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1.
Recurso na Internet em Inglês, Espanhol, Francês, Português | LIS - Localizador de Informação em Saúde | ID: lis-48230

RESUMO

Uma nova parceria entre o Governo do Canadá e a Organização Pan-Americana da Saúde (OPAS), destinada a melhorar a saúde e a proteção das populações em grande vulnerabilidade devido à COVID-19, particularmente as mulheres, foi anunciada hoje na 74ª Assembleia Mundial da Saúde.


Assuntos
Infecções por Coronavirus/prevenção & controle , Vacinação , América Latina , Região do Caribe , Populações Vulneráveis , Betacoronavirus/imunologia , Canadá , Organização Pan-Americana da Saúde/organização & administração
2.
BMC Med Educ ; 21(1): 337, 2021 Jun 09.
Artigo em Inglês | MEDLINE | ID: mdl-34107919

RESUMO

BACKGROUND: In the French West-Indies, few studies have been performed on fertility and sexual problems in cancer survivors, which are frequent and recurring issues reported by surveys on unmet needs. Additionally, mutualizing human and material resources and promoting cooperation through a collaborative platform are the most appropriate response to complex health pathways in the Caribbean territories. Implementation of such a collaborative platform will help to launch a strategic Caribbean partnership to transfer theoretical and technical skills and care standards in oncofertility and oncosexuality. METHODS: We propose to set up a collaborative digital platform to strengthen, from the French expertise, Cuban health professionals' knowledge, know-how, and skills in oncofertility and oncosexuality. The project will be coordinated by a coordinating, scientific, and supervisory committee, and the main activities will include: 1. Theoretical training in e-learning adapted to low-speed Internet. 2. Practical training in fertility preservation and sexual rehabilitation. 3. Digital multidisciplinary consultation meetings for medical decisions to be taken for complex clinical cases. The platform will benefit from a recurrent evaluation, by the two cancer registries of Martinique and Cuba, with the following performance indicators: number of Cuban professionals trained, number of professionals sensitized, hourly volumes (or number of training courses provided), satisfaction of trained professionals, number of e-RCPs carried out online and number of missionaries supported. These indicators will be set up and analyzed by the registers. This project meets the Cuban and French health policies (cancer plans and national sexual health strategies) and will be implemented in liaison with the Health Agencies of both countries and the Embassy of France in Cuba. DISCUSSION: This project aims to provide support through bilateral exchanges to improve reproductive and sexual health in Cuba's cancer patients. This collaboration will be based on a long-lasting French expertise and a solid Cuban health system. Consequently, this collaborative digital platform will contribute to data collection for cancer surveillance, and the two participating countries will ultimately be identified in the Caribbean as having centers of competence and excellence in oncofertility and oncosexuality with care standards.


Assuntos
Saúde Sexual , Região do Caribe , Cuba , França , Humanos , Índias Ocidentais
3.
Artigo em Inglês | MEDLINE | ID: mdl-34070889

RESUMO

This study aims to determine the impact of the COVID-19 pandemic, specifically considering the mandatory social isolation measures implemented, on the perceived stress of a sample of dentists and dental students from Latin America and the Caribbean, as well as the associated sociodemographic and pandemic-related variables. A cross-sectional survey was conducted with a sample of 2036 dentists and dental students (1433 women). For the main outcome, the 14-item Perceived Stress Scale (PSS-14) was used. The survey also questioned sociodemographic aspects, questions on the COVID-19 pandemic, health variables, and habits. Descriptive, bivariate, and multivariate analyses (linear regression) were applied to observe the factors associated with perceived stress. The PSS-14 mean score was 24.76 (±11.76). Hierarchical regression models showed significant variables associated with the PSS-14 scores: income level during mandatory social isolation, having older adults under care during mandatory social isolation, self-perceived level of concern regarding COVID-19, self-perceived health, Coffee consumption during mandatory social isolation. In general terms, the pandemic has influenced the personal, social, labor, and everyday life of dental staff and affected the mental health of this population specifically when perceived stress is considered. Public policies, strategies, and mental health surveillance systems are required for this population.


Assuntos
COVID-19 , Pandemias , Idoso , Região do Caribe , Estudos Transversais , Odontólogos , Feminino , Humanos , América Latina , SARS-CoV-2 , Isolamento Social , Estresse Psicológico/epidemiologia , Estudantes de Odontologia
4.
Artigo em Inglês | MEDLINE | ID: mdl-34064973

RESUMO

Despite older adults' extremely high vulnerability to COVID-19 complications and death, few studies have examined how personal characteristics and the COVID-19 pandemic have impacted the mental health of older adults at the global level. The purpose of this study was to examine the relationships among demographics, COVID-19 life impacts, and depression and anxiety in adults aged 60 and older from 33 countries. A sample of 823 older adults aged 60-94 and residing in 33 countries completed a 10-min online survey following recruitment from mailing lists and social media. Being separated from and having conflicts with loved ones predicted both anxiety and depression, as did residing in a country with higher income. Getting medical treatment for severe symptoms of COVID-19 and having decreased work responsibilities predicted depression, but adjustment to working from home and younger age predicted both depression and anxiety. Participants from Europe and Central Asia reported higher depression than those from all other regions and higher anxiety than those from Latin America and the Caribbean. The COVID-19 pandemic has had serious deleterious effects on the mental health of older adults worldwide. The current findings have direct implications for mental health services that may be delivered to older adults to help facilitate healthy psychological adjustment.


Assuntos
COVID-19 , Pandemias , Idoso , Ansiedade/epidemiologia , Região do Caribe , Estudos Transversais , Depressão/epidemiologia , Europa (Continente) , Humanos , Saúde Mental , Pessoa de Meia-Idade , SARS-CoV-2
6.
Environ Monit Assess ; 193(6): 373, 2021 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-34061239

RESUMO

Water quality surveillance systems are hardly applied in rural contexts. To provide a comprehensive analysis of drinking-water quality in two rural settlements in the Colombian Caribbean drinking-water samples were collected and analyzed from storage containers in 42 homes. The results of physical, chemical, and microbiological analyses of the water samples were compared with values established by the World Health Organization (WHO) Guidelines for Drinking-water Quality, and Colombian regulations. The Kruskal-Wallis test was applied to compare each parameter for supply source, season (rainy or dry), settlement, and types of storage. Drinking-water Quality Risk Index (IRCA) was calculated for each of the samples. The water supply sources were varied: well (33.3%), rainwater (23.8%), artificial pond (23.8%), and river (19.0%). One-hundred percent of the samples contained Escherichia coli and total coliforms. The IRCA varied between 57.3 and 83.9, with a median of 72.9. Eighty-eight percent of the samples exhibited high risk levels (35.1 < IRCA < 80.0) and 12% were unsanitary (80.1 < IRCA < 100.0). Artificial pond water was the source of supply with the worst IRCA (83.79). Drinking water in the El Cascajo and La Delfina settlements does not meet international and national drinking-water standards. A change is required whereby monitoring and quality control policies take into account the reality of rural settings.


Assuntos
Água Potável , Qualidade da Água , Região do Caribe , Colômbia , Monitoramento Ambiental , Humanos , Microbiologia da Água , Abastecimento de Água
7.
Braz Oral Res ; 35(suppl 01): e052, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34076076

RESUMO

Robust epidemiological data allow for logical interventions taken in the interest of public health. Dental caries is a major public health problem driven by increased sugar consumption and various biological, behavioral, and psychosocial factors, and is known to strongly affect an individual's quality of life. This study aims to critically review epidemiological data on the prevalence of dental caries in Latin American and Caribbean countries (LACC) and its impact on the oral health-related quality of life (OHRQoL) of the population. Although the majority of national surveys did not include all age groups and several countries reported a reduction in the prevalence of cavitated carious lesions, most nations still exhibited a high burden of decayed teeth. OHRQoL evaluation was limited to children and older adults only, and was not included in any national survey. Study heterogeneity and methodological issues hindered comparison of evidence between studies and over time, and updating national level data on caries prevalence and its impact on OHRQoL should be prioritized in LACCs.


Assuntos
Cárie Dentária , Qualidade de Vida , Idoso , Região do Caribe/epidemiologia , Criança , Estudos Transversais , Cárie Dentária/epidemiologia , Humanos , América Latina/epidemiologia , Saúde Bucal , Prevalência
8.
Braz Oral Res ; 35(suppl 01): e053, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34076077

RESUMO

Identifying the risk factors for dental caries is vital in epidemiology and clinical practices for developing effective preventive strategies, both, at the individual and collective levels. Different causality/determination models have been proposed to understand the development process of dental caries. In the present review, we designed a model inspired by the world-known social determinants models proposed in the 90s and more recently in the 10s, wherein the contextual factors are placed more externally and encompass the individual factors. The contextual factors included those related to the cultural and societal values, as well as the social and health government policies. The individual factors were classified into the following categories: socioeconomic (social class, occupation, income, and education level), demographic characteristics (age, sex, and ethnicity), behavioral factors (non-use of fluoride dentifrice, sugar consumption, poor oral hygiene, and lack of preventive dental care), and biological factors (recent caries experience/active caries lesions, biofilm retentive factors, developmental defects of the enamel, disabilities, saliva amount and quality, cariogenic biofilm). Each of these variables was addressed, while focusing on the current evidence from studies conducted in Latin American and Caribbean countries (LACC). Based on the proposed model, educational aspects were addressed, and individual caries risk assessment and management decisions were proposed; further, implications for public health policies and clinical practice were described. The identification of modifiable risk factors for dental caries should be the basis for multi-strategy actions that consider the diversity of Latin American communities.


Assuntos
Cárie Dentária , Região do Caribe , Cárie Dentária/epidemiologia , Cárie Dentária/etiologia , Cárie Dentária/prevenção & controle , Fluoretos , Humanos , América Latina/epidemiologia , Fatores de Risco
9.
Braz Oral Res ; 35(suppl 01): e054, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34076078

RESUMO

Dental caries remains highly prevalent in Latin American and Caribbean countries (LACC). However, this disease can be controlled through interventions that implement evidence-based strategies in an affordable manner and that target all population groups instead of the most affluent only. Therefore, the aim of this report was to summarize the main scientifically documented community interventions and strategies based on restriction of sugars consumption, use of fluoride, and the use of occlusal sealants for caries control in LACC. A critical literature review was carried out in a systematic manner that included defined search strategies, independent review of the identified publications, and compilation of results in this report. Three systematic searches were conducted using the PubMed, LILACS, and SciELO databases to identify studies related to community interventions and strategies for caries control in LACC. Of the 37 publications identified, twenty-six focused on fluoride use, eight on occlusal sealant use, and three on the restriction of sugar consumption. Documented community interventions for sugars restriction were scarce in the region and were based on food supplementation, sugar replacement, and education. Thus, local and/or national policies should prioritize investment in upstream, coherent, and integrated population-wide policies such as taxes on sugary drinks and stronger regulation of advertising and promotion of sugary foods and drinks mainly targeting children. The main fluoride-based strategies used drinking water, refined domestic salt, cow milk, toothpaste and, to a lesser extent, mouth-rinses, acidulated phosphate fluoride (APF) gels, and varnishes to deliver fluoride to the population. Evidence of fluoride use was seen in Argentina, Belize, Bolivia, Brazil, Chile, Colombia, Costa Rica, Cuba, Dominican Republic, Ecuador, El Salvador, Guatemala, Haiti, Honduras, Mexico, Nicaragua, Panama, Paraguay, Peru, Uruguay, and Venezuela. Studies reporting the use of occlusal sealants were mainly located in Brazil, Chile, Colombia, Costa Rica, Peru, Mexico, and Venezuela. Community interventions restricting sugar consumption should be implemented at the individual level and through public policies. The use of fluoride must be monitored at the local, regional, and national levels so as to achieve maximum anti-caries effect while also minimizing the risk of dental fluorosis. Moreover, fluoridated water and salt programs, used as a mutually exclusive community level strategy for caries control, should expand their benefits to reach non-covered areas of the LACC while also simultaneously providing adequate surveillance of the fluoride concentration delivered to the population. Regulating the concentration of soluble fluoride (for anti-caries effect) in dentifrice formulations is also necessary in order to provide the population with an effective strategy for disease control. Targeting culturally appropriate, economically sustainable caries control interventions to rural populations and native ethnic groups such as indigenous people, quilombolas (African-origin), and riverside Amazonian people remains a crucial challenge.


Assuntos
Cariostáticos , Cárie Dentária , Argentina , Brasil , Região do Caribe , Cariostáticos/uso terapêutico , Criança , Chile , Colômbia , Cárie Dentária/epidemiologia , Cárie Dentária/prevenção & controle , Suscetibilidade à Cárie Dentária , Guatemala , Humanos , América Latina/epidemiologia , México , Nicarágua , Panamá , Peru , Uruguai
10.
Braz Oral Res ; 35(suppl 01): e055, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34076079

RESUMO

Caries management at the lesion level is dependent on the lesion activity, the presence of a cavitation (either cleanable or non-cleanable), and lesion depth as evaluated via radiographic examination. A variety of non-invasive, micro-invasive, and minimally invasive treatment (with or without restoration) options are available for primary and permanent teeth. Non-invasive strategies include oral hygiene instructions, dietary counseling, and personal as well as professional use of fluoridated products that reduce demineralization and increase re-mineralization. Micro-invasive procedures include the use of occlusal resin sealants and resin infiltrants, while minimally invasive strategies comprise those related to selective removal of caries tissues and placement of restorations. Deep caries management includes indirect pulp capping, while exposed pulp may be treated using direct pulp capping and partial or complete pulpotomy. The aim of the present study was to review available evidence on recommended preventive and restorative strategies for caries lesions in Latin American/Caribbean countries, and subsequently develop evidence-based recommendations for treatment options that take into consideration material availability, emphasize ways to adapt available treatments to the local context, and suggest ways in which dentists and health systems can adopt these treatments.


Assuntos
Cárie Dentária , Região do Caribe , Cárie Dentária/prevenção & controle , Capeamento da Polpa Dentária , Restauração Dentária Permanente , Humanos , América Latina , Pulpotomia
11.
Braz Oral Res ; 35(suppl 01): e056, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34076080

RESUMO

Dental caries can be effectively managed and prevented from developing into cavitated lesions while preserving tooth structure at all levels. However, the strong correlation between caries and socioeconomic factors may compromise the efficacy of preventive strategies. The high prevalence of persistent inequalities in dental caries in Latin American and Caribbean countries (LACC) is a matter of concern. The estimates of the burden of disease in some countries in this region are outdated or absent. This paper aims to summarize and present the final recommendations of a regional Consensus for Dental Caries Prevalence, Prospects, and Challenges for LACC. This consensus is based on four articles that were written by a team of Latin American experts, reviewed by dental associations, and presented and discussed in two consensus events. The following domains were explored: epidemiology, risk factors, prevention strategies, and management of dental caries with a focus on restorative procedures. Dental caries can manifest throughout the lifespan of an individual, making it a matter of concern for infants, children, adults, and older people alike. The prevalence rates of untreated caries in deciduous and permanent teeth are high in many parts of the world, including LACCs. Previous evidence suggests that the prevalence of dental caries in 12-year-olds is moderate to high in most Latin American countries. Moreover, the prevalence of treatment needs and dental caries in the adult and elderly population can also be regarded as high in this region. The risk/protective factors (e.g., sugar consumption, exposure to fluoride, and oral hygiene) probably operate similarly in all LACCs, although variations in the interplay of these factors in some countries and within the same country cannot be ruled out. Although salt and water fluoridation programs are implemented in many countries, there is a need for implementation of a surveillance policy. There is also room for improvement with regard to the introduction of minimal intervention techniques in practice and public health programs. Dental caries is a marker of social disadvantage, and oral health promotion programs and interventions aimed at reducing the burden of dental caries in LACCs must consider the complexity of the socioeconomic dynamics in this region. There is an urgent need to promote engagement of stakeholders, policymakers, medical personnel, universities, dental associations, community members, and industries to develop regional plans that enhance the oral health agenda for LACCs. A list of recommendations has been presented to underpin strategies aimed at reducing the prevalence and severity of dental caries and improving the quality of life of the impacted LACC population in the near future.


Assuntos
Cárie Dentária , Adulto , Idoso , Região do Caribe , Criança , Consenso , Cárie Dentária/epidemiologia , Cárie Dentária/prevenção & controle , Humanos , Lactente , América Latina/epidemiologia , Prevalência , Qualidade de Vida
12.
Braz J Biol ; 82: e240724, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34105649

RESUMO

Developing a captive breeding system for the widely hunted Caribbean species of opossum Didelphis marsupialis insularis can greatly aide in the management and conservation of this species in the neo-tropics. Although this species possesses ideal traits for captive breeding in this region (tolerance to high heat and humidity, high reproductive rate, and resistance to disease), challenges due to its aggressive behaviour and limited information on its breeding behaviour have prevented a system from being developed for this species. The present study describes a breeding system, and the reproductive behaviour of this species under captive conditions. Six (1 male; 5 females) adult opossums were maintained and managed for breeding over a ten (10) month period. Pouch litter sizes averaged 5±2.5 with a range of 2 to 8. Gestation length was found to be 13.25±0.96 days and 4 litters (n=23) were successfully weaned at 11-13 weeks. It was found that the male D. m. insularis exhibits behaviours of interest that can serve as indicators for receptivity of the female, and overall, that this species can be successfully reared and bred under captive conditions in the neo-tropics.


Assuntos
Didelphis , Comportamento Reprodutivo , Animais , Região do Caribe , Feminino , Tamanho da Ninhada de Vivíparos , Masculino , Gambás , Gravidez , Reprodução
13.
Braz J Biol ; 82: e237869, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34105674

RESUMO

Reproductive diseases have been well documented in domestic livestock such as sheep, goat, cattle and pigs. However, there is very little information on these diseases in the agouti (Dasyprocta leporina). The agouti is used for its meat in South America and the Caribbean. More recently, intensive farming of this animal is being practiced in the Neotropics. There is dearth of information on dystocia and vaginal prolapses in the agouti. This document reports on three cases of reproductive diseases in captive reared agoutis in Trinidad and Tobago. The first case was a female agouti weighing approximately 3 kg that was in the last stage of pregnancy, which was found dead in its cage. The vulva of the mother had the protruding hind-limbs of the fetus. Necroscopic evaluation of carcass revealed little fat tissue and the mother had two fetuses in the right horn of the uterus. Each fetus weighed approximately 200 g. The fetuses were well formed with fur, teeth and eyes. The placenta was attached to each fetus. The pathological findings suggested that dystocia resulted from secondary uterine inertia which was the cause of death of the adult female agouti. The second case was that of an adult female agouti weighing 2.5 kg. This female had given birth to an offspring three weeks prior and was observed to have had a vaginal prolapse. Surgery was performed and the prolapsed vagina was placed back into the pelvic cavity. Further to this intervention, the vagina prolapsed twice. Subsequent to the re-insertion of the vaginal tissue the agouti was euthanized. The third case was also that of a dystocia. However, the fetuses weighed 235 g and 165 g respectively and were in normal presentation, posture and positioning. The fetus however was unable to pass via the vagina and was trapped in the pelvic cavity. This caused secondary uterine inertia which was the cause of death. The causes of reproductive diseases in these cases are unknown but the feeding management and space allowance given to the agouti in late gestation may be contributing factors.


Assuntos
Dasyproctidae , Animais , Região do Caribe , Bovinos , Feminino , Gravidez , Ovinos , América do Sul , Suínos , Trinidad e Tobago
14.
Washington, D.C.; PAHO; 2021-06-14.
em Inglês | PAHO-IRIS | ID: phr-54285

RESUMO

The Pan American Health Organization, in recognition of the fundamental role of nursing and midwifery professionals in health systems, has published these reports to highlight the initiatives and contributions of these professionals with a focus on women's health. This publication helps to highlight the important work they do at different levels of care and professional settings, as well as the reality of women's health in the countries of the Region of the Americas. The related activities, stories, and cases illustrate the role of nursing and midwifery professionals in promoting universal access to health and universal health coverage, as well as their important contribution to health systems, universities, and schools in the countries of the Region.


Assuntos
Enfermagem , Tocologia , Gravidez , Saúde da Mulher , Serviços de Saúde da Mulher , Ginecologia , Serviços de Saúde , Pessoal de Saúde , Recursos Humanos de Enfermagem , Sistemas de Saúde , Saúde Pública , Cobertura Universal de Saúde , América , Região do Caribe
15.
Washington, D.C.; PAHO; 2021-06-11.
em Inglês, Espanhol | PAHO-IRIS | ID: phr-54284

RESUMO

Given the potential increase in cases of COVID-19 associated mucormycosis (CAM) in the Region of the Americas, the Pan American Health Organization / World Health Organization (PAHO/WHO) recommends that Member States prepare health services in order to minimize morbidity and mortality due to CAM.


Ante el potencial incremento de los casos de mucormicosis asociada a la COVID-19 (CAM) en la Región de las Américas, la Organización Panamericana de la Salud / Organización Mundial de la Salud (OPS/OMS) recomienda a los Estados Miembros preparar a los servicios de salud con el fin de minimizar la morbilidad y mortalidad por CAM.


Assuntos
Emergências , Regulamento Sanitário Internacional , Mucormicose , COVID-19 , Infecções por Coronavirus , Betacoronavirus , América , Região do Caribe , Emergências , Mucormicose , Infecções por Coronavirus , América , Região do Caribe
16.
COVID-19 Daily Updates
Artigo em Inglês | PAHO-IRIS | ID: phr-54279

RESUMO

SITUATION IN NUMBERS: Region of the Americas 69,690,628 cases; 1,831,222 deaths; 56 countries/areas/territories affected. | Global 175,477,208 cases; 3,797,227 deaths; 236 countries/areas/territories affected.


Assuntos
COVID-19 , Coronavirus , Infecções por Coronavirus , Betacoronavirus , Análise de Situação , Emergências , América , Região do Caribe
17.
COVID-19 Daily Updates
Artigo em Inglês | PAHO-IRIS | ID: phr-54278

RESUMO

SITUATION IN NUMBERS: Region of the Americas 69,519,254 cases; 1,826,772 deaths; 56 countries/areas/territories affected. | Global 175,105,159 cases; 3,787,387 deaths; 236 countries/areas/territories affected.


Assuntos
COVID-19 , Coronavirus , Infecções por Coronavirus , Betacoronavirus , Análise de Situação , Emergências , América , Região do Caribe
18.
COVID-19 Daily Updates
Artigo em Inglês | PAHO-IRIS | ID: phr-54277

RESUMO

SITUATION IN NUMBERS: Region of the Americas 69,331,998 cases; 1,821,875 deaths; 56 countries/areas/territories affected. | Global 174,702,678 cases; 3,775,879 deaths; 236 countries/areas/territories affected.


Assuntos
COVID-19 , Coronavirus , Infecções por Coronavirus , Betacoronavirus , Análise de Situação , Emergências , América , Região do Caribe
19.
COVID-19 Daily Updates
Artigo em Inglês | PAHO-IRIS | ID: phr-54276

RESUMO

SITUATION IN NUMBERS: Region of the Americas 69,131,242 cases; 1,816,357 deaths; 56 countries/areas/territories affected. | Global 174,259,789 cases; 3,764,129 deaths; 236 countries/areas/territories affected.


Assuntos
COVID-19 , Coronavirus , Infecções por Coronavirus , Betacoronavirus , Análise de Situação , Emergências , América , Região do Caribe
20.
COVID-19 Daily Updates
Artigo em Inglês | PAHO-IRIS | ID: phr-54228

RESUMO

SITUATION IN NUMBERS: Region of the Americas 68,932,684 cases; 1,810,788 deaths; 56 countries/areas/territories affected. | Global 173,826,669 cases; 3,749,515 deaths; 236 countries/areas/territories affected.


Assuntos
COVID-19 , Coronavirus , Infecções por Coronavirus , Betacoronavirus , Análise de Situação , Emergências , América , Região do Caribe
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