PURPOSE: The purpose of this study is to evaluate cognitive changes in medical students before and after introduction of a 'Patient-Doctor-Society' course into the curriculum of a medical school. METHODS: Self-questionnaires that evalutated medical student congnition in the areas of medical humanities and sociology were answered by graduates-to-be who had experienced a new or previously implemented curriculum. The questionnaires included 28 questions using seven Likert scales. Student t-test was used to compare the scores between students who were educated using the new or old curriculum. RESULTS: In 405 medical students, 349 (86%) answered the questionnaires. For nine (32%) questions, students who partook of the new curriculum had higher scores than those in the older curriculum, and in 19 (68%) questions, there was no statistically significant difference. The questions that revealed differences between the groups were related to professionalism, care, personal and social communication, and ethics. CONCLUSION: Introduction of the 'Patient-Doctor-Society' course into the curriculum of a medical school was associated with cognitives change in medical students with regard to medical humanities and sociology.
Cognition ; Curriculum ; Humanities ; Humans ; Schools, Medical ; Social Sciences ; Sociology ; Students, Medical ; Weights and Measures ; Surveys and Questionnaires

Background: In the Philippines, 25% of ever-married women reported experiencing some form of violence from their partners but only 10% of them actually sought medical or legal help (NDHS, 2013). The objective of this study was to describe the type and severity of intimate partner violence experienced, and its association with formal help-seeking,among women aged 15-49 years in the Philippines. Methodology: The cross-sectional data used for this study came from the National Demographic and Health Survey of women aged 15-49 years old conducted in 2013. To estimate the association of interest, confounders were identified using the change-in-estimate criterion and were controlled by multiple logistic regression modelling. Results: Among women aged 15-49 years who experienced intimate partner violence, those who experienced all types of abuse had the highest proportion of formal help-seeking (7.3%), while women who experienced only sexual abuse had the lowest (0 out of 67). Controlling for the effect of other variables, women who experienced severe physical abuse were more likely to seek medical or legal assistance compared to those who experienced moderate physical abuse (OR=4.77; 95% Confidence Interval: 1.96 – 11.62). Conclusion Formal help-seeking rates were low among victims of intimate partner violence in the Philippines. The severity of the abuse experienced is likely an important factor in seeking medical and legal help. These systems should thus be capable of handling severe cases of abuse in order to address the needs of women who seek help. Efforts should be made to increase formal help-seeking among all victims of domestic violence.
Intimate Partner Violence ; Domestic Violence ; Physical Abuse

No abstract available.
Social Sciences*

Epidemiologic Research Design ; Sociology, Medical

BACKGROUND: Dating violence refers to violence occurring between people in an intimate relationship. Forms of dating violence are often categorized into physical, psychological, and sexual violence, and most existing literature has followed this frame. However, few studies have focused on the phenomenon of living under the perpetrator's coercive control in victims of dating violence, although those experiences are known to be signs of severe forms of violence later on. PURPOSE: The purpose of this study was to explore the experiences of being coercively controlled in female victims who had experienced dating violence. METHODS: For this study, in-depth interviews were conducted with a total of 14 female victims, and all interviews were audio-recorded and transcribed. The data were analyzed using the phenomenological analysis method suggested by Colaizzi. RESULTS: Three themes were derived in chronological order: idealizing the relationship (period of potential control), facing severer tyranny (period of coercive control), and escaping from the unending trap (period of post-control). The results showed that the victims experienced perpetrators' control with specific patterns. The perpetrators' controlling behaviors were invisible, literally benevolent, at the beginning; however, severe forms of violence seemed to appear as their relationship deepened and the perpetrators failed to control the victims. CONCLUSION: Findings from this study presented vivid experiences of female victims who needed help and care. Hopefully, the results can benefit in terms of developing evidence-based prevention strategies for victims as well as assessing the risks of severe forms of dating violence, such as physical attack or murder.
Crime Victims ; Female ; Homicide ; Humans ; Intimate Partner Violence ; Methods ; Physical Abuse ; Qualitative Research ; Sex Offenses ; United Nations ; Violence

Drunk driving is a serious social problem. We estimated the blood alcohol concentration of a defendant on the request of local prosecutor's office in Korea. Based on the defendant's history, and a previously constructed pharmacokinetic model for alcohol, we estimated the possible alcohol concentration over time during his driving using a Bayesian method implemented in NONMEM®. To ensure generalizability and to take the parameter uncertainty of the alcohol pharmacokinetic models into account, a non-parametric bootstrap with 1,000 replicates was applied to the Bayesian estimations. The current analysis enabled the prediction of the defendant's possible blood alcohol concentrations over time with a 95% prediction interval. The results showed a high probability that the alcohol concentration was ≥ 0.05% during driving. The current estimation of the alcohol concentration during driving by the Bayesian method could be used as scientific evidence during court trials.
Bayes Theorem ; Blood Alcohol Content ; Driving Under the Influence ; Forensic Sciences* ; Korea ; Pharmacology, Clinical* ; Social Problems ; Uncertainty

INTRODUCTION

Nurses handling the Tuberculosis Directly Observed Treatment Short Course (TB-DOTS) are crucial in implementing the National Tuberculosis Program (NTP), which faced challenges during COVID-19. Hence, this study aimed to explore and to understand the TB DOTS Nurses' lived experiences on implementing NTP amidst the COVID-19 pandemic.

A descriptive phenomenology research design was used in this study among purposively selected 15 TB DOTS nurses during the pandemic, using in-depth interviews. Descriptive phenomenology was chosen to focus on capturing and describing the nurses' direct experiences. Data were manually transcribed into EXCEL software, coded, clustered, and thematized. Data were also collected from January to April 2023, following IATF Guidelines. Colaizzi's descriptive phenomenology method was employed for analysis, allowing the study to remain true to the participants' own words and perspectives.

This study revealed three major themes with associated subthemes anchored from the significant statements extracted from the participants' verbatims. The first theme, “Menace of Uncertainties,” echoed nurses’ fears of contracting the disease, struggles with implementing the NTP, and balancing patient care with personal well-being. Despite obstacles, nurses formed support systems and remained determined, leading to the emergence of the second theme, "Seeing Light in the Darkness." The third theme, "Establishing a Strong Foundation," outlined nurses' ideas for managing the NTP during a pandemic.

The study underscored the significant challenges TB DOTS nurses faced during the pandemic, including fear, uncertainty, and difficulty balancing personal well-being with patient care. Despite these obstacles, nurses demonstrated resilience, adaptability, and a commitment to their work. The findings underscored the importance of support systems, flexibility, and enhanced resources in managing TB cases during crises. These insights had direct implications for nursing practice, education, and research, while having emphasized the need for improved facilities, support mechanisms, and training to better equip nurses for future health emergencies.

This paper reviews relevant literatures at home and abroad. The cases of child sexual abuse are systematically discussed from the aspects of epidemiology and forensic examination, in order to develop and improve the inspection and appraisal thinking and ability of domestic forensic workers in such cases. The paper also briefly introduces the current situation and existing problems of dealing with child sexual abuse cases for case-handling units at base level in China, in order to provide help to the formulation, improvement and development of relevant standards and norms for child protection in China.
Child ; Child Abuse, Sexual/diagnosis* ; Child Protective Services ; China ; Forensic Medicine/methods* ; Humans ; Physical Examination/methods*

PURPOSE: Mothers' postpartum depression is a worldwide health concern that produces compromising effects on their infants. This study was conducted to compare the infants' temperament and health problems according to the presence of maternal postpartum depression. METHODS: Data were collected from May to October in 2009. The sample was 137 mothers at one month postpartum. The Edinburgh Postpartum Depression Scale (EPDS) was used to assess depressive symptoms. RESULTS: At one month postpartum, 22.6% of mothers were classified as having postpartum depression. Infants of depressed mothers were more frequently classified as difficult temperament infants. They showed lower scores on the amenability, rhythmicity and persistency and higher scores on activity in temperament. Also, infants of depressed mothers reported more infant health problems at one months. Maternal depression showed significant negative correlations with family functioning, social support and marital satisfaction. CONCLUSION: Study findings show that postpartum maternal depression is associated with infants' temperament and health, and thus screening and early interventions for postpartum depression would promote the health of both the mother and infant.
Adult ; Depression, Postpartum/diagnosis/*psychology ; Family Relations ; Female ; Humans ; Infant ; Infant Behavior/*psychology ; Infant Welfare ; Male ; Maternal Behavior/psychology ; Mother-Child Relations ; Mothers/*psychology ; Postpartum Period ; Psychiatric Status Rating Scales ; Questionnaires ; Social Support ; *Temperament ; Time Factors

In order to maintain the donation of the human bodies required for medical education and research, we investigated social characteristics of those who have signed up to the donation program. The data registered in Chungbuk National University were analyzed and then compared to those registered in 9 of other universities in Korea. In addition, a telephone survey was performed for 128 registrants of Chungbuk National University. The number of registrants was rapidly increased after 1999 and the donation of body was sufficient for medical education and research after 2005. The number of registrants of Chungbuk after 2005 shows gradual increase whereas 10 other schools shows slight decrease. The age of registrants at signing up to the program showed the largest proportion in seventies (33.9%), followed by sixties (28.9%) and fifties (22%). Multiple registration which means two or more registrants from one family represented 40.9%. After the use of cadaver and cremation, most of the bereaved family preferred to keep and visit the cremains in the charnel house of medical school more than to carry out the school. By the telephone survey, 71% of the registrants answered they are in middle or upper middle class of living, and 77% responded that the motivation was voluntary for the society without any reward. Based on the present results we could expect the body donations will reasonably maintaine. Most of dornors have pure motivation without any reward from the school. Keeping their cremains at charnel house of the medical school were strongly favored so it is important to make enough facilities and management system as well.
Cadaver ; Cremation ; Education, Medical ; Human Body ; Humans ; Korea ; Motivation ; Reward ; Schools, Medical ; Sociology ; Telephone