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1.
Indian J Psychiatry ; 62(Suppl 3): S492-S494, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-33227069

RESUMO

Background: The unique aspects of the global situation with respect to the 2019 novel coronavirus disease (COVID-19) pandemic places a significant burden on health and mental health services. During this period, there has been an increased demand in mental health-care services, whose prepandemic access was lower than necessary in many developing countries and is currently limited by international social distancing recommendations and protocols. Aim: This study aims to determine the effectiveness of teleconsultation use to increase access to mental health services, provided by volunteer staff during the quarantine of the COVID-19 pandemic in the Dominican Republic. Materials and Methods: A special telephone service was enabled, organized by different governmental and private entities, in addition, it was published a list of telephone numbers of a team of volunteers consisting of 598 psychologists and seventy psychiatrists, who interacted from March 25 to May 17 with people who needed their help using calls, video calls, and electronic messaging services. After providing mental healthcare, each volunteer completed an online form to record relevant consultation data provided with a total of 6800 interventions to date. Results: Nearly 67.3% of the interventions were requested by women. About 77.8% were adults between the ages of 18 and 59. 27.1% of the interventions were requested by people who worked as health personnel. Forty-six percent of the interventions were requested by people living in the province of Santo Domingo and 4.8% by people living outside the country. Of the interventions, 43% reported anxiety, 26%, sleep problems, 15%, depression, and 2% reported behaviors related to suicide. Of all the interventions, 5.3% required referral to a crisis intervention unit for face-to-face follow-up. Conclusions: The enablement of this teleconsultation model and the number of interventions made during this period of the COVID-19 pandemic, suggests that access to mental healthcare in the Dominican Republic has increased. Problems with anxiety, sleep, and depression are common during the COVID-19 pandemic. Only a small group of patients have needed to be referred for face-to-face care, demonstrating that teleconsultation has been an effective tool.

2.
Santo Domingo; OPS; 2020-10-19. (DOR/COVID-19/20-001).
em Espanhol | PAHO-IRIS | ID: phr2-52882

RESUMO

La Representación de la Oganización Panamericana de la Salud en la República Dominicana ha trabajado en coordinación con las autoridades nacionales desde la emisión de la alerta de emergencia sanitaria internacional emitida por la Organización Mundial de la Salud el 30 de enero del 2020. En este documento se presentan las medidas adoptadas por el país en el período de enero a septiembre para hacer frente a la pandemia.


Assuntos
Infecções por Coronavirus , República Dominicana , Cooperação Técnica , Epidemias , Pandemias , Planos de Contingência , Coronavirus , Saúde Pública , Infecções por Coronavirus
3.
s.l; Organización Panamericana de la Salud; oct. 31, 2020. 12 p.
Não convencional em Espanhol | LILACS | ID: biblio-1129657

RESUMO

Al 31 de octubre, el país ha reportado 127,332 casos confirmados y 2, 249 fallecimientos. Asimismo, permaneciendo 19,794 casos activos. La ocupación hospitalaria muestra un 20% de ocupación de camas COVID-19, 33% de camas UCI y 21% de ventiladores. Se reportan 654 trabajadores de la salud positivos para COVID-19. Además, 247 embarazadas y 12,025 menores de 18 años. Las muestras procesadas acumuladas, incluyendo los casos positivos y negativos al SARS-CoV-2, es de 598,728; esta cifra corresponde a 57,303 pruebas por millón de habitantes. Las tres provincias que registran la mayor cantidad de casos son Distrito Nacional (33,243); Santo Domingo (25,560) y Santiago (14,084). Se registra 215.25 de mortalidad por millón de habitantes y una tasa de letalidad de 1.77%. El 32.81% de los fallecidos presentó hipertensión como comorbilidad, mientras que un 20.99% registró diabetes.


Assuntos
Humanos , Pneumonia Viral/epidemiologia , Infecções por Coronavirus/epidemiologia , Pandemias/estatística & dados numéricos , República Dominicana/epidemiologia
4.
Washington; Organización Panamericana de la Salud; Oct. 2020. 44 p.
Não convencional em Espanhol | LILACS | ID: biblio-1127582

RESUMO

La Representación en la República Dominicana trabajó en coordinación con las autoridades nacionales desde la emisión de la alerta de emergencia sanitaria internacional emitida por la OMS el 30 de enero, colaborando en las acciones de preparación ante lo que en ese momento era una eventual epidemia. Para el 1 de marzo de 2020, el país reportó el primer caso de COVID-19, convirtiéndose en el cuarto país de América Latina en confirmar un caso en su territorio. Diez días después, el 11 de marzo, la OMS caracteriza la COVID-19 como una pandemia debido al incremento de casos confirmados y fallecidos en más de 100 países. En este contexto, los esfuerzos de cooperación técnica se concentraron en la elaboración del Plan de Contingencia ante Enfermedad por Coronavirus (COVID-19), el cual tuvo como referencia las líneas de acción planteadas en el Plan estratégico de preparación y respuesta para la enfermedad por coronavirus 2019 (COVID-19).


Assuntos
Pneumonia Viral/diagnóstico , Pneumonia Viral/epidemiologia , Isolamento Social , Quarentena/organização & administração , Infecções por Coronavirus/diagnóstico , Infecções por Coronavirus/epidemiologia , Pandemias/prevenção & controle , Monitoramento Epidemiológico , Betacoronavirus , Unidades de Terapia Intensiva/estatística & dados numéricos , República Dominicana/epidemiologia
5.
s.l; Organización Panamericana de la Salud; Oct. 8, 2020. 16 p.
Não convencional em Espanhol | LILACS | ID: biblio-1122282

RESUMO

Al 30 de septiembre, el país ha reportado 112,728 casos confirmados y 2,108 fallecimientos. La ocupación hospitalaria muestra un 23% de ocupación de camas COVID-19, 33% de camas UCI y 24% de ventiladores. Se reportan 403 trabajadores de la salud positivos para COVID-19. Las muestras procesadas acumuladas, incluyendo los casos positivos y negativos al SARS-CoV-2, es de 481,002. Las tres provincias que registran la mayor cantidad de casos son Distrito Nacional (30,625); Santo Domingo (23, 120) y Santiago (12,604). Se registra 201.75 de mortalidad por millón de habitantes y una tasa de letalidad de 1.87%. El 34.16% de los fallecidos presentó hipertensión como comorbilidad, mientras que un 21.92% se registró diabetes. El Ministerio de Defensa mantiene la habilitación de 12 centros de cuarentena utilizados para el aislamiento de viajeros.


Assuntos
Humanos , Pneumonia Viral/epidemiologia , Infecções por Coronavirus/epidemiologia , Pandemias/estatística & dados numéricos , Betacoronavirus , República Dominicana/epidemiologia
6.
Am J Trop Med Hyg ; 103(6): 2343-2346, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33094710

RESUMO

Seroprevalence surveys are of utmost importance to assess the proportion of a population that has developed antibodies against a newly introduced virus and could therefore potentially exhibit immunologic protection against subsequent infection. This study aims to understand the distribution of IgM and IgG antibodies in the Dominican Republic. We surveyed a total of 12,897 participants between April and June 2020 in 10 provinces of the Dominican Republic. Survey efforts in emerging hotspots yielded a positivity for all participants of anti-SARS-CoV-2 IgM of 3.8% and IgG of 5.4%, indicating that the pathogen was in circulation before the identification of those particular communities as hotspots. We found important age differences between participants who participated in the serological study where a higher mean age is associated IgM positivity and a lower age with IgG positivity. Our results highlight the need for strategies that involve community-based seroprevalence monitoring. These should preclude syndromic case identification. Also, the higher mean age of IgM-positive participants suggests that strategies based on syndromic surveillance could identify hotspots at later phases, based on the number of cases detected at the healthcare center, as such community-based seroprevalence monitoring may be an effective intervention for future outbreaks.


Assuntos
Anticorpos Antivirais/sangue , Imunoglobulina G/sangue , Imunoglobulina M/sangue , Pandemias , /imunologia , Adolescente , Adulto , Fatores Etários , /imunologia , Criança , Pré-Escolar , República Dominicana/epidemiologia , Monitoramento Epidemiológico , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Pessoa de Meia-Idade , Estudos Soroepidemiológicos
7.
Rev. psicol. clín. niños adolesc ; 7(3): 35-41, sept. 2020. tab
Artigo em Espanhol | IBECS | ID: ibc-195037

RESUMO

La pandemia debida al COVID-19 ha supuesto un gran impacto a nivel mundial. El objetivo general del presente estudio es analizar el impacto psicológico durante el confinamiento en la adolescencia y adultez emergente. La muestra fue de conveniencia (n = 399), residentes en España y República Dominicana (RD). El rango de edad abarca desde los 12 hasta los 29 años (M = 22.57; DT = 3.67). La evaluación se realizó en línea, con los siguientes instrumentos: una encuesta ad hoc para medir las variables sociodemográficas, Fear of COVID-19 Scale (Escala de Miedo al COVID-19), Impact of Event Scale-Revised (Escala del Impacto de Eventos Estresantes Revisada), The Brief Coping Orientation to Problems Experience (Inventario breve de afrontamiento) y Strengths and Difficulties Questionnaire (Cuestionario de Capacidades y Dificultades). Los resultados muestran diferencias según el grupo de edad, sexo y residencia. Los adultos presentaron más miedo al COVID-19 (p < .05) y estrés agudo que los adolescentes (p < .01), las mujeres más miedo y estrés que los hombres (p < .01) y los residentes de RD más miedo a la enfermedad que los de España (p < .01). El análisis de regresión lineal mostró que el miedo a la enfermedad fue un buen predictor del estrés agudo. En conclusión, se sugiere ampliar el estudio en estas poblaciones ante situaciones de estrés, concretamente la derivada del COVID-19, que permitan la prevención de estrés agudo y entrenamiento en estrategias de afrontamiento adaptativas frente a situaciones de crisis


The aim of this study is to analyze the psychological impact during confinement on adolescents and emerging adults. The convenience sample is composed by (n = 399) residents of Spain and the Dominican Republic (DR). The age range is 12 to 29 years old (M = 22.57; SD = 3.67). The assessment was conducted online, with the following instruments: an ad hoc survey to measure socio-demographic variables, Fear of COVID-19 Scale, Impact of Event Scale-Revised, The Brief Coping Orientation to Problems Experience and Strengths and Difficulties Question-naire. The results show differences by age, sex and residence. Adults reported more fear of COVID-19 (p < .05) and acute stress than adolescents (p < .01), more fear and stress in women than men (p < .01) and more fear to the disease in residents of the DR than in Spain (p < .01). Linear regression analysis showed that fear of COVID-19 was a good predictor of acute stress. In conclusion, it is suggested to expand the study in these populations in situations of stress, specifically the one derived from COVID-19, that allow the prevention of acute stress and training in adaptive coping strategies in the face of crisis situations


Assuntos
Humanos , Masculino , Feminino , Criança , Adolescente , Adulto Jovem , Adulto , Medo/psicologia , Infecções por Coronavirus/psicologia , Quarentena/psicologia , Sintomas Afetivos/psicologia , Ansiedade/psicologia , Depressão/psicologia , Estresse Psicológico/psicologia , Adaptação Psicológica , Espanha , República Dominicana , Distribuição por Idade e Sexo , Pandemias/estatística & dados numéricos , Distância Social , Transmissão de Doença Infecciosa , Psicometria/estatística & dados numéricos
8.
Environ Res ; 191: 109938, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-32858479

RESUMO

We have evaluated the spread of SARS-CoV-2 through Latin America and the Caribbean (LAC) region by means of a correlation between climate and air pollution indicators, namely, average temperature, minimum temperature, maximum temperature, rainfall, average relative humidity, wind speed, and air pollution indicators PM10, PM2.5, and NO2 with the COVID-19 daily new cases and deaths. The study focuses in the following LAC cities: Mexico City (Mexico), Santo Domingo (Dominican Republic), San Juan (Puerto Rico), Bogotá (Colombia), Guayaquil (Ecuador), Manaus (Brazil), Lima (Perú), Santiago (Chile), São Paulo (Brazil) and Buenos Aires (Argentina). The results show that average temperature, minimum temperature, and air quality were significantly associated with the spread of COVID-19 in LAC. Additionally, humidity, wind speed and rainfall showed a significant relationship with daily cases, total cases and mortality for various cities. Income inequality and poverty levels were also considered as a variable for qualitative analysis. Our findings suggest that and income inequality and poverty levels in the cities analyzed were related to the spread of COVID-19 positive and negative, respectively. These results might help decision-makers to design future strategies to tackle the spread of COVID-19 in LAC and around the world.


Assuntos
Poluição do Ar , Clima , Infecções por Coronavirus , Pandemias , Pneumonia Viral , Pobreza , Argentina/epidemiologia , Betacoronavirus , Brasil , Região do Caribe , Chile , Cidades , Colômbia , República Dominicana , Equador , Humanos , Renda , América Latina , México , Peru
9.
Washington, D.C.; PAHO; 2020-08-05. (PAHO/FPL/IM/COVID-19/20-0013).
Não convencional em Inglês | PAHO-IRIS | ID: phr-52544

RESUMO

Both the World Health Organization (WHO) and the Pan American Health Organization (PAHO) have recommended that uninterrupted vaccination be maintained as an essential health service. To this end, PAHO's Comprehensive Family Immunization Unit of the Family, Health Promotion, and Life Course Department has worked assiduously with the countries of the Region to maintain sound national immunization programs on several fronts, such as the preparation of documents and guidelines for continuing vaccination in the context of COVID-19; monitoring the disease’s impact on vaccination coverage; assessing the effects of the postponement of measles vaccination campaigns (Plurinational State of Bolivia, Colombia, Dominican Republic, Honduras, Paraguay) due to the pandemic; and strengthening vaccination against seasonal influenza. The data presented in this publication were collected through a survey, sent every two weeks to IM focal points and advisors in the at PAHO country offices in the Region. The SurveyMonkey virtual platform was used and the data were analyzed with MS Excel tools. All the variables included in the survey were described using the appropriate univariate statistics. Categorical variables were described using proportions and percentages. Ordinal variables were described using the mean and median. Work has also been carried out to monitor the functioning of immunization services and the main problems they face because of the pandemic. To date, five-country surveys have been conducted; the first was sent out on 16 April, the last on 6 July. This document summarizes the surveys' main findings and developments. The responses in this report represent the opinions of survey participants, and do not represent reports officially sent or solicited by PAHO; the data should, therefore, be interpreted with caution.


Assuntos
Coronavirus , Infecções por Coronavirus , Imunização , Cobertura Vacinal , Prioridades em Saúde , Serviços de Saúde , Bolívia , Colômbia , República Dominicana , Honduras , Paraguai
10.
s.l; Organización Panamericana de la Salud; ago. 7, 2020.
Não convencional em Espanhol | LILACS | ID: biblio-1117099

RESUMO

De los 77,709 casos confirmados acumulados, 35,057 son casos activos, de los cuales, 6,612 se encuentran en aislamiento hospitalario y 28,445 en aislamiento domiciliario. Se reportan 260 trabajadores de la salud positivos para COVID-19. De los casos hospitalizados, 305 casos se encuentran en Unidad de Cuidados Intensivos, 42.29% en centros del Gran Santo Domingo, 27.21% en Santiago y 13.11% en Duarte. Las muestras procesadas acumuladas, incluyendo los casos positivos y negativos al SARS-CoV-2, es de 286,128. El 70.85% de los casos confirmados se concentra en 12 municipios, siendo las tres provincias más afectadas, Distrito Nacional (22,164), Santo Domingo (17,456) y Santiago (7,472). Por lugar de residencia, el 73.87% (930) de los fallecidos corresponden a 12 municipios, siendo los tres con más fallecimientos reportados: Santo Domingo (316); Distrito Nacional (241); y Santiago (164). De los 12 centros de cuarentena utilizados para el aislamiento de viajeros, a la fecha cuentan con 323 personas civiles y 24 del cuerpo militar para un total de 347 personas que ocupan estos centros.


Assuntos
Humanos , Pneumonia Viral/epidemiologia , Infecções por Coronavirus/epidemiologia , Pandemias/estatística & dados numéricos , Betacoronavirus , República Dominicana/epidemiologia
11.
Ann Glob Health ; 86(1): 69, 2020 06 29.
Artigo em Inglês | MEDLINE | ID: mdl-32676298

RESUMO

Several characteristics of refugee and migrant populations make them susceptible to acquire COVID-19. To fully understand the impact of COVID-19 on refugees and migrants in the Americas, it is important to consider the broader geopolitical context and appreciate the differences among migratory groups. There are three migrant groups in the Americas that are particularly susceptible to COVID-19: Central American migrants at the northern Mexico border, Venezuelans within South America, and Haitians in the Dominican Republic. Refugees and displaced migrants are the world's collective responsibility, and thus, it would be imprudent to displace their care to resource constrained developing nations.


Assuntos
Infecções por Coronavirus/epidemiologia , Pneumonia Viral/epidemiologia , Refugiados , Migrantes , Betacoronavirus , América Central/etnologia , Países em Desenvolvimento , República Dominicana/epidemiologia , Haiti/etnologia , Humanos , México/epidemiologia , Pandemias , América do Sul/epidemiologia , Venezuela/etnologia , Populações Vulneráveis
12.
s.l; Organización Panamericana de la Salud; jul. 31, 2020. 15 p.
Não convencional em Espanhol | LILACS | ID: biblio-1122281

RESUMO

En un período de 31 días, el país ha reportado 69,649 casos confirmados y 1,160 fallecimientos. 32,019 son casos activos, de los cuales, 5,395 se encuentran en aislamiento hospitalario y 26,624 en aislamiento domiciliario.nSe reportan 260 trabajadores de la salud positivos para COVID-19. De los casos hospitalizados, 284 casos se encuentran en unidad de cuidados intensivos, 41.55% en centros del Gran Santo Domingo, 29.58% en Santiago y 16.55% en Duarte. Las muestras procesadas acumuladas, incluyendo los casos positivos y negativos al SARS-CoV-2, es de 260, 171. El 71.67% de los casos confirmados se concentra en 12 municipios, siendo las tres provincias más afectadas, Distrito Nacional (20, 269), Santo Domingo (16,517) y Santiago (6,302). Por lugar de residencia, el 76.03% (882) de los fallecidos corresponden a 12 municipios, siendo los tres con más fallecimientos reportados: Santo Domingo (303); Distrito Nacional (226); y Santiago (155). De los 12 centros de cuarentena utilizados para el aislamiento de viajeros, a la fecha cuentan con 316 personas civiles y 30 del cuerpo militar para un total de 346 personas que ocupan estos centros.


Assuntos
Humanos , Pneumonia Viral/epidemiologia , Infecções por Coronavirus/epidemiologia , Pandemias/estatística & dados numéricos , Betacoronavirus , República Dominicana/epidemiologia
13.
Am J Trop Med Hyg ; 102(6): 1172-1174, 2020 06.
Artigo em Inglês | MEDLINE | ID: covidwho-601671

RESUMO

The first case of novel coronavirus disease (COVID-19) in the Dominican Republic coincided with a period of political crisis. Distrust in governmental institutions shaped the critical phase of early response. Having a weak public health infrastructure and a lack of public trust, the Ministry of Health (MoH) began the fight against COVID-19 with a losing streak. Within 45 days of the first reported case, the political crisis and turmoil caused by "fake news" are limiting the capacity and success of the MoH response to the pandemic.


Assuntos
Antivirais/uso terapêutico , Betacoronavirus/patogenicidade , Infecções por Coronavirus/epidemiologia , Pandemias , Pneumonia Viral/epidemiologia , Mídias Sociais/ética , Anticorpos Monoclonais Humanizados/uso terapêutico , Antivirais/provisão & distribução , Azitromicina/provisão & distribução , Azitromicina/uso terapêutico , Betacoronavirus/efeitos dos fármacos , Distúrbios Civis , Infecções por Coronavirus/tratamento farmacológico , Infecções por Coronavirus/economia , Dissidências e Disputas , República Dominicana/epidemiologia , Reposicionamento de Medicamentos , Humanos , Hidroxicloroquina/provisão & distribução , Hidroxicloroquina/uso terapêutico , Ivermectina/provisão & distribução , Ivermectina/uso terapêutico , Pandemias/economia , Pneumonia Viral/tratamento farmacológico , Pneumonia Viral/economia , Política , Saúde Pública/economia , Saúde Pública/tendências , Confiança/psicologia
14.
Am J Trop Med Hyg ; 102(6): 1172-1174, 2020 06.
Artigo em Inglês | MEDLINE | ID: covidwho-157069

RESUMO

The first case of novel coronavirus disease (COVID-19) in the Dominican Republic coincided with a period of political crisis. Distrust in governmental institutions shaped the critical phase of early response. Having a weak public health infrastructure and a lack of public trust, the Ministry of Health (MoH) began the fight against COVID-19 with a losing streak. Within 45 days of the first reported case, the political crisis and turmoil caused by "fake news" are limiting the capacity and success of the MoH response to the pandemic.


Assuntos
Antivirais/uso terapêutico , Betacoronavirus/patogenicidade , Infecções por Coronavirus/epidemiologia , Pandemias , Pneumonia Viral/epidemiologia , Mídias Sociais/ética , Anticorpos Monoclonais Humanizados/uso terapêutico , Antivirais/provisão & distribução , Azitromicina/provisão & distribução , Azitromicina/uso terapêutico , Betacoronavirus/efeitos dos fármacos , Distúrbios Civis , Infecções por Coronavirus/tratamento farmacológico , Infecções por Coronavirus/economia , Dissidências e Disputas , República Dominicana/epidemiologia , Reposicionamento de Medicamentos , Humanos , Hidroxicloroquina/provisão & distribução , Hidroxicloroquina/uso terapêutico , Ivermectina/provisão & distribução , Ivermectina/uso terapêutico , Pandemias/economia , Pneumonia Viral/tratamento farmacológico , Pneumonia Viral/economia , Política , Saúde Pública/economia , Saúde Pública/tendências , Confiança/psicologia
15.
Am J Trop Med Hyg ; 102(6): 1172-1174, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32358952

RESUMO

The first case of novel coronavirus disease (COVID-19) in the Dominican Republic coincided with a period of political crisis. Distrust in governmental institutions shaped the critical phase of early response. Having a weak public health infrastructure and a lack of public trust, the Ministry of Health (MoH) began the fight against COVID-19 with a losing streak. Within 45 days of the first reported case, the political crisis and turmoil caused by "fake news" are limiting the capacity and success of the MoH response to the pandemic.


Assuntos
Antivirais/uso terapêutico , Betacoronavirus/patogenicidade , Infecções por Coronavirus/epidemiologia , Pandemias , Pneumonia Viral/epidemiologia , Mídias Sociais/ética , Anticorpos Monoclonais Humanizados/uso terapêutico , Antivirais/provisão & distribução , Azitromicina/provisão & distribução , Azitromicina/uso terapêutico , Betacoronavirus/efeitos dos fármacos , Distúrbios Civis , Infecções por Coronavirus/tratamento farmacológico , Infecções por Coronavirus/economia , Dissidências e Disputas , República Dominicana/epidemiologia , Reposicionamento de Medicamentos , Humanos , Hidroxicloroquina/provisão & distribução , Hidroxicloroquina/uso terapêutico , Ivermectina/provisão & distribução , Ivermectina/uso terapêutico , Pandemias/economia , Pneumonia Viral/tratamento farmacológico , Pneumonia Viral/economia , Política , Saúde Pública/economia , Saúde Pública/tendências , Confiança/psicologia
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