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1.
Chemosphere ; 286(Pt 1): 131545, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-34293563

RESUMO

Several studies have reported exposure of humans to various endocrine disrupting chemicals (EDCs) worldwide. However, there is a lack of data regarding EDC exposures in humans living in Southeast Asian countries, such as the Philippines. Hence, this study measured levels of 41 EDCs in women residing in the Greater Manila Area, home to the second largest city in Southeast Asia. Urine samples from women with versus without breast cancer were analyzed for 11 phthalate metabolites, 8 environmental phenols, and 10 bisphenols, while serum samples were analyzed for 12 perfluoroalkyl substances (PFAS). Out of the four groups of EDCs analyzed, PFAS were significantly associated with breast cancer (adjusted OR = 13.63, 95% CI: 3.24-94.88 p-trend = 0.001 for PFDoA; adjusted OR = 9.26, 95% CI 2.54-45.10, p-trend = 0.002 for PFDA; and adjusted OR = 2.66, 95% CI: 0.95-7.66, p-trend = 0.004 for PFHxA). Long-chain PFAS levels were positively correlated with age and were significantly higher in women from Region IV-A, a heavily industrialized region, than from the National Capital Region. Overall, this study showed baseline information regarding the level of EDCs in Filipinas, providing a glimpse of EDC exposure in women living in a megalopolis city in Southeast Asia.


Assuntos
Neoplasias da Mama , Disruptores Endócrinos , Poluentes Ambientais , Fluorcarbonetos , Neoplasias da Mama/induzido quimicamente , Neoplasias da Mama/epidemiologia , Feminino , Humanos , Filipinas
2.
BMC Health Serv Res ; 21(1): 1201, 2021 Nov 05.
Artigo em Inglês | MEDLINE | ID: mdl-34740342

RESUMO

BACKGROUND: To address the maldistribution of healthcare providers and the shortage of physicians in geographically isolated and disadvantaged areas of the Philippines, the Philippine National Rural Physician Deployment Program, or more commonly known as the Doctors to the Barrios (DTTB) program was established in 1993. However, as of 2011, only 18% of the DTTBs chose to stay in their assigned municipalities after their two-year deployment, termed retention. This study aims to identify the individual, local, work, national, and international factors affecting the retention of DTTBs in their assigned communities after their two-year deployment. METHODS: A descriptive, mixed-methods, explanatory design was used. For the quantitative part, the modified and updated Stayers Questionnaire was given to all current DTTBs present in a Continuing Medical Education session in the Development Academy of the Philippines. Descriptive statistics were then presented. For the qualitative part, individual, semi-structured key informant interviews were conducted in-person or via phone with current and alumni DTTBs from 2012 to 2019. Proceedings of the interviews were transcribed, translated, and analyzed thematically. RESULTS: 102 current DTTBs participated in the quantitative part of our study, while 10 current and former DTTBs participated in the interviews. Demographic factors and location, personal beliefs, well-being, friends and family dynamics, and perceptions about work were the individual factors identified to affect retention. Social working conditions, career development, and infrastructure, medical equipment, and supplies were among the work factors identified to affect retention. Geography, living conditions, local social needs, and technology were among the local factors identified to affect retention. Compensation, the recently signed Universal Healthcare Law, and Safety and Security were identified as national factors that could affect retention. International factors did not seem to discourage DTTBs from staying in their communities. CONCLUSIONS: A host of individual, work-related, local, national, and international factors influence the DTTB's decision to be retained in different, complex, interconnected, and dynamic ways. We also identified implementation issues in the DTTB program and suggested interventions to encourage retention.


Assuntos
Médicos , Serviços de Saúde Rural , Educação Médica Continuada , Humanos , Filipinas , População Rural
3.
J Med Invest ; 68(3.4): 400-403, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34759169

RESUMO

Here we report two siblings with ataxia and peripheral neuropathy. One patient showed head tremors. Genetic analysis revealed a mutation in the hepatic α-tocopherol transfer protein (α-TTP) gene (TTPA) on chromosome 8q13. They were diagnosed with ataxia with vitamin E deficiency which is firstly reported in the Philippines. As the symptoms of ataxia with vitamin E deficiency can be alleviated with lifelong vitamin E administration, differential diagnosis from similar syndromes is important. In addition, ataxia with vitamin E deficiency causes movement disorders. Therefore, a common hereditary disease in the Philippines, X-linked dystonia-parkinsonism, could be another differential diagnosis. The Philippines is an archipelago comprising 7,107 islands, and the prevalence of rare hereditary diseases among the populations of small islands is still unclear. For neurologists, establishing a system of genetic diagnosis and counseling in rural areas remains challenging. These unresolved problems should be addressed in the near future. J. Med. Invest. 68 : 400-403, August, 2021.


Assuntos
Irmãos , Deficiência de Vitamina E , Ataxia/genética , Humanos , Filipinas , Deficiência de Vitamina E/complicações , Deficiência de Vitamina E/diagnóstico , Deficiência de Vitamina E/genética
4.
Neurologist ; 26(6): 253-260, 2021 Nov 04.
Artigo em Inglês | MEDLINE | ID: mdl-34734903

RESUMO

BACKGROUND: The increasing stroke burden, inequity in the distribution of local neurologists, and the recent signing of the Universal Health Care Law in the Philippines provide compelling reasons for policy-makers to devise strategies to establish networks between primary care and stroke-ready hospitals. In this review, we explored the current literature and evidence that emphasized the roles of primary care providers (PCPs) and specialists, care transition, and telemedicine/teleneurology in various stages of stroke management. REVIEW SUMMARY: Clear delegation of stroke care responsibilities among PCPs and specialists is needed. Due to the limited number of specialists/neurologists, PCPs may contribute to addressing the insufficiency of community knowledge of acute stroke symptoms/risk factors, coordination with specialists and stroke-ready hospitals during acute stroke, and continuity of care during the poststroke stage. At present, the Philippines has only 49 stroke-ready hospitals; thus, an efficient and functional referral system for the care transition between the PCPs and specialists must be organized in our country. To provide remote access to expert stroke care for underserved areas and to increase thrombolysis utilization, the establishment of an effective telestroke system is indispensable. The empowerment of PCPs in teleneurology may assist in strengthening communication and networking with specialists with the ultimate goal of improving patient outcomes. CONCLUSIONS: In the era of Universal Health Care in the Philippines, the roles of PCP and specialists must be delineated. Increased access to stroke care through the establishment of networks among PCPs and stroke-ready hospitals (ie, via effective transition of care/teleneurology) must be prioritized especially in resource-constrained settings.


Assuntos
Acidente Vascular Cerebral , Telemedicina , Hospitais , Humanos , Filipinas , Atenção Primária à Saúde , Encaminhamento e Consulta , Acidente Vascular Cerebral/terapia
5.
Med J Malaysia ; 76(6): 783-791, 2021 11.
Artigo em Inglês | MEDLINE | ID: mdl-34806661

RESUMO

INTRODUCTION: Periodic benchmarking of the epidemiology of COVID-19 in the Association of Southeast Asian Nations (ASEAN) countries is critical for the continuous understanding of the transmission and control of COVID-19 in the region. The incidence, mortality, testing and vaccination rates within the ASEAN region from 1 January 2020 to 15 October 2021 is analysed in this paper. METHODS: COVID-19 data on cases, deaths, testing, and vaccinations were extracted from the Our World in Data (OWID) COVID-19 data repository for all the ten ASEAN countries. Comparative time-trends of the epidemiology of COVID-19 using the incidence rate, cumulative case fatality rate (CFR), delay-adjusted case fatality rate, cumulative mortality rate (MR), test positivity rate (TPR), cumulative testing rate (TR) and vaccination rate was carried out. RESULTS: Over the study period, a total of 12,720,661 cases and 271,475 deaths was reported within the ASEAN region. Trends of daily per capita cases were observed to peak between July and September 2021 for the ASEAN region. The cumulative case fatality rate (CFR) in Brunei, Cambodia, Indonesia, Laos, Malaysia, Myanmar, Philippines, Singapore, Thailand, and Vietnam, was of 0.9% (N=68), 2.2% (N=2,610), 3.5% (N=142,889), 0.1% (N=36), 1.2% (N=27,700), 4.0% (N=18,297), 1.6% (N=40,424), 0.1% (N=215), 1.7% (N=18,123), and 2.6% (N=21,043), respectively. CFR was consistently highest between January-June 2020. The cumulative mortality rate (MR) was 9.5, 13.7, 51.4, 0.2, 80.3, 32.4, 34.5, 1.6, 23.9 and 19.7 per 100,000 population, respectively. The cumulative test positivity rate (TPR) was 8.4%, 16.9%, 4.6%, 7.5%, 11.1%, 12.9%, 0.5%, 11.7%, and 3.6%, with the cumulative testing rate (TR) at 25.0, 90.1, 27.4, 917.7, 75.8, 177.8, 3303.3, 195.2, and 224.9 tests per 1,000 population in Cambodia, Indonesia, Laos, Malaysia, Myanmar, Philippines, Singapore, Thailand, and Vietnam, respectively. The percentage of population that completed vaccinations (VR) was 44.5%, 65.3%, 18.5%, 28.2%, 61.8%, 6.8%, 19.2%, 76.8%, 22.7%, and 10% in Brunei, Cambodia, Indonesia, Laos, Malaysia, Myanmar, Philippines, Singapore, Thailand, and Vietnam, respectively. CONCLUSION: In 2020, most countries in ASEAN had higher case fatality rates but lower mortalities per population when compared to the third quarter of 2021 where higher mortalities per population were observed. Low testing rates have been one of the factors leading to high test positivity rates. Slow initiation of vaccination programs was found to be the key factor leading to high incidence and case fatality rate in most countries in ASEAN. Effective public health measures were able to interrupt the transmission of this novel virus to some extent. Increasing preparedness capacity within the ASEAN region is critical to ensure that any future similar outbreaks can be dealt with collectively.


Assuntos
COVID-19 , Ásia Sudeste/epidemiologia , Humanos , Filipinas , SARS-CoV-2 , Tailândia
6.
BMC Res Notes ; 14(1): 422, 2021 Nov 23.
Artigo em Inglês | MEDLINE | ID: mdl-34814930

RESUMO

OBJECTIVES: Gold standard cause of death data is critically important to improve verbal autopsy (VA) methods in diagnosing cause of death where civil and vital registration systems are inadequate or poor. As part of a three-country research study-Improving Methods to Measure Comparable Mortality by Cause (IMMCMC) study-data were collected on clinicopathological criteria-based gold standard cause of death from hospital record reviews with matched VAs. The purpose of this data note is to make accessible a de-identified format of these gold standard VAs for interested researchers to improve the diagnostic accuracy of VA methods. DATA DESCRIPTION: The study was conducted between 2011 and 2014 in the Philippines, Bangladesh, and Papua New Guinea. Gold standard diagnoses of underlying causes of death for deaths occurring in hospital were matched to VAs conducted using a standardized VA questionnaire developed by the Population Health Metrics Consortium. 3512 deaths were collected in total, comprised of 2491 adults (12 years and older), 320 children (28 days to 12 years), and 702 neonates (0-27 days).


Assuntos
Autopsia , Adulto , Bangladesh , Causas de Morte , Criança , Humanos , Recém-Nascido , Filipinas , Inquéritos e Questionários
8.
Zootaxa ; 4996(2): 392-400, 2021 Jul 05.
Artigo em Inglês | MEDLINE | ID: mdl-34810521

RESUMO

A new species, Sophianus palawanensis sp. nov. (Hemiptera, Heteroptera, Miridae, Sophianini) is described from the Palawan Island in the Philippines. Photographs of the male habitus and genital structures, as well as detailed SEM micrographs of selected morphological structures, are presented. Trichobothrial patterns of Sophianini and their importance for the hypothesizing relationships within Isometopinae are discussed.


Assuntos
Hemípteros , Heterópteros , Distribuição Animal , Animais , Masculino , Microscopia , Filipinas
9.
Zootaxa ; 4995(2): 357-366, 2021 Jun 30.
Artigo em Inglês | MEDLINE | ID: mdl-34810566

RESUMO

Two new species of the genus Pheretima are described from Mt. Amuyao and Mt. Lamagan, Mountain Province, Philippines, namely Pheretima riparianensis sp. nov. and Pheretima bontocensis sp. nov. Both new species belong to the P. sangirensis species group characterized by having only one pair of spermathecal pores in 7/8. Pheretima riparianensis sp. nov. has distance between spermathecal pores 12 mm; copulatory bursae openings 0.11 circumference ventrally apart. Pheretima bontocensis sp. nov. has distance between spermathecal pores 1.4 mm; copulatory bursae openings 0.10 circumference ventrally apart.


Assuntos
Oligoquetos , Animais , Filipinas
10.
Zootaxa ; 5061(2): 383-391, 2021 Nov 04.
Artigo em Inglês | MEDLINE | ID: mdl-34810619

RESUMO

The catalogue of the genus Cereopsius Pascoe 1857 fauna of the Philippines is provided, with description of a new species, C. erasmus sp. nov. from Mindanao Island. Additional taxonomic and faunistic notes on the other Philippine species are added.


Assuntos
Besouros , Animais , Filipinas
11.
Zootaxa ; 5068(1): 81-98, 2021 Nov 15.
Artigo em Inglês | MEDLINE | ID: mdl-34810721

RESUMO

Two new species of Rhinogobius found in streams on central part of Palawan Island, Philippines are described. The two new species, Rhinogobius estrellae and Rhinogobius tandikan share unique transverse rows of sensory papillae on the cheek with Rhinogobius similis Gill, 1859, but differ from the latter in fin ray counts, arrangement of the scales, etc. The two new species are distinguished from each other by the pectoral-fin ray count, the longitudinal- and predorsal-scale counts, and colouration of the body. Rhinogobius estrellae new species and R. tandikan new species have been found allopatrically in a stream within Malatgao River system flowing into the Sulu Sea and in the Cayulo River flowing into the South China Sea, respectively. The Malatgao River system is the southernmost habitat of the genus Rhinogobius. Rhinogobius similis had been considered as the only member of the most basal lineage of this genus, but our mitochondrial genome analysis suggested that the two new species are additional members of this lineage. They are considered to be relicts of their common ancestor with R. similis, which probably had a wider distribution.


Assuntos
Perciformes , Animais , Peixes , Brânquias , Filipinas , Filogenia
12.
Zootaxa ; 5048(1): 58-76, 2021 Oct 05.
Artigo em Inglês | MEDLINE | ID: mdl-34810816

RESUMO

Examination of material from various Japanese localities clarified that the estuarine crab Ptychognathus glaber Stimpson, 1858 is possibly restricted to the Ogasawara Islands, Japan. Specimens from the Ryukyu Islands, thought to represent P. glaber, actually represent P. lipkei N.K. Ng, 2010 instead, previously known only from Cebu, the Philippines. Ptychognathus glaber is redescribed in detail, and differentiating characters between it and P. lipkei are reassessed. Previous literature records of P. glaber are reviewed in the light of our findings. Genetic analysis using partial sequences of the mitochondrial 16S rRNA gene suggests that P. glaber is genetically closer to P. ishii Sakai, 1939 than to P. lipkei, and thus P. ishii is also compared morphologically with P. glaber.


Assuntos
Braquiúros , Animais , Braquiúros/genética , Ilhas , Japão , Filipinas , RNA Ribossômico 16S/genética , Águas Salinas
13.
Zootaxa ; 5047(4): 465-476, 2021 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-34810833

RESUMO

A new genus from the Philippines, Philippistenia, is proposed to gather three species previously allocated in Distenia (Distenia) Lepeletier Audinet-Serville, 1828: Philippistenia heterotarsalis (Heller, 1923) comb. nov.; P. levitemporalis (Heller, 1924) comb. nov.; and P. halconensis (Vives, 2012) comb. nov. Distenia samarensis Villiers, 1959 is proposed as a junior synonym of P. heterotarsalis. Photographs of Philippistenia species are provided. A key to species of the new genus is proposed and the male terminalia are illustrated. Notes on the localization of the type material of Distenia heterotarsalis and Distenia levitemporalis are provided and lectotypes are designated for both species. Additionally, the geographical distribution of the species is expanded.


Assuntos
Besouros , Distribuição Animal , Animais , Masculino , Filipinas
14.
Zootaxa ; 5051(1): 68-93, 2021 Oct 12.
Artigo em Inglês | MEDLINE | ID: mdl-34810906

RESUMO

We propose and describe a new genus of interstitial Paramesochridae, Maliithipon gen. nov., to accommodate three species. Maliithipon wellsi sp. nov., type species of the genus, is described based on specimens collected in two sandy beaches in Isla Verde, the Philippines. Apodopsyllus aberrans Mielke, 1984a described from Panama, is allocated to the herein erected genus as Maliithipon aberrans (Mielke, 1984a) comb. nov. Maliithipon cf. aberrans is described, based on specimens collected in the Azores and previously identified as Apodopsyllus aberrans. The new genus is characterized by several distinct morphological features: mandible with uniramous, 2-segmented palp and gnathobase with thin and pointed teeth; maxillule with reduced armature, lacking endopod and exopod; maxilla large, with three syncoxal endites and endopod with reduced setal number; P5 very reduced in both sexes; caudal rami with six setae, two of which (setae III and VI) transformed; pseudoperculum well-developed, with four-lobed distal margin. The new genus is included in the subfamily Paramesochrinae Lang, 1944 and in the genus-group Scottopsyllus (sensu Huys, 1987). It has strong affinities with Leptopsyllus (Leptopsyllus) platyspinosus Mielke, 1984b and Wellsopsyllus (Intermediopsyllus) smirnovi (Kunz, 1992), which are considered as species inquirendae in this paper. Some remarks on the ecology and geonemy of the three studied species are provided. We also list the accompanying Paramesochridae obtained from the two new collecting sites of the genus, and all the genera of Paramesochridae recorded from other sites in the Philippines during the same survey.


Assuntos
Copépodes , Animais , Açores , Feminino , Masculino , Panamá , Filipinas
15.
Zootaxa ; 5040(1): 33-65, 2021 Sep 20.
Artigo em Inglês | MEDLINE | ID: mdl-34811055

RESUMO

The intertidal serpulid polychaete Spirobranchus kraussii was originally described from South Africa and has since been reported in numerous sub (tropical) localities around the world. Recently, however, S. kraussii was uncovered as a complex of morphologically similar and geographically restricted species, raising the need to revise S. cf. kraussii populations. We formally describe S. cf. kraussii from Singapore mangroves as Spirobranchus bakau sp. nov. based on morphological and molecular data. Despite their morphological similarities, Maximum Likelihood and Bayesian Inference analyses of 18S and Cyt b DNA sequence data confirm that S. bakau sp. nov. is genetically distinct from S. kraussii and other known species in the complex. Both analyses recovered S. bakau sp. nov. as part of a strongly supported clade (96% bootstrap, 1 posterior probability), comprising S. sinuspersicus, S. kraussii and S. cf. kraussii from Australia and Hawaii. Additionally, paratypes of S. kraussii var. manilensis, described from Manila Bay in the Philippines, were examined and elevated to the full species S. manilensis. Finally, we tested the hypothesis that fertilisation and embryonic development of S. bakau sp. nov. can occur under the wide range of salinities (19.630.9 psu) and temperatures (2531C) reported in the Johor Strait. Fertilisation success of ≥70% was achieved across a temperature range of 2532C and a salinity range of 2032 psu. Embryonic development, however, had a narrower salinity tolerance range of 2732 psu. Clarifying the taxonomic status of S. cf. kraussii populations reported from localities elsewhere in Singapore and Southeast Asia will be useful in establishing the geographical distribution of S. bakau sp. nov. and other members of the S. kraussii-complex.


Assuntos
Poliquetos , Animais , Teorema de Bayes , Filipinas , Filogenia , Singapura
16.
Environ Monit Assess ; 193(12): 847, 2021 Nov 27.
Artigo em Inglês | MEDLINE | ID: mdl-34839394

RESUMO

Pharmaceutical and personal care products (PPCPs) recently defined as emerging pollutants that widespread in surface water all around the world. This study investigated the distribution, and ecological risk of PPCPs in urban rivers of Hanoi, Vietnam, and Metro Manila, the Philippines. Of the 56 investigated PPCPs, 48 and 33 compounds were detected in the river water in Hanoi and in Metro Manila, respectively. The individual PPCP concentrations ranged from a few ng L-1 to thousands of ng L-1. The total concentration of PPCPs detected in water samples ranged from 7.5 to 20,789 ng L-1 in Hanoi and 118 to 3,394 ng L-1 in Manila. The predominant antibiotics was sulfamethoxazole detected in 27/28 samples with a maximum concentration up to 2,778 ng L-1 in Hanoi and presented in all samples with a maximum concentration up to 261 ng L-1 in Metro Manila. In Hanoi, the level of PPCPs in urban canals of Kim Nguu and To Lich Rivers was as high as that detected in domestic wastewater. The PPCP concentrations in tributaries and mainstream were lower than those found in urban canals. In rivers of both sites, PPCPs tended to increase along the stream. The concentration ratio of the labile marker caffeine to recalcitrant marker carbamazepine indicated that untreated domestic wastewater is the significant source of PPCPs in river water in Hanoi and Metro Manila. The ecological risk estimated by the risk quotient of the obtained maximum residue of PPCPs in investigated river water predicted a high risk of PPCPs to the aquatic organism in both Hanoi and Manila.


Assuntos
Cosméticos , Preparações Farmacêuticas , Poluentes Químicos da Água , China , Cosméticos/análise , Monitoramento Ambiental , Filipinas , Rios , Poluentes Químicos da Água/análise
17.
Acta Neurol Taiwan ; 30(3): 94-101, 2021 Sep 30.
Artigo em Inglês | MEDLINE | ID: mdl-34841504

RESUMO

OBJECTIVE: Presently, there are no epidemiologic data on the prevalence of movement disorders in the Philippines. We aim to describe the most common phenomenologies and movement disorders in two specialty centers in Metro Manila dedicated to movement disorders. METHODS: We investigated the clinical spectrum and etiologies of movement disorders referred to our centers from January 2007-December 2019 using a standardized collection form. RESULTS: A total of 1438 patients presenting with complaints relating to movement disorders were evaluated between 2007 to 2019. There were 770 (53.5%) men. The mean age was 57.1 ± 17.9 years. The most common movement disorders were parkinsonism (n=677, 47.1%), myoclonus (n=212, 14.7%) and tremor (n=208, 14.5%). The least common was restless legs syndrome (n=4, 0.3%). There were 78 (37.7% of total dystonia cases) X-linked dystonia-parkinsonism patients referred to our clinic. Majority of the botulinum toxin injections were for hemifacial spasms (n=206). A small number of patients (n=41) were also seen at the center for deep brain stimulation programming. CONCLUSION: The most common movement disorders managed were parkinsonism, myoclonus and tremor. The most common diagnoses were Parkinson's disease, hemifacial spasm and essential tremor. This study highlights the spectrum of movement disorders encountered in two specialty clinics in two Philippine tertiary hospitals. Given these varied cases, there is also a need for more movement specialists and centers dedicated to movement disorders to manage these cases.


Assuntos
Distonia , Distúrbios Distônicos , Transtornos dos Movimentos , Transtornos Parkinsonianos , Adulto , Idoso , Humanos , Masculino , Pessoa de Meia-Idade , Transtornos dos Movimentos/epidemiologia , Transtornos dos Movimentos/terapia , Filipinas/epidemiologia
18.
Int Marit Health ; 72(3): 183-192, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34604987

RESUMO

This narrative review examines current academic literature on the mental health of Filipino seafarers working internationally, including the mental health effects of coronavirus disease 2019 (COVID-19). Framed within a rights-based approach, it aims to identify and analyse emerging themes on Filipino seafarers' mental health literature to understand what these studies potentially mean for the improvement of seafarers' education on mental health. Based on a broad selection criteria, 28 eligible papers demonstrate collectively three key findings: firstly, there is paucity in published research on seafarers' mental health; secondly, the majority of published studies are associated with a recent piracy crisis, where a significant number of mariners were attacked, taken as hostages, or killed; thirdly, three key areas emerged under which research on Filipino seafarers' mental health can be organized: the medical repatriation of seafarers, system of care for the mental health of seafarers including the diagnostic standards used, and seafarers' experiences and conceptions of mental health including the mental health effects of COVID-19. Though the bulk of the current understanding of the mental health problems is associated with piracy, several risk factors for which the quality of quantitative and qualitative evidence are patchy. The few sources of primary data to date lack focus on mental health needs which makes it difficult to grasp the extent of the problem. Developing policies and programmes for the promotion of mental health through mental health education among seafarers is important for a couple of reasons. Seafaring remains a dangerous and socially isolating occupation where work-related accidents are likely and will be potentially traumatic to mariners. Research on occupational stressors is increasingly providing evidence of their contributions to poor mental health outcomes among seafarers. Thus, mental health education of seafarers in the context of their work is important for proactive training and development.


Assuntos
COVID-19/psicologia , Saúde Mental/educação , Medicina Naval/métodos , Crime/psicologia , Humanos , Transtornos Mentais/diagnóstico , Transtornos Mentais/epidemiologia , Saúde do Trabalhador , Estresse Ocupacional , Filipinas/etnologia , Navios
19.
Artigo em Inglês | MEDLINE | ID: mdl-34639257

RESUMO

(1) Background: Coronavirus disease 2019 (COVID-19) has spread rapidly worldwide. Uniformed nurses have played a critical role during the COVID-19 pandemic in the Philippines; however, uptake of literature is limited. This study assessed the relationship between quality of nursing work life (QNWL) and nurses' attitudes and practices during the COVID-19 pandemic. (2) Methods: A descriptive cross-sectional design was used. Participants were recruited from four government hospitals in the Manila metropolitan area of the Philippines. Participants completed three questionnaires in an online survey: a demographic questionnaire, a QNWL questionnaire, and the attitude and practices toward COVID-19 questionnaire. Descriptive statistics, an independent t-test, a one-way analysis of variance, the Pearson correlation coefficient, and hierarchical linear regression were applied for data analysis. (3) Results: The mean age of the participants was 29 years. Most of the participants were single women who were not certified in their specialties. A total of QNWL scores were high, indicating that the participants displayed favorable attitudes and practices in relation to COVID-19. A statistically significant relationship was observed between QNWL, specialty certification, and practices related to COVID-19. Practices related to COVID-19 were a significant predictor of QNWL and one of its subscales, work design. (4) Conclusion: Young adult uniformed nurses in the Philippines have assumed numerous responsibilities during the COVID-19 pandemic. Providing these frontline nurses with comprehensive specialized education and training is crucial.


Assuntos
COVID-19 , Enfermeiras e Enfermeiros , Adulto , Atitude , Estudos Transversais , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Pandemias , Filipinas , SARS-CoV-2 , Inquéritos e Questionários , Adulto Jovem
20.
Artigo em Inglês | MEDLINE | ID: mdl-34639285

RESUMO

The objective of this study was to evaluate the efficacy of an in-service, short-term training program in improving the attitudes toward, and readiness and activities for collaboration among community health workers (CHWs) in a primary care setting in the Philippines. A randomized controlled trial was adopted dividing participants into an intervention (n = 42) and a control group (n = 39). Attitudes toward, and readiness and activities for collaboration were measured using three standardized scales before and at 6 months after the training. A significant difference (p < 0.001) was observed in the Attitudes Toward Health Care Teams Scale (ATHCTS) scores between pre- and post-test in the intervention (6.3 ± 8.3 [Mean ± SD]) and control groups (0.7 ± 8.2). Multivariate linear regression analysis showed an independent positive association between the intervention and greater improvement in the ATHCTS score (Coefficient ß = 6.17; 95% CI = 0.82, 11.53; p = 0.03) at follow-up, after adjustment for age, years in current occupation, and social support role of participants. The results demonstrated the efficacy of the intervention for improving the attitudes of CHWs toward collaborative practice in the care of older adults.


Assuntos
Atitude do Pessoal de Saúde , Agentes Comunitários de Saúde , Idoso , Humanos , Capacitação em Serviço , Filipinas , Atenção Primária à Saúde
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