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1.
Dentistry Journal ; 9(11)November 15, 2021. tab; graf
Artigo em Inglês | MedCarib | ID: biblio-1368341

RESUMO

Background: The COVID-19 pandemic has affected dentists globally, both financially and mentally. This study aimed to determine the knowledge, attitude, and practices of dentists in Caribbean countries during the COVID-19 pandemic. Methods: A non-probability sample was obtained from dentists in more than ten different Caribbean countries. They were invited to complete a self-reported questionnaire, which was conducted from December 2020 to March 2021. Ethics approval was sought and an exemption was received from the UWI ethics committee. Results: One hundred and fifty-two dentists responded. More than one-third (38.8%) were in the >35­45 age group, and 58.6% were females. Most (84.9%) were general dentists and 75% were stressed by the COVID-19 situation with 80.9% being affected financially. The majority, 94.7%, believed that the highest risk of transmission of COVID-19 was via aerosol-generating procedures and 87.5% were worried about contracting it clinically. The majority (69.1%) were willing to receive the vaccine, the main reason reported for vaccine hesitancy was due to the possible side effects (35.3%). Most (75%) consumed alcohol. When the locus of control was determined, 54.6% felt they were in control of protecting themselves while 52% felt that external factors controlled their lives. Conclusions: The findings suggest that most dentists in the Caribbean were knowledgeable about COVID-19 and followed current guidelines in their practice and were willing to receive the vaccine.


Assuntos
Humanos , Trinidad e Tobago , Odontólogos , COVID-19 , Atitude , Estudos Transversais , Região do Caribe , Conhecimento
2.
In. Faculty of Medical Sciences, The University of the West Indies. 2020 National Health Research Conference: Advancing Health Research in Trinidad and Tobago. Port of Sapin, Caribbean Medical Journal, November 19, 2020. .
Não convencional em Inglês | MedCarib | ID: biblio-1353821

RESUMO

This study aims to test the knowledge, practices & attitudes of drivers in Trinidad through issuing a questionnaire based on driving practices in relation to seat belt use, alcohol consumption, fatigue & distraction, and a quiz, which focuses on road regulations. The information obtained from this study can be used to prevent accidents by identifying: poor knowledge, driving practices and attitudes in the driving population of Trinidad.


Assuntos
Humanos , Cintos de Segurança , Trinidad e Tobago , Atitude , Conhecimento
3.
In. Faculty of Medical Sciences, The University of the West Indies. 2020 National Health Research Conference: Advancing Health Research in Trinidad and Tobago. Port of Sapin, Caribbean Medical Journal, November 19, 2020. .
Não convencional em Inglês | MedCarib | ID: biblio-1354410

RESUMO

From 20th century, our views, understanding and treatment of pathogenic infections have drastically changed. Pathogenic organisms were discovered, classified and treatments were subsequently implemented. Candidiasis spp. was discovered and linked to the condition; Vulvovaginal Candidiasis (VVC), commonly known as yeast infection, which affects the female lower genital tract, vulva and vagina. Symtoms of such an infection include itching, burning, soreness and a creamy vaginal discharge. Given the nature, location and symptoms of such an infection, individuals are often self-conscious and hesitant to discus it or seek medical attention until symptoms become unbearable. VVC is one of the most common infections in reproductive age females with 75% of women experiencing infection at least once in their lives. Due to the qualitative gap in literature toward women affected by VVC in our country, this study aimed to highlight the knowledge, attitudes and practices towards VVC among reproductive age in Trinidad and Tobago.


Assuntos
Humanos , Feminino , Adulto , Pessoa de Meia-Idade , Idoso , Trinidad e Tobago , Candidíase Vulvovaginal , Mulheres , Atitude , Conhecimento
4.
In. Caribbean Public Health Agency. Caribbean Public Health Agency: 60th Annual Scientific Meeting. Kingston, The University of the West Indies. Faculty of Medical Sciences, 2015. p.[1-75]. (West Indian Medical Journal Supplement).
Monografia em Inglês | MedCarib | ID: med-17930

RESUMO

OBJECTIVE: To measure changes in nutritional knowledge among primary school children aged 6-12 years in Trinidad and Tobago. DESIGN AND METHODS: This study utilized a randomized experimental design. Eight government primary schools from two geographical regions with students aged 6-12 years from varied socioeconomic status in Trinidad participated in the study. A paired design, matched on geographical region and school population size was used to randomly assign schools to one of the four groups, i.e., (1) menu modification plus and nutrition education (MM plus NE), (2) menu modification (MM) alone, (3) nutrition education (NE) alone, and (4) control group. RESULTS: An analysis of changes in nutrition knowledge score on the 15-item pre/post tests indicated higher scores for three groups: MM plus NE, NE alone, and the control. Specifically, a statistically significant mean increase from baseline of 1.47 points for MM plus NE group, 0.61 points for NE group, and 1.19 points for the control group was found. Statistically significant differences were observed in the treatment groups receiving NE when compared to the control for level of nutrition knowledge. At post-intervention, the highest score was in the MM plus NE (p < 0.01), which was significantly higher than the control or MM. Further, mean knowledge scores for NE and MM plus NE were significantly higher than MM (p < 0.01). CONCLUSION: The researchers concluded that both interventions together had greater improvements in knowledge scores than the MM alone group but not compared to the control group.


Assuntos
Conhecimento , Nutrição da Criança/educação , Ciências da Nutrição/educação , Programas e Políticas de Nutrição e Alimentação , Educação Alimentar e Nutricional , Trinidad e Tobago
5.
In. Caribbean Public Health Agency. Caribbean Public Health Agency: 60th Annual Scientific Meeting. Kingston, The University of the West Indies. Faculty of Medical Sciences, 2015. p.[1-75]. (West Indian Medical Journal Supplement).
Monografia em Inglês | MedCarib | ID: med-18041

RESUMO

OBJECTIVE: To assess perceptions of Grenadian physician on abortion. DESIGN AND METHODS: An online survey was created and emailed to all doctors registered to practice in Grenada. Once the data was collected, it was analyzed using SPSS. RESULTS: A response rate of 58% (45 out of 78 physicians) took part in this study. Almost all physicians (93%) indicated that they were personally aware of unsafe abortions being performed in Grenada. The three main complications physicians reported as arising out of unregulated abortion procedures were bleeding (18%), infection (17%), and uterine perforation (17%). Health education was identified by 93% of physicians as the best solution to preventing unsafe abortions. CONCLUSIONS: Almost all local physicians reported that unsafe abortions are taking place in Grenada and that the best solutions to this problem would be to provide health education along with use of modern contraception and the use of legalized and regulated abortion services. Specifically, the implementation of school-based health education program could prove effective in minimizing the conditions that lead to women being placed in a position where they feel that they have to resort to unsafe abortion procedures.


Assuntos
Atitude , Médicos , Conhecimento , Aborto , Aborto Criminoso , Granada
6.
In. Caribbean Public Health Agency. Caribbean Public Health Agency: 60th Annual Scientific Meeting. Kingston, The University of the West Indies. Faculty of Medical Sciences, 2015. p.[1-75]. (West Indian Medical Journal Supplement).
Monografia em Inglês | MedCarib | ID: med-18064

RESUMO

OBJECTIVE: This study formed part of a soil transmitted helminth (STH) elimination program in Grenada. This study assessed the short and long term knowledge of primary school children on the transmission and prevention of STH using Turning Point Technologies. DESIGN AND METHODS: A longitudinal study was carried out on schoolchildren attending 39 out of all 54 (72.2%) primary schools from Grenada, Carriacou and Petite Martinique between March and November 2014. The schools were randomly selected for inclusion in the study. Turning Point Technology was used to assess the knowledge and administer the subsequent intervention to all students. The Pre, immediate-Post and long-term Post intervention (seven months later) data was analyzed using Chi Square. RESULTS: A total of 962 students participated in March 2014 and 805 students participated in October 2014. There was no significant (p< 0.05) inter school difference in the answering of questions. This displayed a ubiquitous knowledge transfer across the primary schools. There was a significant improvement in knowledge post turning point intervention, which was maintained at 7-months post-intervention. CONCLUSION: The advantages of using turning point technologies to impart this knowledge where class responses appear instantly, anonymously and can be used for immediate discussion were numerous. These include inter alia, active engaged participation.


Assuntos
Conhecimento , Criança , Helmintos , Biologia do Solo/prevenção & controle , Granada
7.
Mona; s.n; Oct. 2000. i,60 p. maps, tab, gra.
Tese em Inglês | MedCarib | ID: med-17210

RESUMO

Students at the Mona Campus of the University of the West Indies are in the most vulnerable age group (20-39 years) for contracting STIs including HIV/AIDS. This study sought to determine the HIV related knowledge, attitudes and practices among students living on halls of residence. Questionnaires were self-administered by approximately 10 percent (146) of the students on the halls of residence over a two week period and informal discussions were held with two small groups of students to gain greater insights into their understanding of the HIV/AIDS situation. The results showed deficiencies in the knowledge, attitudes and behaviours of students. Approximatley 25 percent of students felt that HIV could be transmitted through blood donation and 29.5 percent said there was no link between STIs and contracting HIV. The students' attitude towards homosexuality was negative. The majority of students did not know the window period for HIV infection. Approximately 5 percent of students have had an STI and 15 percent of students who reported being sexually active were not using the condom. There was a significant association between the gender of students and condom use. The study concluded that the students are at risk of contracting and spreading HIV and other STIs. There is need for intense education on HIV/AIDS for students living on the halls and the placing of condom machines on the halls will give students easier access to condoms (AU)


Assuntos
Humanos , Masculino , Feminino , Adulto , HIV , Síndrome de Imunodeficiência Adquirida/sangue , Síndrome de Imunodeficiência Adquirida/transmissão , Conhecimento , Preservativos , Estudantes , Comportamentos Relacionados com a Saúde , Educação , Jamaica , Região do Caribe
8.
Mona; s.n; Oct. 1999. ii,78 p. ilus, maps, tab, gra.
Tese em Inglês | MedCarib | ID: med-17211

RESUMO

Household food safety poses a major challenge not only to the preparers of food but to public health and other food regulatory authorities. Studies have shown that family home rank high in the list of places where foodbourne disease are acquired and transmitted. To describe the knowledge, attitude, practices and perception of householders in North Central Saint Andrew one hundred and ten householders, eighteen years and over, were interviewed during January and March, 1999. The study, cross-sectional in design, included respondents who were randomly selected from three distinct socio-economic classes. Four key informants representing public sector and non-government organizations involved with food safety programmes were interviewed to explore additional ways of strengthening household food safety. The survey found that householders were very concerned about the food they purchased for preparation at home; displayed strong concerns about sanitation of food handling establishments; food handlers practices and the appearance of the foods purchased. There was significant gender difference in the concern for the appearance of food (X squared = 4.45; p<0.05). There were no other significant gender differences for the major concerns when purchasing food (p>0.05). Respondents adopted varying actions to improve food safety at home. Ninety-eight percent of respondents never contacted the Local Health Department or the Ministry of Health as part of their information seeking opportunity regarding food safety. The lifetime prevalence of food-borne illness was found to be approximately 46 percent. Diarrhoea, stomach pain, vomiting and nausea were the major symptoms reported. Milk/yogurt/ice cream, beef, chicken, pork and fish/shellfish were the main food items implicated as being associated with the foodborne illness. Respondents gave a low rating to Government departments/agencies for their contribution to the food safety efforts. While respondents reported a fairly high knowledge of safe food handling practices ... Most respondents had average or fair attitude concerning food safety. ... A properly designed and executed household food safety public education campaign; inclusion of safe handling instructions on raw meats, poultry and fish/shellfish and the operation of a food safety hotline are suggested as additional methods of enhancing household food safety (AU)


Assuntos
Humanos , Manipulação de Alimentos/normas , Contaminação de Alimentos/prevenção & controle , Higiene/normas , Conhecimento , Doença/etiologia , Doenças Transmitidas por Alimentos/prevenção & controle , Jamaica , Região do Caribe
9.
Mona; s.n; Oct. 1999. ii,63 p. maps, tab, gra.
Tese em Inglês | MedCarib | ID: med-17212

RESUMO

This cross sectional survey of diabetics on insulin therapy sought to identify the level of knowledge of patients on insulin regarding diabetes and insulin therapy and to ascertain the preception, attitudinal and behavioural practices of these clients as it relates to insulin therapy and self administration in St. Thomas, Jamaica. A total of 107 clients were interviewed using a structured questionnaire which was administered as an interview schedule. Three focus group discussions were also conducted. Knowledge was high in the area of responses to whether or not insulin lowers the blood sugar, what is to be done if the respondents felt bad after taking insulin and also where insulin is injected. The highest percentage response to the question assessing knowledge was found in clients who used insulin between 5-9 years. There was poor knowledge in the questions addressing identification of insulin by type and brand and in addition most persons felt it was alright to miss insulin for a day. This could influence the practices being carried out by diabetics and quite likely place them at high risk for hypoglycaemia and hyperglycaemia. Most respondents had a fair attitude towards insulin therapy when compared to the length of use of insulin. Most persons also showed a fair attitude towards their treatment particularly those with over ten years of use. The role of health education and other types of support for diabetics on insulin therapy were identified among factors that could facilitate better as it impacts readily on these clients especially the elderly and the indignet in their ability to care for themselves (AU)


Assuntos
Humanos , Conhecimento , Insulina/uso terapêutico , Diabetes Mellitus/tratamento farmacológico , Diabetes Mellitus Tipo 1 , Diabetes Mellitus Tipo 1/terapia , Jamaica , Região do Caribe
10.
Mona; s.n; Oct. 1999. i,54 p. tab.
Tese em Inglês | MedCarib | ID: med-17214

RESUMO

Parents play a vital role in the lives of their children because they transmit and interpret acceptable cultural behaviour and help to mold the personality of their children. The study was designed to assess knowledge, attitude and practices of parents with regard to early sexual debut and distribution of contraceptive to sexually active children under 16 years. The study was designed to assess knowledge, attitude and practices of parents with regard to early sexual debut and distribution of contraceptives to sexually active children under 16 years. It was carried out on 75 parents in a rural district in Westmoreland. Two streets in the district were randomly selected and all parents with children aged 10-15 years were interviewed. Personal interviews were conducted by the researcher using pre-coded questionnaires. The results showed that while the majority of parents were knowledgeable about sexual activities in children, less that half knew about sexual activities in their children. They strongly disliked the practice of early sexual activities in children. Parental consent for contraceptive was not the preferred practice as the majority of parents expressed that they would not give consent for their children to access contraceptives but it must be made available so that children can access it when all else fail. Parents prefer to talk to and to counsel their sexually active children instead of offering contraceptives. The majority indicated that they are fulfilling their role as sexuality educators for their children (AU)


Assuntos
Humanos , Adolescente , Adulto , Dispositivos Anticoncepcionais/provisão & distribuição , Dispositivos Anticoncepcionais , Conhecimento , Educação Sexual , /educação , Comportamento Sexual , Sexo Seguro/estatística & dados numéricos , Jamaica , Região do Caribe
11.
Mona; s.n; Oct. 1999. i,57 p. maps, tab.
Tese em Inglês | MedCarib | ID: med-17219

RESUMO

Tuberculosis is an infectious disease caused by the micro-organism Mycobacterium tuberculosis. This micro-organism can be found in about one third of the world population and causes more deaths than any other infectious agent globally. To control this deadly disease, persons ill witH TB need to take a combination of medications for a period of 6 to 8 months. Most of those suffering from TB find this difficult, and to aid in the adequate treatment of persons with the disease and protect others from it, the World Health Organisation along with others concerned about the situation, developed the directly observed treatment, short-course (DOTS) strategy. This cost effective method of treatment requires that health workers world wide observe infected persons while they take their tablets. The aim of this study was to assess the knowledge, attitudes and practices of primary health care workers about the treatment and control of TB using the directly observed treatment, short-course (DOTS) strategy. Data were collected using a questionnaire administered to a sample of selected categories of health workers in the study area. Additionally, three selected key informants from the Jamaican health services were interviewed. One hundred and seventy respondents from five categories, (medical officers, nurses, public health inspectors, community health aids and contact investigators) completed questionnaires. The study found that primary health care workers in Jamaica are very willing to participate in this global effort. They feel confident that once they are given the right tools to work with they can contribute ... The study recommends a review of the progress of the implementation program, preparation of a revised plan of action will all involved in TB control activities and institution of training programs throughout the health service on this "health breakthrough of the 1990's" (AU)


Assuntos
Humanos , Adulto , Tuberculose/terapia , Tuberculose/virologia , Conhecimento , Atitude , Jamaica , Região do Caribe
12.
Kingston; s.n; Aug. 3, 1998. 66 p.
Tese em Inglês | MedCarib | ID: med-1671

RESUMO

The biggest fear of every diabetic patient is amputation of the lower limb. The literature review revealed that much of the morbidity, disability and death among diabetic patients results from complications due to lack of proper foot care. This study analysed the data obtained from 105 patients who attended the St. Jago Park Health Clinic during March 6th to April 3rd 1998. Questionnaire and docket information were used to collect the data. The age distribution in the sample ranged from 28 - 82 years with a mean and standard deviation of age being 60.41 ñ 11.21 years. The data revealed that the patients with a minority of excerptions, had a good knowledge of foot care. The knowledge scores ranged from 6 - 12 with a mean score of 10.68. There were three patients with foot problems. One male with an ulcer who had a score of six, another with an amputation who also had a similar score and one female with an amputation but having a score of twelve. There was a particularly low knowledge score with regard to "use of lotion between the toes" and "exposing foot to very hot or cold". In this study sample, foot problems did not have a high prevalence (2.9 percent). However, the education process must become an integral part in the life of every diabetic patient so that they will understand the need to have healthy practices in order to experience optimum health.(AU)


Assuntos
Adulto , Pessoa de Meia-Idade , Idoso , Feminino , Humanos , Masculino , Pé Diabético/prevenção & controle , Amputação Cirúrgica , Diabetes Mellitus/complicações , Educação em Saúde , Conhecimento , Jamaica
13.
West Indian Med. j ; 38(4): 234-7, Dec. 1989.
Artigo em Inglês | MedCarib | ID: med-14334

RESUMO

Six hundred and fifty questionnaires were sent to Health-care Workers (HCW) in four hospitals to assess the knowledge and understanding on HIV transmission and isolation precautions to be instituted for control and also to ascertain whether any differences in knowledge existed between HCW of teaching and non-teaching hospitals. Five hundred and nine questionaires were returned, a response rate of 79 percent . Questions on HIV transmission via blood transfusion and sexual intercourse and proper disposal of sharp instruments received the highest scores (85-100), embracing all groups of teaching and non-teaching hospitals. The greatest area of misconception and misunderstanding was reflected in responses obtained on isolation precautions (<30) for both teaching and non-teaching hospitals. Our study emphasizes an urgent need for comprehensive, continuous education of HCW on prevention and control of HIV infections in Jamaica (AU)


Assuntos
Humanos , Síndrome de Imunodeficiência Adquirida , Atitude do Pessoal de Saúde , Ocupações em Saúde , Jamaica , Inquéritos e Questionários , Conhecimento , Atitude , Educação em Saúde , Hospitais de Ensino
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