SCHOOL OF MEDICINE

Background: Balancing medical training, work, and personal life can be highly demanding and can be associated with burn out and increased stress and therefore requiring various balance and coping mechanisms to be employed by these students and these could include shorter sleep, modified learning methods, social isolation, and anxiety. Thus, this study examines the knowledge, perception, practice and implications of work-study-life balance among medical students at the University of Benin, with the aim of identifying gaps, understanding the challenges and informing strategies that can improve students’ ability to effectively balance academic, work and personal life commitments Objectives: To assess the knowledge, perception, practice and the implications of work- study-life balance among medical students in the University of Benin, Edo state, Nigeria. Methods: A descriptive cross-sectional study was conducted among 509 undergraduate medical students at the University of Benin from January 2025 to February 2026 to assess the knowledge, perception, practice of work-study-life balance among medical students and its possible impact on psychosocial and academic performance. A multi-stage sampling technique was used to select participants. The minimum sample size was determined using the Cochran formula with a 10% non-response rate. Data was collected through a structured, pre-tested self-administered questionnaire that included two standard instruments: the Pittsburgh Sleep Quality Index (PSQI), Work-study-life balance Scale (WSLBS), Coping strategies inventory, perceived stress scale (PSS). The data were analyzed using IBM SPSS version 27. The level of statistical significance was set at p < 0.05. Ethical approval was obtained from the Health Research Ethics Committee of the University of Benin Teaching Hospital. Results: A total of 509 respondents participated in the study and the response rate was 100%. There were 382 (75.0%) male respondents and 127 (25.0%) female respondents. The study showed that 377(74.1%) had good knowledge of work-study-life balance. The study revealed a significant association between age group and knowledge, χ² = 45.44, p < .001. There was a statistically significant association between employment status and overall perception, χ²= 6.49, p = .038. Majority (51.7%) assigned their current work-study-life balance a neutral rating of 3 on a 5-point scale. 73.9% proportion of the respondents reported that they do prioritize self-care. The biggest challenges respondents face in maintaining a work-study-life balance was a lack of free time, 365(71.7%). Demanding curriculum 338 (66.4%), followed by Clinical rotation hours, 240 (47.2%). Two hundred and twenty eight (44.8%) respondents had an Adaptive (Engagement Dominant) category, 194 (38.1%) had a Maladaptive (Disengagement Dominant) coping mechanism. 87 (17.1%) had a Mixed or Equal Use of coping styles. Majority (60.7%) were classified as experiencing Low Stress, while the remaining 39.3% were categorized as experiencing High Stress. 38.9% rated their sleep quality as Fair. followed by 32.2% who rated their sleep as Good and 17.8% as Very Good. A smaller minority rated their overall sleep quality as Poor (8.7%) or Very Poor (2.4%). Conclusion: This study demonstrated that while a majority of undergraduate medical students at the University of Benin possess good knowledge of work–study–life balance, their perception of balance remains largely neutral and although a significant proportion of students employ adaptive coping mechanisms, a considerable number continue to rely on maladaptive strategies, which may predispose them to psychological distress. While most students reported low stress levels and relatively acceptable sleep quality, a clinically meaningful proportion experienced high stress and suboptimal sleep. Overall, the findings indicate that knowledge alone is insufficient to ensure healthy work– study–life balance. Practical institutional support systems, structured resilience training, mental health monitoring, and cultural shifts within medical education are essential to translate awareness into sustainable well-being practices.

Background: The growing influence of information technology on various aspects of life including education necessitates the developing countries to use E-learning for better distribution of teaching materials and interaction between students and teachers. In Nigeria, there was a surge in use of E-learning to continue education due to the COVID-19 pandemic. E-learning represents a vital paradigm on higher education unconstrained by time and place, offering new opportunities for the development of the educational processes. Its adoption is vital to bridge the learning gap between developed and developing countries. Objectives: To assess the knowledge, attitude and practice of undergraduate students in University of Benin towards E-learning. Materials and Methods: A descriptive cross-sectional study design was adopted for this study. Four hundred and twenty-five students were selected using multi-stage sampling technique. Data was obtained using a standardized semi-structured self-administered questionnaire comprising both open ended and close ended questions. Data was analysed using IBM SPSS version 25.0 software with statistical significance set at p<0.05 and 95% confidence interval. Results: The mean age was calculated as 23.16 (±3.24) years. Of all the respondents, (62.8%) had good knowledge, while (37.2%) of respondents had poor knowledge. (97.2%) had a positive attitude, while 2.8% had a negative attitude. Challenges such as constant power failure, inadequate internet access, inadequate computer literacy skills and cost of data subscriptions were identified. 98.1% of respondents showed good readiness, while 1.9% showed poor readiness. The most commonly used E-learning tools were search engines, PowerPoint, virtual classrooms and mobile applications. Conclusion: The majority of respondents had good knowledge, positive attitude and good readiness towards E-learning. The major challenges were constant power failure, inadequate internet access, inadequate computer literacy skills and cost of data subscriptions. Keywords: Online, learning, technology Word count: 287

Background: The coronavirus disease was declared a pandemic on March 11, 2020. Due to the rapid spread of the virus, various governments implemented major restrictions to control its transmission. These restrictions included an economic lockdown and restrictions on movement. The aftermath of this had effects such as a reduction in income, panic, and hunger. The COVID- 19 pandemic has disproportionately affected vulnerable populations, including children, women, and the elderly, who are more susceptible to the virus due to their pre-existing health conditions and other factors. More than 7.5 million children die globally each year, partly due to the poor health-seeking behaviour and health beliefs of mothers. Methodology: This study utilized a descriptive cross-sectional design. A total of 624 mothers of children under the age of 5 in the Oluku community were selected using a multistage sampling technique. An interviewer-administered questionnaire was used for this study. The data was
analyzed using the Statistical Package for Social Sciences (SPSS) version 25, with a significance level set at p<0.05. Results: A higher proportion of respondents (73.2%) were between the ages of 25 and 39, with a mean age of 30.7 ± 6.3 years. Out of the 624 respondents, 79.4% identified as Christians, 27.9% identified as being of Benin ethnicity, 50% had completed secondary education, 77.9% had a particular skill, 81.1% had an average income between ₦30,000 and ₦150,000, and 63.3% belonged to the middle socioeconomic status. Just over a quarter, 26.1% of individuals had xiii harmful health beliefs, while more than 55% exhibited good health-seeking behaviour. Age, religion, level of education, average monthly income, skill level, and socioeconomic status were found to have a statistically significant relationship with the impact of COVID-19 on health beliefs. Meanwhile, marital status, level of education, and socioeconomic status were found to have a statistically significant relationship with the impact of COVID-19 on health-seeking behaviour.

Background: Polycystic Ovarian Syndrome (PCOS) is a prevalent hormonal disorder affecting women of reproductive age globally, yet a significant proportion remains undiagnosed due to insufficient baseline knowledge regarding its causes and symptoms. This lack of awareness contributes to delayed medical attention and progression of the disease, leading to serious long-term complications such as type 2 diabetes mellitus, hypertension, cardiovascular diseases, hypercholesterolemia, and endometrial cancer. Studies in Nigeria indicate particularly low awareness levels, underscoring a critical public health challenge.
Objective: This study aimed to comprehensively assess the knowledge and awareness of the causes, symptoms, and long-term complications and determinants of Polycystic Ovarian Syndrome among female undergraduate students at the University of Benin, Edo State, Nigeria with a view to generate evidence that will guide the design of tailored strategies aimed at increasing awareness and strengthen healthcare delivery. Methods: A descriptive cross-sectional study design was employed, targeting female undergraduate students at the University of Benin. Data collection occurred between April 2024 and June 2025. A sample size of 415 respondents was determined using Cochran's formula and a 10% non-response adjustment. A multi-stage sampling technique involved the simple random selection of the Ugbowo campus, followed by the random selection of eight faculties. Information was collected using a 29-item structured questionnaire, and data analysis was performed using SPSS V 25.0 to generate percentages and frequencies.
Results: Over half of the respondents (54%) reported having heard of PCOS, with approximately twothirds (60.7%) demonstrating good baseline knowledge of its causes and symptoms, while one-third (39.3%) exhibited poor knowledge. Abnormal menstruation (40.7%) was identified as the most common symptom, overproduction of hormones (36.9%) and genetics (35.4%) were frequently cited causes. Drugs (46.7%) was perceived as the most effective treatments. Regarding awareness of complications, 46.4% showed good awareness, while 53.6% lacked sufficient awareness particularly concerning infertility. Social media (especially TikTok and WhatsApp at 42.9% and 21.0% respectively) was the primary source of PCOS, followed by medical professionals. The key predictors of good knowledge included being in a medical related field like Medicine (OR = 0.033, p = 0.001) and a higher monthly allowance above N20,000. N20,000 – N50,000 (OR = 0.379, p = 0.002) and N51,000 – N100,000 (OR = 0.059, p <0.001).
Conclusion: The study revealed moderate knowledge but a significant gap in awareness regarding PCOS complications among female university students, compounded by reliance on non-medical information sources and prevalent misconceptions. Academic background and socioeconomic status were influential factors in knowledge levels. These findings necessitate targeted public health interventions, including integrating comprehensive PCOS education into university curricula, launching official social media campaigns led by healthcare professionals, organizing workshops, encouraging routine health screenings, and promoting mental health support services for affected individuals