self-evaluation mediated the relationship between interpersonal adjustment and depression in college students for lower risk for depression.Gender moderated the relationship between interpersonal adjustment and core self-evaluation in college students for higher risk for depression in female students.From thesefindings,we conclude that interpersonal adjustment and core self-evaluation are significant for screening depression risk college students.Moreover,female students may benefit from targeted interventions aimed at their interpersonal adjustment for reducing their risk of depression.
基金supported by the 2024 Henan Province Philosophy and Social Science Planning Project(Youth Project)entitled“Research on the Mechanism and Intervention of Self-Regulated Learning in Promoting Children’s Chinese Reading Comprehension”(2024CJY070).
文摘This study examined the impact of teacher-student relationship quality on students’risk of bullying victimiza-tion and the mediating roles of student-student relationships and student engagement in this relationship.A total of 656 Chinese junior high school students(females=361,mean age=13.75,SD=0.98)completed validated measures of teacher-student relationship quality,student-student relationship quality,student engagement,and bullying victimization.Regression analysis results indicated that higher teacher-student relationship quality predicted a lower risk of student bullying victimization.Serial mediating effect testing of the student-student relationship quality and student engagement revealed that these factors fully mediated the relationship between teacher-student relationship quality and bullying victimization,resulting in a lower risk of bullying victimization.The results showed that student-student relationship quality had a more substantial mediating effect than student engagement.Thefindings support the Socio-Ecological Framework,suggesting that within the Microsystem,interactions between individuals and their immediate environments significantly impact their behavior.Specifically,thesefindings suggest that good teacher-student relationships can enhance the quality of student-student relationships and student engagement,thereby preventing and reducing the occurrence of bullying victimization.
基金Ministry of Education Industry-University Cooperative Education Program(Project No.:231002999080311)Xinxiang Medical University Education and Teaching Reform Research(Project No.:2021-XYJG-100)。
文摘Objective:The objective of this research is to thoroughly investigate the extent of mutual interference among clinical internships,postgraduate entrance examinations,and employment by examining engineering contradictions,thus offering theoretical insights and guidance for medical students to attain high-quality outcomes in clinical internships.Methods:A combination of literature reviews,questionnaires,interviews,and observations of internships was utilized,followed by a statistical analysis to assess the levels of interference among the three factors.Results:The senior participants achieved significantly higher scores than their junior counterparts in evaluations of comprehensive humanistic quality,understanding professional values,communication abilities,clinical skills,and attitudes towards learning,with differences that were statistically significant(p<0.05).After applying an interactive training approach that merges early clinical practice with foundational medical education,both groups displayed notable enhancements in activity content,formats,instructor attitudes,clinical performance,and the blending of theory with practice(p<0.05).Conclusion:By emphasizing‘early clinical’education,students are effectively engaged in clinical practice through active involvement,leading to feedback-oriented training.This strategy not only improves the overall quality of internships but also reduces the risk of scheduling conflicts with postgraduate entrance examinations and employment opportunities.
基金This research received grant from 2022 Undergraduate Education and Teaching Research Project of Fujian Medical University(22028).
文摘Objective:This study aimed to investigate the learning expectations of undergraduate nursing students regarding the flipped Health Assessment course.Methods:This descriptive,qualitative study was conducted at a medical university in Fuzhou,Fujian Province,China.An interview outline was designed based on the core dimensions of Expectation Confirmation Theory(expectation sources,expectation content,and expectation importance).Thirty second-year undergraduate nursing students who had completed first-year basic medical courses and were about to take the flipped Health Assessment course were interviewed between June and July 2022.Interview data were analyzed using qualitative content analysis.Results:Five major themes and thirteen subthemes were identified.Theme 1 was expectation sourcesperceived learning difficulties from past experiences,which included four subthemes:insufficient autonomous learning ability,confusion regarding learning methods,insufficient engagement in learning,and low professional identity.Theme 2 included knowledge and information expectations,which comprised three subthemes:knowledge to improve professional competence,knowledge to enhance academic competitiveness,and knowledge to boost self-efficacy.Theme 3 comprised logical expectations and included two subthemes:flexible teaching methods and efficient instructional tools.Theme 4,pleasure expectations,included two subthemes:vivid teaching styles and diversified teaching evaluations.Theme 5 comprised professional value expectations and included two subthemes:teachers'responsible professional attitudes and gentle emotional support.Conclusion:Students'learning expectations originate from perceived learning difficulties,such as insufficient learning autonomy and engagement,confusion about learning methods,and a lack of professional identity.They showed various learning expectations for the flipped Health Assessment course,including knowledge and information,logic,pleasure,and professional value expectations.
基金funded by the 2022 Annual Key Research Project on Theoretical and Practical Studies of Ideological and Political Education for University Students in GuangxiSpecial Focus on University Counselors:Exploration and Practice of a Cultivation Ecosystem for Cultivating Both Moral Character and Talent Through “One Virtue+Two Lines+Three Stages+Four Micro-Education Methods” for Ideological and Political Education in Universities from the Perspective of Peer Language Systems,Project No.:2022MSZ031
文摘With the deepening of cross-cultural educational cooperation between China and Malaysia,the cross-cultural challenges that Chinese overseas students face in Malaysia due to language and cultural differences have become increasingly prominent.Focusing on Chinese graduate students at a public university in Malaysia where English is the medium of instruction,this study employs a scale survey method in conjunction with IBM SPSS 26.0 and Smart PLS 4.0 for data analysis to quantitatively explore the level of language anxiety and its relationship with cross-cultural adaptability and learning motivation.The results indicate that most Chinese graduate students experience notable language anxiety,which is significantly negatively correlated with cross-cultural adaptability,especially academic adaptability,but is not related to learning motivation.Furthermore,the study reveals the complex influencing mechanism of language anxiety within multicultural educational environments and offers suggestions for improvement tailored to Malaysia’s unique educational context.These include utilizing technological tools for language interventions,optimizing classroom teaching strategies,enhancing language learning motivation through external incentives,strengthening training for cross-cultural adaptation skills,and promoting deeper cross-cultural communication.This study provides theoretical support and practical references for alleviating language anxiety and enhancing the cross-cultural adaptability of Chinese overseas students.
文摘BACKGROUND Dysfunctional beliefs about sleep may influence academic performance through their impact on sleep quality.Differences in chronotype can further moderate this relationship,particularly among students with irregular sleep patterns.AIM To examine the indirect effects of dysfunctional beliefs about sleep on academic performance through sleep quality while considering individual differences in chronotypes among medical students.METHODS The participants were categorized by chronotype and administered the Dysfunctional Beliefs and Attitudes about Sleep Scale and the Pittsburgh Sleep Quality Index and reported their grade point averages(GPAs).Mediation analysis was performed to examine indirect pathways through sleep quality.RESULTS Dysfunctional sleep beliefs did not directly affect academic success but indirectly impaired GPA via reduced sleep quality,especially in evening-type students.CONCLUSION Chronotype moderates the relationship between sleep quality and academic performance, highlighting the need for targeted cognitive interventions.
文摘This study investigates the mental health challenges faced by international nursing students in the Philippines during a global health disruption like the COVID-19 pandemic,particularly focusing on symptoms of depression,anxiety,and stress(DAS).With the first incidence of global outbreak in the Philippines reported in 2020,the pandemic has intensified psychological distress among international students,who already struggle with sociocultural adjustment issues such as alienation and culture shock.The study aimed to determine the prevalence and contributing factors of DAS among this group.Using descriptive statistics and the DASS-21 tool,the research found that international nursing students exhibited alarmingly high levels of depression,anxiety,and stress.Pearson’s test of association was employed to explore relationships between DAS symptoms and demographic variables.Results highlighted key predictors of mental health distress,including age,gender,length of stay in the country,and sleep patterns.These findings address a significant gap in existing literature concerning international students’mental health in the Philippines during pandemics.The study concludes by urging healthcare providers and policymakers to integrate these insights into emergency preparedness plans and educational reforms,emphasizing the importance of supporting the psychological well-being of international students during crises.Replication with additional variables is recommended for a more comprehensive understanding.
文摘AIM:To evaluate the effects of refractive errors and binocular vision anomalies on the quality of life(QOL)of university students.METHODS:This cross-sectional analytical study was conducted on university students using simple random sampling.Objective refraction,ocular alignment,vergence and accommodative performance were measured and assessed in all participants.Data on QOL were collected using the College of Optometrists in Vision Development-Quality of Life(COVD-QOL)Questionnaire.The effect of mentioned parameters on the QOL were evaluated.RESULTS:Totally 726 students with mean age of 21.35±1.88y were evaluated in this study,51.5%of whom were female.Esophoria was caused significantly lower QOL in the domains of somatic symptoms and occupationalphysical symptoms(P<0.05);Besides,esotropia decreased QOL in domains of somatic symptoms P=0.002 and psychological factors(P=0.023).Students with accommodation insufficiency experienced more symptoms in all domains(P<0.05)except for psychological factors(P=0.07).Increasing in the near point of convergence and accommodation and decreases QOL and increasing accommodative facility increases QOL(all P<0.05).Myopia and astigmatism cause decrease in QOL(both P<0.05),but hyperopic students had better QOL in comparison with others(P<0.05).CONCLUSION:Screening programs and treatment of refractive errors and binocular vision anomalies,especially phoria and accommodative insufficiency,positively impact the QOL and academic achievements of university students.
