Effect of high-fidelity simulation on alpha-amylase activity and concentrations of secretory immunoglobulin class A, cortisol, and testosterone among medical students
Purpose High-fidelity simulation calls heavily upon cognitive capacities and generates stress and anxiety. The objective of this prospective, observational study was to evaluate the degree of stress in medical students by measuring hormone levels during critical care classes. Methods Overall, 55 stu...
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| Veröffentlicht in: | Endocrine 2021-08, Vol.73 (2), p.431-438 |
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| creator | Bialka, Szymon Copik, Maja Ubych, Adam Marciniak, Radosław Smereka, Jacek Szarpak, Lukasz Misiolek, Hanna |
| description | Purpose
High-fidelity simulation calls heavily upon cognitive capacities and generates stress and anxiety. The objective of this prospective, observational study was to evaluate the degree of stress in medical students by measuring hormone levels during critical care classes.
Methods
Overall, 55 students (senior years of medical faculty) of both sexes were divided into 5-person teams. Demographic data and information on diagnosed diseases, stimulants used, and previous experience in the field of medical simulation were collected with a personal questionnaire. Before starting the scenario (T0), after the end of the scenario (T1), and 120 min thereafter (T2), stress level was measured. For this purpose, systolic blood pressure, diastolic blood pressure, mean blood pressure, heart rate and blood oxygen saturation were evaluated. In addition, saliva was collected to determine alpha-amylase activity and the concentrations of secretory immunoglobulin class A, cortisol, and testosterone.
Results
Among hemodynamic parameters, systolic and mean blood pressure and heart rate were significantly higher in T1 than in T0 and T2 time points (
p
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| doi_str_mv | 10.1007/s12020-021-02696-z |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8263411</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2549234097</sourcerecordid><originalsourceid>FETCH-LOGICAL-c474t-fa37eb75691a4c11cdd45aedcc0566bf6f003761557b4106fd78fa37a448003</originalsourceid><addsrcrecordid>eNp9kk1vFSEUhidGYz_0D7gwJG666CgwDMxsTJqmVZMmLnThjjAMzKVh4ApMk9sf5O_03Du1fixMIJC8z_vCgVNVrwh-SzAW7zKhmOIaUwKT97y-f1Idk7btawz6U9g3bVtj3H07qk5yvsWYUsrF8-qoaTpKmp4eVz-urDW6oGjRxk2b2rrReFd2KLt58aq4GBAM5bcbVat551U2SOni7vaQCiPSMWgTSjqweR-UjU6mxLRDbp6XECcfh8W7gDS4M7o4B08qLkd_fkgoJpeYi0kxQPYcw4RmMzqtPMplGSE8v6ieWeWzefmwnlZfrq--Xn6sbz5_-HR5cVNrJliprWqEGUTLe6KYJkSPI2uVGbXGLeeD5RbjRnB4IzEwgrkdRbf3KMY6UE6r92vqdhngBmtZXm6Tm1Xayaic_FsJbiOneCc7yhtGCAScPQSk-H2BsuTssjbeq2DikiVtcU85bw_om3_Q27ikAMUBxXraMNwLoOhK6RRzTsY-XoZguW8CuTaBhCaQhyaQ92B6_WcZj5Zfvw5AswIZpDCZ9Pvs_8T-BO4JwuE</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2549234097</pqid></control><display><type>article</type><title>Effect of high-fidelity simulation on alpha-amylase activity and concentrations of secretory immunoglobulin class A, cortisol, and testosterone among medical students</title><source>SpringerLink Journals - AutoHoldings</source><creator>Bialka, Szymon ; Copik, Maja ; Ubych, Adam ; Marciniak, Radosław ; Smereka, Jacek ; Szarpak, Lukasz ; Misiolek, Hanna</creator><creatorcontrib>Bialka, Szymon ; Copik, Maja ; Ubych, Adam ; Marciniak, Radosław ; Smereka, Jacek ; Szarpak, Lukasz ; Misiolek, Hanna</creatorcontrib><description>Purpose
High-fidelity simulation calls heavily upon cognitive capacities and generates stress and anxiety. The objective of this prospective, observational study was to evaluate the degree of stress in medical students by measuring hormone levels during critical care classes.
Methods
Overall, 55 students (senior years of medical faculty) of both sexes were divided into 5-person teams. Demographic data and information on diagnosed diseases, stimulants used, and previous experience in the field of medical simulation were collected with a personal questionnaire. Before starting the scenario (T0), after the end of the scenario (T1), and 120 min thereafter (T2), stress level was measured. For this purpose, systolic blood pressure, diastolic blood pressure, mean blood pressure, heart rate and blood oxygen saturation were evaluated. In addition, saliva was collected to determine alpha-amylase activity and the concentrations of secretory immunoglobulin class A, cortisol, and testosterone.
Results
Among hemodynamic parameters, systolic and mean blood pressure and heart rate were significantly higher in T1 than in T0 and T2 time points (
p
< 0.05). Cortisol concentration was higher at T2 compared with T0 and T1. Alpha-amylase activity was highest at T1. Secretory immunoglobulin class A concentration was highest at T0, followed by T1 and then T2. These differences were not statistically significant. Testosterone concentration showed significantly higher values at T2 compared with T0 and T1 (
p
< 0.05). The analysis of team leaders vs. other members revealed significantly lower cortisol and alpha-amylase values in leaders (
p
< 0.05).
Conclusions
High-fidelity simulation is a useful education method in medical subjects, especially in cases where a mistake could produce serious or irreversible consequences. It can increase stress hormone concentrations and thus can be assumed effective as a learning aid even in senior-year students of medical faculty.</description><identifier>ISSN: 1355-008X</identifier><identifier>EISSN: 1559-0100</identifier><identifier>DOI: 10.1007/s12020-021-02696-z</identifier><identifier>PMID: 33821392</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Blood pressure ; Cognitive ability ; Diabetes ; Endocrinology ; Heart rate ; Hormones ; Humanities and Social Sciences ; Hydrocortisone ; Immunoglobulins ; Internal Medicine ; Medical students ; Medicine ; Medicine & Public Health ; multidisciplinary ; Original ; Original Article ; Saliva ; Science ; Simulation ; Statistical analysis ; Stimulants ; Stress ; Testosterone ; α-Amylase</subject><ispartof>Endocrine, 2021-08, Vol.73 (2), p.431-438</ispartof><rights>The Author(s) 2021</rights><rights>The Author(s) 2021. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-fa37eb75691a4c11cdd45aedcc0566bf6f003761557b4106fd78fa37a448003</citedby><cites>FETCH-LOGICAL-c474t-fa37eb75691a4c11cdd45aedcc0566bf6f003761557b4106fd78fa37a448003</cites><orcidid>0000-0002-5923-2469</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s12020-021-02696-z$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s12020-021-02696-z$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33821392$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bialka, Szymon</creatorcontrib><creatorcontrib>Copik, Maja</creatorcontrib><creatorcontrib>Ubych, Adam</creatorcontrib><creatorcontrib>Marciniak, Radosław</creatorcontrib><creatorcontrib>Smereka, Jacek</creatorcontrib><creatorcontrib>Szarpak, Lukasz</creatorcontrib><creatorcontrib>Misiolek, Hanna</creatorcontrib><title>Effect of high-fidelity simulation on alpha-amylase activity and concentrations of secretory immunoglobulin class A, cortisol, and testosterone among medical students</title><title>Endocrine</title><addtitle>Endocrine</addtitle><addtitle>Endocrine</addtitle><description>Purpose
High-fidelity simulation calls heavily upon cognitive capacities and generates stress and anxiety. The objective of this prospective, observational study was to evaluate the degree of stress in medical students by measuring hormone levels during critical care classes.
Methods
Overall, 55 students (senior years of medical faculty) of both sexes were divided into 5-person teams. Demographic data and information on diagnosed diseases, stimulants used, and previous experience in the field of medical simulation were collected with a personal questionnaire. Before starting the scenario (T0), after the end of the scenario (T1), and 120 min thereafter (T2), stress level was measured. For this purpose, systolic blood pressure, diastolic blood pressure, mean blood pressure, heart rate and blood oxygen saturation were evaluated. In addition, saliva was collected to determine alpha-amylase activity and the concentrations of secretory immunoglobulin class A, cortisol, and testosterone.
Results
Among hemodynamic parameters, systolic and mean blood pressure and heart rate were significantly higher in T1 than in T0 and T2 time points (
p
< 0.05). Cortisol concentration was higher at T2 compared with T0 and T1. Alpha-amylase activity was highest at T1. Secretory immunoglobulin class A concentration was highest at T0, followed by T1 and then T2. These differences were not statistically significant. Testosterone concentration showed significantly higher values at T2 compared with T0 and T1 (
p
< 0.05). The analysis of team leaders vs. other members revealed significantly lower cortisol and alpha-amylase values in leaders (
p
< 0.05).
Conclusions
High-fidelity simulation is a useful education method in medical subjects, especially in cases where a mistake could produce serious or irreversible consequences. It can increase stress hormone concentrations and thus can be assumed effective as a learning aid even in senior-year students of medical faculty.</description><subject>Blood pressure</subject><subject>Cognitive ability</subject><subject>Diabetes</subject><subject>Endocrinology</subject><subject>Heart rate</subject><subject>Hormones</subject><subject>Humanities and Social Sciences</subject><subject>Hydrocortisone</subject><subject>Immunoglobulins</subject><subject>Internal Medicine</subject><subject>Medical students</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>multidisciplinary</subject><subject>Original</subject><subject>Original Article</subject><subject>Saliva</subject><subject>Science</subject><subject>Simulation</subject><subject>Statistical analysis</subject><subject>Stimulants</subject><subject>Stress</subject><subject>Testosterone</subject><subject>α-Amylase</subject><issn>1355-008X</issn><issn>1559-0100</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><recordid>eNp9kk1vFSEUhidGYz_0D7gwJG666CgwDMxsTJqmVZMmLnThjjAMzKVh4ApMk9sf5O_03Du1fixMIJC8z_vCgVNVrwh-SzAW7zKhmOIaUwKT97y-f1Idk7btawz6U9g3bVtj3H07qk5yvsWYUsrF8-qoaTpKmp4eVz-urDW6oGjRxk2b2rrReFd2KLt58aq4GBAM5bcbVat551U2SOni7vaQCiPSMWgTSjqweR-UjU6mxLRDbp6XECcfh8W7gDS4M7o4B08qLkd_fkgoJpeYi0kxQPYcw4RmMzqtPMplGSE8v6ieWeWzefmwnlZfrq--Xn6sbz5_-HR5cVNrJliprWqEGUTLe6KYJkSPI2uVGbXGLeeD5RbjRnB4IzEwgrkdRbf3KMY6UE6r92vqdhngBmtZXm6Tm1Xayaic_FsJbiOneCc7yhtGCAScPQSk-H2BsuTssjbeq2DikiVtcU85bw_om3_Q27ikAMUBxXraMNwLoOhK6RRzTsY-XoZguW8CuTaBhCaQhyaQ92B6_WcZj5Zfvw5AswIZpDCZ9Pvs_8T-BO4JwuE</recordid><startdate>20210801</startdate><enddate>20210801</enddate><creator>Bialka, Szymon</creator><creator>Copik, Maja</creator><creator>Ubych, Adam</creator><creator>Marciniak, Radosław</creator><creator>Smereka, Jacek</creator><creator>Szarpak, Lukasz</creator><creator>Misiolek, Hanna</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-5923-2469</orcidid></search><sort><creationdate>20210801</creationdate><title>Effect of high-fidelity simulation on alpha-amylase activity and concentrations of secretory immunoglobulin class A, cortisol, and testosterone among medical students</title><author>Bialka, Szymon ; Copik, Maja ; Ubych, Adam ; Marciniak, Radosław ; Smereka, Jacek ; Szarpak, Lukasz ; Misiolek, Hanna</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-fa37eb75691a4c11cdd45aedcc0566bf6f003761557b4106fd78fa37a448003</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Blood pressure</topic><topic>Cognitive ability</topic><topic>Diabetes</topic><topic>Endocrinology</topic><topic>Heart rate</topic><topic>Hormones</topic><topic>Humanities and Social Sciences</topic><topic>Hydrocortisone</topic><topic>Immunoglobulins</topic><topic>Internal Medicine</topic><topic>Medical students</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>multidisciplinary</topic><topic>Original</topic><topic>Original Article</topic><topic>Saliva</topic><topic>Science</topic><topic>Simulation</topic><topic>Statistical analysis</topic><topic>Stimulants</topic><topic>Stress</topic><topic>Testosterone</topic><topic>α-Amylase</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bialka, Szymon</creatorcontrib><creatorcontrib>Copik, Maja</creatorcontrib><creatorcontrib>Ubych, Adam</creatorcontrib><creatorcontrib>Marciniak, Radosław</creatorcontrib><creatorcontrib>Smereka, Jacek</creatorcontrib><creatorcontrib>Szarpak, Lukasz</creatorcontrib><creatorcontrib>Misiolek, Hanna</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Endocrine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bialka, Szymon</au><au>Copik, Maja</au><au>Ubych, Adam</au><au>Marciniak, Radosław</au><au>Smereka, Jacek</au><au>Szarpak, Lukasz</au><au>Misiolek, Hanna</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of high-fidelity simulation on alpha-amylase activity and concentrations of secretory immunoglobulin class A, cortisol, and testosterone among medical students</atitle><jtitle>Endocrine</jtitle><stitle>Endocrine</stitle><addtitle>Endocrine</addtitle><date>2021-08-01</date><risdate>2021</risdate><volume>73</volume><issue>2</issue><spage>431</spage><epage>438</epage><pages>431-438</pages><issn>1355-008X</issn><eissn>1559-0100</eissn><abstract>Purpose
High-fidelity simulation calls heavily upon cognitive capacities and generates stress and anxiety. The objective of this prospective, observational study was to evaluate the degree of stress in medical students by measuring hormone levels during critical care classes.
Methods
Overall, 55 students (senior years of medical faculty) of both sexes were divided into 5-person teams. Demographic data and information on diagnosed diseases, stimulants used, and previous experience in the field of medical simulation were collected with a personal questionnaire. Before starting the scenario (T0), after the end of the scenario (T1), and 120 min thereafter (T2), stress level was measured. For this purpose, systolic blood pressure, diastolic blood pressure, mean blood pressure, heart rate and blood oxygen saturation were evaluated. In addition, saliva was collected to determine alpha-amylase activity and the concentrations of secretory immunoglobulin class A, cortisol, and testosterone.
Results
Among hemodynamic parameters, systolic and mean blood pressure and heart rate were significantly higher in T1 than in T0 and T2 time points (
p
< 0.05). Cortisol concentration was higher at T2 compared with T0 and T1. Alpha-amylase activity was highest at T1. Secretory immunoglobulin class A concentration was highest at T0, followed by T1 and then T2. These differences were not statistically significant. Testosterone concentration showed significantly higher values at T2 compared with T0 and T1 (
p
< 0.05). The analysis of team leaders vs. other members revealed significantly lower cortisol and alpha-amylase values in leaders (
p
< 0.05).
Conclusions
High-fidelity simulation is a useful education method in medical subjects, especially in cases where a mistake could produce serious or irreversible consequences. It can increase stress hormone concentrations and thus can be assumed effective as a learning aid even in senior-year students of medical faculty.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>33821392</pmid><doi>10.1007/s12020-021-02696-z</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-5923-2469</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Endocrine, 2021-08, Vol.73 (2), p.431-438 |
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| subjects | Blood pressure Cognitive ability Diabetes Endocrinology Heart rate Hormones Humanities and Social Sciences Hydrocortisone Immunoglobulins Internal Medicine Medical students Medicine Medicine & Public Health multidisciplinary Original Original Article Saliva Science Simulation Statistical analysis Stimulants Stress Testosterone α-Amylase |
| title | Effect of high-fidelity simulation on alpha-amylase activity and concentrations of secretory immunoglobulin class A, cortisol, and testosterone among medical students |
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