Coping Strategies among First and Third Year Medical Students in a Malaysian Public University

Background: Medical students lead a stressful life and therefore the coping strategy is very important for them to alleviate the stress. The objective of this study was to explore the coping strategy among the first year and third year medical students and also to identify any significant difference between genders and study-years. Materials & methods: This cross-sectional study involved first and third year medical students of University Kebangsaan Malaysia of session 2013/2014. Coping strategy was explored using the ‘Coping Inventory for Stressful Situations’ (CISS) which consist of 48-items where 16 under task-oriented, 16 under emotional-oriented and 16 under avoidance-oriented coping. A five-point Likert’ scale ranging from ‘1=not at all’ to ‘5=very much’ was used to rate the items. Results: Task oriented coping was found the most common strategy among all students while emotion oriented was the least. First year students scored significantly higher than third year showing their best effort to adapt a new environment with insignificant difference between genders. Conclusions: Task-oriented coping strategy of the students is a good sign of problem solving skills. Though majority of the students adapt this method of coping, still there are other methods in practice. Medical school should focus for growing awareness about the positive coping methods in response to stress. This is necessary for the long term benefit of the students as well for better service to the nation. J MEDICINE JUL 2019; 20 (1) : 5-11 

Clinical observational study of conformal radiotherapy combined with topotecan chemotherapy in patients with platinum-resistant recurrent ovarian cancer

This retrospective study aimed to observe the cura-tive effect and adverse reactions of three-dimensional conformal radiotherapy combined with topotecan chemotherapy in patients with platinum-resistant recurrent epithelial ovarian carcinoma. The chemoradiotherapy group (N = 22) received 15 mv X-rays with 1.8 to 2.0 Gy/f/d radiation, 5 times per week. The total dose was 45 to 65 Gy; the median dose was 52.5 Gy. Topotecan chemotherapy (2.0 mg/m(2)) was administered after the first week of radiotherapy on days 1, 8, and 15; it was repeated every 28 days. The only che-motherapy group (N = 20) received topotecan chemotherapy (4.0 mg/m(2)) in the first week, and the dose was administered on days 1, 8, and 15; it was repeated every 28 days. The median follow-up times were 18.5 months (2 to 37.7) and 10.8 months (1.5 to 29.6) in the chemoradiotherapy and in the only chemotherapy groups, respectively. The total response rates were 42.1% (8/19) and 11.1% (2/18), respectively. The clinical benefit rates were 68.4% (13/19) and 22.2% (4/18), respectively, with significant difference (P < 0.05). The median disease progression-free periods were 9.8 and 6.6 months, respectively, with significant difference (P < 0.001). The median survival times were 19.7 and 12.5 months, respective-ly, with significant difference (P < 0.05). The degrees of digestive tract reaction rates were 26.3% (5/19) and 16.7% (3/18), whereas the hematology toxicity rates were 21.1% (4/19) and 22.2% (4/18), respectively, with no significant difference (P > 0.05). As three-dimensional conformal radiotherapy combined with topotecan che-motherapy had good curative effect on platinum-resistant recurrent epithelial ovarian cancer, with mild adverse reactions, this tech-nique can be used as a remedial measure.

Stress among First and Third Year Medical Students at University Kebangsaan Malaysia

Objective:

To identify the stress-prevalence and coping-strategies among University Kebangsaan Malaysia (UKM) medical students.

Methods:

This was an observational study conducted among 234 UKM first and third year medical students. Standardized questionnaire on stress and coping strategies was used. Stress data was related to subjective experiences on some positive and negative adjectives such as tense, relaxed etc. Positive adjectives were measured by sign “++” and “+” scoring “1” while stress-negative adjectives were measured by sign “?” and “–“ scoring “0”. Forty-eight coping items under task, emotion and avoidance strategies were measured using 5-point Likert-scale.

Results:

Overall stress-prevalence was 49%. Female and Malay respondents were more stressed. Significant differences of stress-level was observed between Malays and non Malays in first year (p=0.04) and in third year (p=0.01). Most common strategies used to cope stress was task-oriented while emotion oriented was least.

Conclusion:

Stress-prevalence and stress-level in UKM medical students was high. Most of the respondents coped stress using task-oriented strategies. Stressor and its effective management must be ensured. Educational institutions should act as a creative designer of learning environment to get relieve from educational stressor.