The aim: Studying the impact of distance learning on students’ health Materials and methods: Special research methods and medical-statistical method. Domestic and foreign students were subject of the study during the online form of education, in connection with Covid-19, poll was made using Google Forms. Results: 333 students participated in the study (22.3% – domestic and 77.7% – foreign students). It was established that 88.3% of foreign and 40.5% of domestic students did not suffer from COVID-19 in the past. The overwhelming majority of respondents (86.5% domestic and 85.1% foreign) noted anxiety and concern for their health. 59.4% of domestic and 63.4% of foreign students noted the deterioration of their mental health and increased anxiety during distance learning. Depressive conditions were experienced by 49.3% of foreigners and 52.0% of domestic respondents. The respondents noticed the negative impact of distance learning on their daily routines, namely sleep, nutrition and active recreation, etc. The most frequent complaints were back pain, headaches, and visual impairment. Students noticed that during online classes their academic performance decreases. Conclusions: The transition to online education had a negative impact on the physical and mental health of students, which was manifested in the presence and growth of anxiety and depression, a lack of live communication, sleep and eating disorders, reduced physical activity, the appearance of headaches and back pain, vision problems, attention disorders, and a decline in academic performance.
The objective of this study was to evaluate the changes in foreign students' satisfaction with the quality of dental and medical education considering the impact of the war in Ukraine. The present study was organized in the form of a questionnairebased survey among 300 foreign students of Medical Faculty and Faculty of Dentistry in Ukraine. The questionnaire was ad mistered via Google form in a multiple-choice, closed-ended format. Students' satisfaction with environment safety and comfort (p < 0.05) and with the collaborative learning offered (p < 0.05) statistically decreased during the war. Sixty percent of the variability in the mean of students' satisfaction with the quality of education during the war could be explained by the satisfaction rate before the war. The need of migration from Ukraine had a stronger inverse correlation with education quality (r = -0.58) than the fact of the war itself (r = -0.32). The war in Ukraine has had a negative impact on the educational process of foreign medical and dental students, even though the quality of education was considered by students to be as high as before and during the war. The personal effort of professors, the quality of study materials, and adequate technical support could potentially overcome the negative impact of the war on student satisfaction with the quality of medical and dental education by the online mode, if the academic medium could be protected from the direct impact of the war or if the influence of the war within the university community could be minimized.
Мета. Вивчення особливостей розвитку та перебігу захворюваності на ЗНОД серед населення Закарпатської області, а також особливості надання медичної допомоги хворим з даною патологією.Матеріали та методи. Об’єкт дослідження – пацієнти, хворі на ЗНОД, які проживають в Закарпатській області. Дане дослідження проводилося з використанням розробленої нами анкети. Статистичний аналіз результатів було проведено за допомогою програми Microsoft Excel.Результати. Було отримано 196 анкет респондентів. Встановлено, що 18,4% пацієнтів контактували з дизельним випаровуванням, 53% респондентів курять і тільки 12,2% кинули курити. Варто відмітити, що у сім’ї пацієнтів також страждали на хронічні захворювання органів дихання та ЗНОД. Встановлено, що за профілактичною допомогою протягом останнього року зверталися тільки 30,6% респондентів. 79,6% – страждали на хвороби органів дихання. Першочергово, 67,3% пацієнтів звернулися за допомогою до сімейної амбулаторії, 20,4% – у поліклініку/лікарню за місцем проживання. Поміж симптомів, які найбільш часто турбували пацієнтів були: постійна втома і нестача енергії, втрата апетиту і ваги, підвищення температури, біль при диханні або кашлі, задишка, біль у грудях, безперервний кашель, втрата, осиплість голосу, закладеність носа. На момент опитування 98,0% звернулись в спеціалізований медичний заклад, при чому 73,% звернулись за направленням лікаря, 20,4% – самостійно. 20,4% опитаних звернулись з метою діагностики та 91,8% – лікування. 53,1% пацієнтів не знають, на якій стадії виявлено їх захворювання.Висновки. Отже, виявлення чинників ризику у хворих на ЗНОД дасть можливість сформувати групи ризику, а координована взаємодія первинної та спеціалізованої медичної допомоги дозволить розробити маршрут пацієнта, що призведе до своєчасного виявлення чинників ризику, їх ранній діагностиці та лікуванню.Ключові слова: онкозахворюваність, злоякісні новоутворення органів дихання, надання медичної допомоги онкохворим.
Ukraine is on the list of countries with a high incidence of malignant neoplasms (MN). Among the adult population of Ukraine and European countries, the most common cancers are malignant neoplasms of the respiratory system (MNRS). High priorities in the continuation of MNRS research are determined by high rates of initially neglected cases of respiratory cancer and low survival rates of patients. MN is one of the leading causes of death in the world. According to the WHO, in 2020 about 10 million people died as a result of MN. The most common were cancers of the breast, lung, colon, prostate, skin and stomach. At the same time, the highest number of deaths was recorded as a result of pulmonary disease. The aim is to investigate and analyze the indicators of the oncological service, as well as the level of morbidity and mortality for malignant neoplasms, including the respiratory organs among the population of Ukraine. Materials and methods. The materials for the study were the data of the Cancer Registry for 2019-2020. In the course of this study, the medical-statistical method and the method of structural-logical analysis were used. Results. According to the Center for Medical Statistics, as of the beginning of 2021, 1 million 187.6 thousand patients with oncological diseases are registered in medical institutions in Ukraine. Men most often had lung cancer, trachea and bronchi (15.3%), prostate (12.4%) and non-melanoma skin diseases (9.9%). In women, breast cancer (20.3%), non-melanoma skin diseases (12.9%) and uterine cancer (9.5%) were the most common. MN of the lungs, trachea and bronchi among women ranks 10th in the structure of morbidity. It has been established that in 2020 every fifth case of MN in Ukraine was detected in the abandoned (4th) stage. Oncological diseases in the first stage were detected in 22.8% of patients, in the second - in 24.6%, in the third - in 18.2%, in the fourth - in 20.5%. At the same time, fewer patients in the first and second stages were detected over the past year and, accordingly, more patients in the third and fourth stages. In 7.8% of primary patients, the stage was not determined. In general, 27.1% of Ukrainians have not lived a year since the detection of the disease. Of the MN of the larynx, the proportion of such patients was 25.1%, and of the MN of the trachea, bronchi, and lung - as much as 59.7%, that is, more than half of the patients. It has been established that in Ukraine in recent years, the detection of patients at professional examinations has almost disappeared. As of 2020, this figure was 20.2%. As for this indicator in case of MN of the respiratory organs, they are critical - 9.7% for MN of the larynx and 11.9% for MN of the trachea, bronchi, and lung. Even compared to 2019, this figure has decreased (22.4% in 2019). Conclusions. It has been established that in the structure of the incidence of MN among the population of Ukraine, the leading place is occupied by MN of the trachea, bronchi, lungs, and they are also the main structure-forming factor in morbidity at the age of 30 to 74 years; most often, MNRO is detected in abandoned stages (third and fourth); 59.7% of patients did not live a year from the time of detection of MN disease in the trachea, bronchi, lungs, which is a significantly higher indicator than in MN in general (27.1%); The proportion of patients who are diagnosed with MNRO during preventive examinations is critically low (10.8%). The above data indicate the imperfection of the organization of oncological care for the population, which requires consideration and clarification of the causes at the regional levels.
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