Lucia Maria Lotrean

Introduction: The public health sector is among the most in need of volunteer engagement. The medical student community may participate in many voluntary activities, such as getting involved in public health programs, organizing community health awareness events, delivering administrative support to local health authorities, or engaging in emergencies or in disaster relief operations. Prior studies demonstrated that students’ involvement in extracurricular activities such as volunteering and community service projects can lower burnout, develop stress management skills, and promote leadership, teaching, and soft skills like communication, decision-making, social skills, and empathy; also, volunteering positively impacts academic performance. Objectives: This study focuses on the assessment of perspectives on the importance of volunteering and factors that influence student participation in voluntary activities as well as on identifying volunteering related behaviors among medical graduating students. The study aims to compare behaviors and attitudes related to involvement in voluntary activities between Romanian and international graduates and analyze these factors throughout time from 2021 to 2023. Methods: A cross-sectional study was conducted between 2021 and 2023 among 572 medical graduates at the Iuliu Hațieganu University of Medicine and Pharmacy (IHUMP) in Cluj-Napoca, Romania. Results: The outcomes demonstrate that most graduates recognized the significance of volunteering. Factors promoting engagement in volunteering activities, as more strongly recognized by students, include valuing personal motivation, appreciating socializing opportunities, and recognizing the desire to offer community assistance. Over 70% of graduates reported volunteering, with significantly higher participation among Romanian graduates (> 80%) compared to international graduates (< 50%). Half of the graduates were interested in participating in voluntary activities after graduation, international graduates being statistically significant more interested in this. Romanian students were more engaged in student exchanges, student organizational and administrative activities, health education and medical support initiatives, as well as volunteering in emergency and medical assistance services, while international students were more inclined towards social and humanitarian volunteering activities. Conclusion: This study indicates that enhancing educational and cultural strategies could improve voluntary participation among medical students. This study offers significant insights for mentors, policymakers, and graduates, promoting a collaborative approach to improve medical education and volunteer participation.

Background and Objectives: The COVID-19 pandemic affected children’s lifestyle, due to strict lockdown restrictions. This study evaluated Romanian children’s lifestyle prior to and during the pandemic and their associated factors. Materials and Methods: A longitudinal study was performed in 7 urban schools from Romania. Data were gathered at baseline (T1), from October to November 2019, and follow-up (T2), from December 2020 to February 2021. Results: A total of 880 children were enrolled at baseline, 484 at T2, and 350 in both evaluations. Initially, 66.3% did not perform at least one hour of physical activity per day, two thirds did not sleep at least 9 h per night during the week, and more than one third used the internet more than 2 h daily. Investigating changes before and during COVID-19 among students participating at both evaluations, a statistically significant drop in physical activity and sleep time during the week was recorded, while weekend sleep and internet use increased. Several gender- and age-related differences were noted. Physical activity and sleep patterns as well as internet use behavior at T1 predicted the same behavior at T2. Reduced sleep during the week and internet overuse were positively associated at both waves as well as longitudinally. Conclusions: These findings highlight calls for combined strategies that include parents, schools, and community, aiming to enhance a healthier lifestyle among children.

This article is related to Sustainable Development Goal 3: Good Health and Well-Being and focuses on preparedness and response strategies, as well as resilient health systems capable of facing health crises. It presents the implementation and perceived effects of two student volunteering programs during the COVID-19 pandemic, underlining implications for medical education and healthcare. A cross-sectional study was performed using anonymous questionnaires among students from the University of Medicine and Pharmacy in Cluj-Napoca, Romania (April–May 2021); 51 student volunteers involved in activities from the Public Health Directorate of Cluj County (PHDCC) and 78 student volunteers involved in healthcare settings (HCSs) participated. The main reasons to become involved in volunteering activities with the PHDCC were the fact that students found the activity useful and necessary for the pandemic control (100%), an interest in helping other people (98.1%) and the need to be involved in the control of the pandemic (98.1%). Students participated in volunteering activities in hospitals, mainly to develop new medical knowledge and skills (94.8%) but also to apply the medical skills and knowledge they had (89.8%), because of the desire to help other people (88.4%) and the need to be involved in the control of the pandemic (87.1%). More than 90% of volunteers from the PHDCC reported an increase in knowledge regarding the transmission/prevention/clinical manifestations/diagnoses of SARS-CoV-2 and improved their abilities to conduct an epidemiological investigation, their communication skills and their capacity to develop and offer information/educational materials for different population groups and to make informed decisions with medical and legal consequences. Among volunteers in HCSs, the positive outcomes most frequently declared were the belief that this volunteering activity represents an important part of their future career, the opportunity to interact with people who were perceived as competent mentors and the fact that it helped them acquire new medical knowledge as well as made them feel useful. There were several differences noticed based on gender, previous volunteering experiences and volunteering position (student volunteer or student coordinator). Healthcare students might be a relevant resource in crisis situations.

Sustainable Development Goal 6 aims to ensure the availability and sustainable management of water and sanitation for all. This study aimed to describe the implementation, effect and process evaluation of an educational session focused on promoting hand hygiene among school children within a school-based health education program. Seven schools from Romania participated in a longitudinal study. Children were categorized in two groups: Intervention (participating in a session in which they learnt about the importance of hand hygiene and the technique of handwashing, as part of a comprehensive educational program) and Control (standard education). Data were gathered through confidential questionnaires at baseline (October–November 2019, 880 participants) and follow-up (December 2020–February 2021, 484 participants); 350 children participated in both assessments. Many children consistently practiced handwashing in several situations at both evaluations. At follow-up, both groups had improved several hand hygiene practices; students from the Intervention group showed a higher handwashing frequency after using the toilet and before meals in comparison with the Control group. The majority of students from the intervention group agreed the program helped improving their handwashing behavior; girls and children with parents of lower educational levels tended to have a more favorable opinion. Consistent efforts and reinforcement are necessary for the maintenance of correct hand-washing practices.

Purpose: The outbreak of COVID-19 has forced implementation of safety measures, leading to changes in people’s lives. This study investigated several dietary habits among Romanian children before and during the pandemic. Also, it assessed the effectiveness of an educational program promoting healthy diet and evaluated factors influencing certain eating habits. Methods: A longitudinal study was conducted in schools. Students were assigned to Control and Intervention groups. Data were collected at baseline (T1) (October -November 2019, 880 children) and post-intervention (T2) (December 2020-February 2021, 484 students). 350 children participated in both assessments. Results: Baseline measurements revealed inadequate consumptions of fruits, vegetables, dairy products, and increased intake of soft drinks and sweets. At follow-up, the Intervention showed significant improvements on average intake of fruits and vegetables and in children eating ≥ 5 servings/day, compared to its baseline. Regarding self-perceptions on dietary habits during confinement, children from both groups reported healthier behaviors, with a significant decrease of comfort food. Compared to the Control group, Intervention increased its average intake of fruits and vegetables, consumed more ≥ 5 portions/day, reduced the number ≥ 2 cups/day of carbonated beverages and ≥ 3 portions/day of sweets. Age, gender, weight management, body mass index were associated with dietary habits at T1. Age, gender, Intervention group, weight management influenced eating patterns at T2. Eating behaviors at T1 influenced dietary habits at T2. Conclusion: Our program demonstrated positive changes in students’ dietary habits, despite challenges of COVID-19. Results highlight the role of health education and emphasize the importance of integrating such programs consistently in schools.

(1) Background: Exclusive breastfeeding is not only the cornerstone of a child’s healthy development, but it is also the most economical and planet-friendly way to feed an infant. This study aims to assess the current situation regarding breastfeeding in Romania. (2) Method: The authors searched five databases using the search terms “breastfeeding OR lactation” AND Romania. Studies have been limited to those published in English since 2000. In vitro animal studies, case studies, reviews, meta-analyses, book chapters, and guidelines were excluded. (3) Results: 19 studies were included in the final review. For the purpose of this systematic review, studies were subgrouped into studies on attitudes, practices, and behaviors regarding breastfeeding and the composition of human milk. This review demonstrates a slight tendency to increase interest in breastfeeding in Romania in the last years. Interventional studies conducted so far included mainly urban populations with good socioeconomic levels and a high level of education. Studies about the impact of early intervention in maternal education concluded that the level of education is positively correlated with the interest in education regarding breastfeeding. On the other hand, the Romanian population has similar characteristics to the European population in terms of the factors that influence human milk composition. (4) Conclusions: The review underlines strengths and weaknesses of the Romanian situation regarding breastfeeding and makes recommendations for future directions for research and health education.

Introduction: This study focuses on medical students from the University of Medicine and Pharmacy in Cluj-Napoca, Romania, and has three objectives. First, it evaluates the opinions of medical students regarding their previous training as well as their needs for future training in the field of digital health. Second, it assesses their attitudes regarding digital health and their intention to use digital tools as physicians. Lastly, the interrelationship between these issues as well as the socio-demographic factors which influence them are investigated. Materials and methods: A cross-sectional survey was performed during June–August 2021 among fifth and sixth year students of the Faculty of Medicine from the Iuliu Hațieganu University of Medicine and Pharmacy in Cluj-Napoca, Romania. Anonymous online questionnaires were used which were filled in by 306 students. Results: Less than half of the participating students declared that they benefited from training or different practical examples during medical education regarding the use of digital tools in different medical areas, while the majority said that they would like to receive more training in the field of digital health. A total of 58.2% said that they totally agree with the introduction of a formal training in the medical curricula regarding digital health. Many students declared positive attitudes toward the use of digital tools in different domains within the medical field and intention to use digital tools as physicians; several differences were noted, including gender, year of study, type of domain, and previous training with regard to the use of digital tools in those domains. Moreover, the need for future training and the desire for the introduction of a formal training program into the medical curricula with regard to this field were stronger among those with more positive attitudes and higher intentions to use digital tools in their medical activity. Conclusions: To the best of our knowledge, this is the first study from Romania which investigated the training, attitudes, and intentions regarding the use of digital health among Romanian medical students, and offers valuable information to guide the education of medical students.

Introduction: We aimed to characterize the clinical features of moderate forms of COVID-19 requiring hospitalization and potentially identify predictors for unfavorable outcomes. Methods: Pooled anonymized clinical data from 452 COVID-19 patients hospitalized in two regional Romanian respiratory disease centers during the Alpha and Delta variant outbreaks were included in the analysis. Results: Cough and shortness of breath were the most common clinical features; older patients exhibited more fatigue and dyspnea and fewer upper airway-related symptoms such as smell loss or sore throat. The presence of confusion, shortness of breath and age over 60 years were significantly associated with worse outcomes (odds ratios 5.73, 2.08 and 3.29, respectively). Conclusion: The clinical picture on admission may have a prognostic role for moderate forms of COVID-19. Clear clinical definitions and developing adequate informational infrastructure allowing complex data sharing and analysis might be useful for fast research response should a similar outbreak occur in the future.