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1.
Artigo em Inglês | MedCarib | ID: med-510

RESUMO

Reveals that among young Jamaicans, sex and childbearing often begin during adolescence. Comparison between the average age at the first intercourse of sexually experienced young women and that of men; Decision to have sex and use contraceptives; Reason cited for not using them


Assuntos
Feminino , Masculino , Adolescente , Adolescente , Sexo , Gravidez , Jamaica , Gravidez na Adolescência , Comportamento Sexual , Dispositivos Anticoncepcionais , Fertilidade
2.
In. United Medical and Dental Schools of Guy's & St. Thomas' Hospitals; King's College School of Medicine & Dentistry of King's College, London; University of the West Indies. Center for Caribbean Medicine. Research day and poster display. s.l, s.n, Jun. 30, 1997. p.1.
Não convencional em Inglês | MedCarib | ID: med-785

RESUMO

One hundred and forty nine patients (35 British, 114 non-white or non-British) with at least a two year history of psychotic illness, were recruited into a project designed to compare different levels of community care interventions. At recruitment into the study patients were allocated a case manager. Twelve months after recruitment patients were asked whether they had a preference for same race case managers and same race psychiatrists. Patients were also asked whether they had a preference for same sex case managers and same sex psychiatrists. Results indicate that 25.3 percent of the white British group have a preference for same race case managers, and 25.8 percent of the non-white or non-British group have a preference for same race case manager. When the non-white or non-British group is broken down it appears that second generation African-Caribbean patients are more likely than other ethnic groups to express a preference for same race case manager (p=.046). Results also indicate that 25 percent of the non-white or non-British sample have a preference for same race psychiatrist, this however, did not reach statistical significance. Although there was a trend for patients to express a preference for female case managers, this also did not reach statistical significance. Results will be discussed in terms of implications for service provision.(AU)


Assuntos
Humanos , Satisfação do Paciente , Sexo , Transtornos Psicóticos , Pessoal de Saúde , Pessoal de Saúde , Etnicidade
3.
In. Anon. Health conditions in the Caribbean. Washington, D.C, Pan American Health Organisation, 1997. p.131-57, tab.
Monografia em Inglês | MedCarib | ID: med-563
5.
West Indian med. j ; 43(suppl. 1): 26, Apr. 1994.
Artigo em Inglês | MedCarib | ID: med-5454

RESUMO

Severe infections of the geohelminth Trichuris trichiura detrimentally affect young children's growth and development. There is concern that mild to moderate infections may affect older children's school performance and nutritional status. We therefore examined the relationship between varying intensities of infection and school achievement, attendance and nutritional status in 616 schoolchildren. The children were aged 7 to 11 years and were identified from 14 schools. Four hundred and nine children with Trichuris infections of intensities greater than 1200 eggs per gram of stool (EPG) were first identified, then for every two infected children in a class, an uninfected child was selected. Reading, spelling and arithmetic tests were administered by trained testers and the children's weights and heights were measured. School attendance was obtained from class registers while socioeconomic status was measured, using a questionnaire. The infected children were divided into four groups based on their level of infection: 1200-1999, 2000-3999, 4 000-9999 and 10 000EPG and over. The data were analyzed using multiple regression. After controlling for socioeconomic status, gender, age, school, and the presence of Ascaris infections, the uninfected children had higher reading and arithmetic scores than children with infections of over 4000EPG and were taller than those with intensities over 2000EPG. However, there were no significant differences in spelling, school attendance and body mass index. These results suggest that moderate levels of infections have adverse effects on school achievement and growth (AU)


Assuntos
Humanos , Criança , Nutrição da Criança/educação , Tricuríase , Escolaridade , Trichuris/parasitologia , Peso Corporal , Estatura , Classe Social , Sexo , Fatores Etários , Índice de Massa Corporal , Ascaríase , Escolaridade
6.
Kingston; Oct. 1993. ix,54 p. tab.
Tese em Inglês | MedCarib | ID: med-8269

RESUMO

This study was conducted on 217 12-17 years old school boys attending two all male traditional high schools. The aim of the study was to determine their knowledge, attitude and practice with regard to sex related matters, including contraception and contraceptive methods. It also identified some of their unmet needs. Knowledge of sex related matters is at a fairly high level. Friend remains the most common source for information on sex related matters. Deeper and wider knowledge of sex related matters is needed by all age groups. AIDS and gonorrhoea are the two best known sexually transmitted diseases. Most of the younger of age group 12-14 was not aware of masturbation, but wet dreams were considered a normal male activity. The condom remains the best method of contraception for male. The condom and the pill are the best known methods of contraception. Multiple partners remains desirable for one third of the study sample. The school teachers are becoming more comfortable with sex related subjects and this augurs well for the younger ones. There is still poor knowledge about the menstrual cycle and this really needs to be addressed as one of the areas for improving the teenage pregnancy rate. The age of first coitus seems to have decreased from 14.3 yrs in the Young Adult Reproductive Health Survey to 11 years in this study. The majority (68 percent) said that abortion was wrong and two thirds of them had a Christian background. The majority (79 percent) agreed that contraception be a decision shared by both partners, and half of them said that they would use contraception with every coitus. Of the group, 27 percent of the 12-14 and 39 percent of the 15-17 were active now.(AU)


Assuntos
Humanos , Adolescente , Masculino , Sexo , Conhecimentos, Atitudes e Prática em Saúde , Comportamento Contraceptivo , Dispositivos Anticoncepcionais , Síndrome de Imunodeficiência Adquirida , Gonorreia , Estudos Transversais , Comportamento Sexual
7.
Artigo em Inglês | MedCarib | ID: med-7745
10.
Kingston; s.n.; 1984. x,147 p. tabs, graphs, charts, maps.
Tese em Inglês | MedCarib | ID: med-8693

RESUMO

This study examines the inter-relationship of the factors: host, agent and human activity in producing clinical leptospirosis in Barbados from 1976 through 1982. These inter-relationships are examined at 2 levels: the macro (parish) and the micro (district) levels. At the macro level the factors of rainfall, drainage and involvement in agriculture were found to have significant associations with the average morbidity pattern. When plotted relative to rainfall, 71.8 percent of the cases occurred in locations and months of above average rainfall. When plotted relative to drainage, 91.3 percent of the cases occurred in areas below 250 ft., where clay infilling in watercourses produced flood-prone environments, or in areas above 250 ft. which were within 220 yd. of watercourses. The net result is that rainfall and drainage combined accounted for 98.5 percent of cases at this level. The Rainfall-Agricultural Involvement multiple regression model explained 60 percent of the variation in parish morbidity over the time period. These factors, however, did not adequately explain micro-level patterns of morbidity. To understand these, human activity was examined. This analysis utilized an adaptation of 2 methodologies - the 24 hr. Recall Technique and Water Contact Studies. These were used to determine exposure to the physical environment, and its relation to the pattern of morbidity. For this examination 2 areas were studied - St. Philip South-West, a high morbidity area with more cases than could be explained by the moisture factor alone, and St. James East, with fewer. Exposure to the physical environment was found to vary according to location, sex and the pattern of human activity. These all had strong associations with morbidity. The micro-level study revealed that there are 2 distinct spheres of exposure - the home and the work environments - and there tends to be little overlap in these 2 spheres. The study also revealed that there was a spatial variation in the nature of contact with the environment which may be an important consideration in explaining the micro-level pattern of morbidity. (AU)


Assuntos
Humanos , Lactente , Pré-Escolar , Criança , Adolescente , Adulto , Pessoa de Meia-Idade , Idoso , Masculino , Feminino , Leptospirose/epidemiologia , Geografia , Morbidade , Chuva , Exposição Ambiental , Sexo , Barbados/epidemiologia , Doenças dos Trabalhadores Agrícolas/epidemiologia
11.
Br J Dermatol ; 86(8 (Suppl.)): 55-61, 1972.
Artigo em Inglês | MedCarib | ID: med-14502

RESUMO

Following the major epidemic of acute glomeronephritis in Trinidad in 1964 and 1965, streptococcal skin infection was studied among school children. Infection was found on 1.5 percent of the children in an urban school. Simultaneous infections with more than one strain of Streptococcus pyogenes were found in some children, and also the replacement of one strain by another between weekly swabbings. Skin infection was more prevalent at a rural school (15 percent). In a year-long study the frequency of infection was found to be related to poverty, and to age and sex, diminishing with increasing age more rapidly in females than in males. The average for the school was one new streptococcal infection per child per 10 weeks. Spread was usually from skin to skin, possibly assisted by non-biting Hippelates flies; involvement of nose or throat was commonly secondary to skin infection (Summary)


Assuntos
Humanos , Pré-Escolar , Criança , Adolescente , Masculino , Feminino , Streptococcus pyogenes/patogenicidade , Pioderma/etiologia , Nefrite/complicações , Trinidad e Tobago , Fatores Etários , Fatores Socioeconômicos , Infecções Estreptocócicas/imunologia , Infecções Estreptocócicas/transmissão , Sexo , Dípteros/microbiologia
12.
J Soc Psychol ; 84(1): 11-25, 1971.
Artigo em Inglês | MedCarib | ID: med-7204

RESUMO

Investigation was made, in three societies, of some psychological and behavioral correlates of husband's symptoms during wife's pregnancy. In general, men who experienced symptoms gave female-like responses on covert measures of sex identity and hypermasculine responses on overt measures. The hyper-masculine responses were interpreted as attempts to deal with an underlying cross-sex identity. In two of the three societies, male symptomatology was associated with father absence or adult male absence during the first 10 years of life. The findings indicate that symptomatology may be a useful cross-cultural measure of male cross-sex identity (Summary)


Assuntos
Humanos , Masculino , Feminino , Gravidez , Papel (figurativo) , Sexo , Gravidez , Etnicidade , Autoimagem , Quênia , Belize
14.
J Pediatr ; 56(3): 420-24, Mar. 1960.
Artigo em Inglês | MedCarib | ID: med-9612

RESUMO

Over a period of 6 months a remarkable increase was seen in the incidence of acute nephritis among children in South Trinidad, and 263 cases were admitted to a general hospital. The patients were found to differ in their age, sex, and geographic distribution. The disease was associated with respiratory infection rather than skin infection, the form usually seen here, and the appearance of desquamation in many of the children suggested that the underlying organism was one capable of producing scarlet fever. The disease was mild. Only five children (1.9 percent) died, all from cardiac failure. Recovery appears so far to be complete in all but one of the survivors. (Summary)


Assuntos
Humanos , Lactente , Pré-Escolar , Criança , Masculino , Feminino , Nefrite/epidemiologia , Trinidad e Tobago , Nefrite/terapia , Sexo , Infecções Respiratórias , Epilepsia/tratamento farmacológico , Dispneia , Sopros Cardíacos , Hepatomegalia , Edema Pulmonar , População Rural
15.
Arch Dis Child ; 32(165): 369-85, Oct. 1957.
Artigo em Inglês | MedCarib | ID: med-14481

RESUMO

Cirrhosis of the liver is common in children in parts of India, especially in West Bengal and Madras, and in the West Indian island of Jamaica, where it usually occurs as a late result of 'veno-occlusive disease of the liver'. The literature concerning veno-occlusive disease is reviewed, with especial reference to its possible relation to the ingestion of plant toxins of certain 'bush teas', particularly species of Crotalaria and Senecio. The clinical and pathological features of 15 cases of Indian childhood cirrhosis (I.C.C) seen in Calcutta, West Bengal, are presented, analysed and compared with accounts in the literature. A two-stage clinical classification is suggested: (1) stage of hapatomegaly, (2) stage of clinical cirrhosis. The socio-economic background of the present cases is compared with reports by previous workers. The clinical picture and morbid anatomy of veno-occlusive disease and I.C.C., as judged by the literature and the present cases, are compared and contrasted. While some cases are clinically similar, the absence in I.C.C. of the acute episode that occurs in some children with veno-occlusive disease is stressed. Hepatic venous occlusion was found in all six of the 15 children who were liver biopsied or who came to necropsy. This histological feature has been noted by some other investigators, although more workers have stressed the presence of parenchymal damage. It is noted that, in both experimental animals and in veterinary medicine, it has been shown that certain plant toxins may sometimes act on liver cells and sometimes on the hepatic veins. The possibility of a similarly varied response in children is suggested (Summary)


Assuntos
Humanos , Lactente , Pré-Escolar , Masculino , Feminino , Hepatopatia Veno-Oclusiva/diagnóstico , Cirrose Hepática/epidemiologia , Hepatopatia Veno-Oclusiva/etiologia , Fígado/patologia , Distribuição por Idade , Sexo , Biópsia por Agulha , Fatores Socioeconômicos , Ascite , Hepatomegalia
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