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What becomes of medical students: the dark side.

In the cohort of 1337 former Johns Hopkins medical students from the classes of 1948 through 1964, there were 1248 graduates and 89 nongraduates. In follow-up studies of this cohort, 49 subjects, 3.1% of the graduates and 11.2% of the nongraduates, have been found to have died prematurely. Incipient mental illness and emotional disturbance appear to have contributed substantially to academic failure, poor performance during and after medical school, and premature death. These findings underscore the need for learning to identify and help medical students who are especially vulnerable to stress. Such insights would contribute to the prevention of premature disease and death, not only from mental illness but from other disorders.

Accidents

Associate degree nursing students: nonintellective differences between dropouts and graduates.

A comprehensive battery of tests designed primarily to measure nonintellective characteristics was administered to 112 students entering five associate degree nursing programs. At the end of two years, analyses of the entrance data revealed significant differences between the 73 graduates (those who completed the program on schedule) and the 32 nongraduates (those who dropped our of the program for various reasons). Seven students who remained in the programs but who had not completed the requirements were not included in the analyses. The data indicated that at the time of entry into their programs, those students who later completed the program on schedule were more mature--older and married, more achievement oriented, responsible, and self-controlled than dropouts. Successful students also manifested more accepting and nonjudgmental attitudes toward other people.

Education, Nursing, Associate

Preregistration nursing student attrition and strategies to improve student retention in university; an umbrella review.

BACKGROUND: Attrition among preregistration nursing students remains a persistent international challenge, contributing to nursing workforce shortages. Although extensive research has examined factors influencing student attrition and retention, the evidence is fragmented across review-level literature, limiting clarity regarding priority and evidence-informed retention strategies. AIM: To synthesize review-level evidence on factors associated with preregistration nursing student attrition and to identify strategies that support student retention in university-based nursing programs. METHODS: An umbrella review was conducted in accordance with the Joanna Briggs Institute methodology. Six electronic databases were systematically searched for peer-reviewed literature reviews published in English between January 2016 and October 2025. Eligible reviews focused on undergraduate preregistration nursing students in face-to-face university programs. Methodological quality was appraised using the JBI critical appraisal checklist. Findings were synthesised using narrative and thematic approaches. RESULTS: Seventeen literature reviews were included. Attrition was consistently described as multifactorial, influenced by academic preparedness, psychosocial wellbeing, socio-demographic factors, and institutional support. Retention strategies reported across reviews were predominantly relational, developmental, and sustained over time, including mentoring, tutoring, academic skills development, psychosocial support, and interventions that foster belonging. Faculty engagement and holistic approaches were repeatedly associated with improved student persistence. However, the evidence base was largely descriptive, with limited experimental evaluation of intervention effectiveness. CONCLUSION: Preregistration nursing student retention is best supported through multifaceted, sustained strategies that begin at admission and extend throughout the curriculum. While current evidence highlights consistent patterns of effective support, further rigorous research is required to evaluate retention interventions and extend evidence to flexible nursing education pathways.

Humans

Drinking amid abundant illicit drugs. The Vietnam case.

We studied drinking patterns and problems of 451 US Army enlisted men after their return from Vietnam. Before Vietnam, nearly half were regular drinkers and one quarter had drinking problems. Problem drinking declined in Vietnam as opiate use rose sharply; half had tried opiates and 20% were opiate dependent. After Vietnam, opiate use decreased (now less than 2% opiate dependent) and problem drinking again became ascendant. At time of interview, 17% had drunk in an alcoholic pattern at some period in their lives and another 41% had had problems from drinking. The younger men were more likely to have had problems. Alcholism predictors included:becoming intoxicated at an early age; dropping out of school; truancy and expulsion from school; and having a father with a history of alcoholism or arrests.

Adolescent

Personal violence in infantry combat.

Thirty-one soldiers who had killed while in combat and who had subsequent psychiatric examinations were asked about acts of 'personal violence' in Vietna m (acts against persons at close range judged to be unnecessary from a military point of view.) Fourteen reported engagement in personal violence, while nine others reported witnessing such behavior. In this group, all who reported participation in personal violence had volunteered to serve in Vietnam. Significantly more participants reported killing four or more persons in Vietnam than did nonparticipants, and the participants more frequently had a history of arrest prior to military service. As a group, participants could be distinguished from nonparticipants by the average number of positive items present in each of several groupings of precombat variables. Personal violence in combat results from an interaction of individual, group, and situational factors.

Adult