ABSTRACT
Introduction: Corona virus disease 2019 (COVID-19), was recognized and has caused serious illness and numerous deaths. The ultimate scope and effect of this outbreak are unclear at present as the situation is rapidly evolving. The disease causes respiratory illness (like the flu) with main clinical symptoms such as a dry cough, fever, and in more severe cases, difficulty in breathing. Objective(s): To assess knowledge, attitude, and practice of medical students towards corona virus disease 2019 (COVID-19). Material(s) and Method(s): An online cross-sectional survey was conducted among undergraduate medical students in India from September 2020 to February 2021. Participants were recruited using a snowball sampling technique and all data were collected via an online self-reported questionnaire using Google Forms (http://forms.google.com/) as the data collection period coincided with implementation of the COVID-19 lockdown policy in India. Socio-demographics characteristics, social interaction history, information-seeking behavior, as well as knowledge, attitude, and practice toward COVID-19 were collected through a self-reported questionnaire. A p-value of <0.04 indicated statistical significance. Result(s): A total of 2000 eligible participants completed the survey, 71.5% of whom were female, and their mean age was 19.4 years old (SD = 2.1). Almost all had sufficient knowledge (87.1%) and good preventive practice (93.6%) towards COVID-19;however, there was also a rather low level of positive attitude recorded, at 65.7%. The multivariable logistic regression analysis showed that the female participants, and the receiving of information from the official websites, reported a significantly higher level of good practice. Besides, students who had a high level of sufficient knowledge and positive attitude towards COVID-19 were more likely to have good preventive practices (All p<0.001). Conclusion: Many undergraduate medical students in India had positive attitude and practice against COVID-19, yet only a few had adequate knowledge. This warrants further interventions to keep them updated with COVID-19 evidence to maximize their potentials in raising public awareness on COVID-19.Copyright © 2020 Ubiquity Press. All rights reserved.
ABSTRACT
Background: Good quality of operation notes are essential for good post-operative care, patient safety and medico-legal issues. RCSEng have guidelines on items that should be included in all operation notes. RCSEng Guidelines state: Ensure that there are clear (preferably typed) operative notes for every procedure. The notes should accompany the patient into recovery and to the ward and should give sufficient detail to enable continuity of care by another doctor. We re-audited the quality of operation notes in general surgery. Method(s): We re-audited and compared the results with the first cycle. Four months (1st August to 30th November 2021) period of consecutive operation notes were reviewed. Operation notes for endoscopy were excluded. Operations notes were analysed for documentation of the items as per RCSEng guidelines. There were less operations post COVID-19, hence longer study period. After first cycle, departmental presentation given for education and posters displayed in theatres as reminder. Initial plan for 2nd cycle in 2020 but it was not possible due to COVID-19. Problems/complications, extra procedures and prosthesis used were not included. Additional criteria reviewed was: Type of anaesthetic, patient position, indication for procedure and ASA grade. Result(s): A total of 239 operation notes were identified. 169 emergency and 70 elective cases. 193 were handwritten and 46 were typed.The results were compared to the first cycle: Conclusion(s): Higher proportion was ofemergency procedures during the 2nd cycle. Also, higher proportion of handwritten notes during 2nd cycle. There was improvement in documenting elective/emergency, time, type of anaesthesia, indication, position, operative findings/diagnosis, details of tissue removed/added/altered, blood loss, antibiotics, DVT prophylaxis. However, there was poorer documentation of date, name of assistant, incision, closure, signature remains. Ongoing education of the surgeons is vital to improve the quality of the operation notes. We suggest addition of further headings on the current op-note as aid-memoire and introduction of digital operation notes.
ABSTRACT
Introduction: Corona virus disease 2019 (COVID-19), was recognized and has caused serious illness and numerous deaths. The ultimate scope and effect of this outbreak are unclear at present as the situation is rapidly evolving. The disease causes respiratory illness (like the flu) with main clinical symptoms such as a dry cough, fever, and in more severe cases, difficulty in breathing. Objective(s): To assess knowledge, attitude, and practice of medical students towards corona virus disease 2019 (COVID-19). Material(s) and Method(s): An online cross-sectional survey was conducted among undergraduate medical students in India from September 2020 to February 2021. Participants were recruited using a snowball sampling technique and all data were collected via an online self-reported questionnaire using Google Forms (http://forms.google.com/) as the data collection period coincided with implementation of the COVID-19 lockdown policy in India. Socio-demographics characteristics, social interaction history, information-seeking behavior, as well as knowledge, attitude, and practice toward COVID-19 were collected through a self-reported questionnaire. A p-value of <0.04 indicated statistical significance. Result(s): A total of 2000 eligible participants completed the survey, 71.5% of whom were female, and their mean age was 19.4 years old (SD = 2.1). Almost all had sufficient knowledge (87.1%) and good preventive practice (93.6%) towards COVID-19;however, there was also a rather low level of positive attitude recorded, at 65.7%. The multivariable logistic regression analysis showed that the female participants, and the receiving of information from the official websites, reported a significantly higher level of good practice. Besides, students who had a high level of sufficient knowledge and positive attitude towards COVID-19 were more likely to have good preventive practices (All p<0.001). Conclusion(s): Many undergraduate medical students in India had positive attitude and practice against COVID-19, yet only a few had adequate knowledge. This warrants further interventions to keep them updated with COVID-19 evidence to maximize their potentials in raising public awareness on COVID-19. Copyright © 2022 Ubiquity Press. All rights reserved.