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3.
Soc Work Public Health ; 36(5): 558-576, 2021 07 04.
Artigo em Inglês | MEDLINE | ID: mdl-34182897

RESUMO

The Novel Coronavirus Disease (COVID-19) was declared a pandemic by the World Health Organization (WHO) in March 2020. Trinidad and Tobago reported its first infection on March 12th 2020. This study assessed knowledge, attitudes and practices toward COVID-19 among Trinidadians during the post-lockdown period. A validated questionnaire was used to conduct a cross-sectional survey from May 25th to June 6th 2020.Most respondents (512, 96.6%) knew that COVID-19 is highly infectious. Many (523, 98.7%) identified vulnerable groups as persons 65 years and older and those with preexisting co-morbidities (480, 90.6%). Respondents identified COVID-19 symptoms as fever (498, 94.0%), dry cough (495, 93.4%), myalgia (403, 76.0%) and sore throat (441, 83.2%). Most 504 (95.1%) acknowledged that COVID-19 threatened the country's economy. Dominant practices included regular hand washing (97.2%) and social distancing (512, 96.6%).Health authorities should continue public education efforts to increase knowledge and the adoption of recommended practices.


Assuntos
COVID-19 , Conhecimentos, Atitudes e Prática em Saúde , COVID-19/epidemiologia , COVID-19/prevenção & controle , Estudos Transversais , Humanos , Quarentena , Inquéritos e Questionários , Trinidad e Tobago/epidemiologia
4.
Trends Neurosci Educ ; 23: 100155, 2021 06.
Artigo em Inglês | MEDLINE | ID: mdl-34006362

RESUMO

BACKGROUND: The current COVID-19 pandemic and proliferation of misinformation regarding science highlights the importance of improving general science literacy. The continued preponderance of neuromyths among educators is of concern, especially in lower- and middle-income countries. METHOD: Using an adapted questionnaire, a cross-sectional survey was conducted among teachers in a small island developing state in the Caribbean. RESULTS: Two-thirds of the sample were unable to recognise at least 50% of the myths. Regression analysis demonstrated that higher scores in brain knowledge and exposure to prior teacher-training increased belief in neuromyths. On the other hand, specific in-service training pertaining to educational neuroscience improved scores. CONCLUSION: Neuromyths are prevalent among teachers and appear to inform their teaching practice. Further research needs to be conducted to explore not just the prevalence of these myths but in what ways they may be impacting teaching and learning outcomes in the classroom.


Assuntos
Neurociência Cognitiva , Competência Profissional , Professores Escolares , COVID-19 , Comunicação , Estudos Transversais , Países em Desenvolvimento , Feminino , Humanos , Capacitação em Serviço , Masculino , Mitologia , Neurociências , SARS-CoV-2 , Inquéritos e Questionários , Capacitação de Professores , Trinidad e Tobago
5.
BMJ Open ; 11(4): e044397, 2021 04 13.
Artigo em Inglês | MEDLINE | ID: mdl-33849850

RESUMO

OBJECTIVES: To determine the prevalence and factors associated with depression, anxiety and stress among healthcare workers (HCWs) during COVID-19 pandemic. DESIGN: Cross-sectional online survey. SETTING: HCWs from four major hospitals within the Regional Health Authorities of Trinidad and Tobago. PARTICIPANTS: 395 HCWs aged ≥18 years. MAIN OUTCOME MEASURES: Depression, anxiety and stress scores. RESULTS: Among the 395 HCWs, 42.28%, 56.2% and 17.97% were found to have depression, anxiety and stress, respectively. In the final stepwise regression model, contact with patients with confirmed COVID-19, p<0.001 (95% CI 3.072 to 6.781) was reported as significant predictors of depression. Further, gender, p<0.001 (95% CI 2.152 to 5.427) and marital status, p<0.001 (95% CI 1.322 to 4.270) of the HCWs were considered to be correlated with anxiety. HCWs who had contact with patients with suspected COVID-19 had lower depression, p<0.001 (95% CI -5.233 to -1.692) and stress, p<0.001 (95% CI -5.364 to -1.591). CONCLUSIONS: This study has depicted the prevalence and evidence of depression, anxiety and stress among HCWs during the COVID-19 pandemic. The findings of the study will serve as supportive evidence for the timely implementation of further planning of preventative mental health services by the Ministry of Health, for frontline workers within the public and private health sectors.


Assuntos
Ansiedade/epidemiologia , COVID-19/psicologia , Depressão/epidemiologia , Pessoal de Saúde/psicologia , Estresse Ocupacional/epidemiologia , Adulto , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias , Prevalência , Inquéritos e Questionários , Trinidad e Tobago/epidemiologia
6.
J Card Surg ; 35(12): 3387-3390, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-32845035

RESUMO

BACKGROUND AND AIM: The coronavirus disease 2019 (COVID-19) pandemic has seen the cancellation of elective cardiac surgeries worldwide. Here we report the experience of a cardiac surgery unit in a developing country in response to the COVID-19 crisis. METHODS: From 6th April to 12th June 2020, 58 patients underwent urgent or emergency cardiac surgery. Data was reviewed from a prospectively entered unit-maintained cardiac surgery database. To ensure safe delivery of care to patients, a series of strict measures were implemented which included: a parallel healthcare system maintaining a COVID-19 cold site, social isolation of patients for one to 2 weeks before surgery, polymerase chain reaction testing for COVID-19, 72 hours before surgery, discrete staff assigned only to cardiac surgical cases socially isolated for 2 weeks as necessary. RESULTS: The mean age at surgery was 59.7 ± 11 years and 41 (70.7%) were male. Fifty-two patients were hypertensive (90%), and 32 were diabetic (55.2%). There were three emergency type A aortic dissections. Forty-seven patients underwent coronary artery bypass graft surgery with all but three performed off-pump. Fourteen cases required blood product transfusion. One patient had postoperative pneumonia associated with chronic obstructive pulmonary disease. The median length of stay was 5.7 ± 1.8 days. All patients were discharged home after rehabilitation. There were no cases of COVID-19 infection among healthcare workers during the study period. CONCLUSION: These strategies allowed us to maintain a service for urgent and emergency procedures and may prove useful for larger countries when there is decrease in COVID-19 cases and planning for the restart of elective cardiac surgery.


Assuntos
COVID-19/epidemiologia , Procedimentos Cirúrgicos Cardíacos/métodos , Cardiopatias/cirurgia , Pandemias , SARS-CoV-2 , Comorbidade , Procedimentos Cirúrgicos Eletivos/métodos , Feminino , Seguimentos , Cardiopatias/epidemiologia , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Trinidad e Tobago/epidemiologia
7.
Am J Trop Med Hyg ; 103(2): 590-592, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32524961

RESUMO

Trinidad and Tobago, a small island developing state, has been ranked as number one in a report published by the University of Oxford that assessed responses to COVID-19 based on four of the six WHO criteria for rolling back COVID-19 "lockdown" measures. The key mitigation and containment strategies implemented by the country were evidence-informed and demonstrated an "all-of-government" approach. The COVID-19 health system response of this country demonstrates that although developing countries face many health system challenges, political will, evidence-informed decision-making, respect for science, and timely, coordinated, collaborative actions can strengthen the resilience and response of the health system during a health emergency.


Assuntos
Controle de Doenças Transmissíveis , Infecções por Coronavirus/epidemiologia , Atenção à Saúde/organização & administração , Pneumonia Viral/epidemiologia , Betacoronavirus , COVID-19 , Infecções por Coronavirus/prevenção & controle , Países em Desenvolvimento , Programas Governamentais , Comunicação em Saúde/normas , Humanos , Liderança , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , SARS-CoV-2 , Trinidad e Tobago
8.
Port of Spain; Ministry of Health, Trinidad and Tobago; June 4, 2020. 2 p. tab.
Monografia em Inglês | MedCarib | ID: biblio-1099473

RESUMO

In it's response to safeguard the country in the face of the global COVID-19 outbreak, the Trinidad and Tobago, Ministry of Health continues to provide up-to-date information of the country's response to this situation [Au]


Assuntos
Humanos , Masculino , Feminino , Trinidad e Tobago , Coronavirus , Região do Caribe , Meios de Comunicação
9.
Transbound Emerg Dis ; 67(6): 2775-2788, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32438523

RESUMO

Avian coronaviruses, including infectious bronchitis virus (IBV) and turkey coronavirus (TCoV), are economically important viruses affecting poultry worldwide. IBV is responsible for causing severe losses to the commercial poultry sector globally. The objectives of this study were to identify the viruses that were causing outbreaks of severe respiratory disease in chickens in Trinidad and Tobago (T&T) and to characterize the strains. Swab samples were collected from birds showing severe respiratory signs in five farms on the island of Trinidad. Samples were tested for the presence of IBV, as well as avian influenza virus (AIV), Newcastle disease virus (NDV) and avian metapneumovirus (aMPV) by real-time reverse transcription polymerase chain reaction (qRT-PCR). All samples from the five farms tested negative for AIV, NDV and aMPV; however, samples from clinically affected birds in all five of the farms tested positive for IBV. Genetic data revealed the presence of TCoV in chickens on two of the farms. Interestingly, these two farms had never reared turkeys. Phylogenetic analysis showed that IBV S1 sequences formed two distinct clusters. Two sequences grouped with vaccine strains within the GI-1 lineage, whereas three sequences grouped together, but separately from other defined lineages, forming a likely new lineage of IBV. Pairwise comparison revealed that the three unique variant strains within the distinct lineage of IBV were significantly different in their S1 nucleotide coding regions from viruses in the closest lineage (16% difference) and locally used vaccine strains (>20% difference). Results also suggested that one of the samples was a recombinant virus, generated from a recombination event between a Trinidad virus of the GI-1 lineage and a Trinidad virus of the newly defined lineage. Many amino acid differences were also observed between the S1 coding regions of the circulating field and vaccine strains, indicating that the IBV vaccines may not be protective. Vaccine-challenge studies are however needed to prove this.


Assuntos
Infecções por Coronavirus/veterinária , Vírus da Bronquite Infecciosa/isolamento & purificação , Doenças das Aves Domésticas/virologia , Infecções Respiratórias/veterinária , Vacinas Virais/imunologia , Animais , Galinhas , Infecções por Coronavirus/virologia , Patos , Gansos , Vírus da Bronquite Infecciosa/classificação , Filogenia , Codorniz , RNA Viral , Infecções Respiratórias/virologia , Análise de Sequência de RNA/veterinária , Trinidad e Tobago , Perus , Vacinação/veterinária
10.
Port of Spain; Ministry of Health; May 1, 2020. 2 p.
Monografia em Inglês | MedCarib | ID: biblio-1096676

RESUMO

In its response to safeguard the country in face of the global COVID-19 outbreak, the Trinidad and Tobago, Ministry of Health continues to provide up-to-date information of the country's response to this situation.


Assuntos
Humanos , Masculino , Feminino , Trinidad e Tobago , Coronavirus , Região do Caribe , Meios de Comunicação
11.
Port of Spain; Ministry of Health; May 1, 2020. 2 p.
Monografia em Inglês | MedCarib | ID: biblio-1096679

RESUMO

In its response to safeguard the country in face of the global COVID-19 outbreak, the Trinidad and Tobago, Ministry of Health continues to provide up-to-date information of the country's response to this situation.


Assuntos
Humanos , Masculino , Feminino , Trinidad e Tobago , Coronavirus , Região do Caribe , Meios de Comunicação
12.
Port of Spain; Ministry of Health; May 2, 2020. 2 p.
Monografia em Inglês | MedCarib | ID: biblio-1096680

RESUMO

In its response to safeguard the country in face of the global COVID-19 outbreak, the Trinidad and Tobago, Ministry of Health continues to provide up-to-date information of the country's response to this situation.


Assuntos
Humanos , Masculino , Feminino , Trinidad e Tobago , Coronavirus , Região do Caribe , Meios de Comunicação
13.
Port of Spain; Ministry of Health; May 2, 2020. 2 p.
Monografia em Inglês | MedCarib | ID: biblio-1096682

RESUMO

In its response to safeguard the country in face of the global COVID-19 outbreak, the Trinidad and Tobago, Ministry of Health continues to provide up-to-date information of the country's response to this situation.


Assuntos
Humanos , Masculino , Feminino , Trinidad e Tobago , Coronavirus , Região do Caribe , Meios de Comunicação
14.
Port of Spain; Ministry of Health; May 2, 2020. 2 p.
Monografia em Inglês | MedCarib | ID: biblio-1096684

RESUMO

In its response to safeguard the country in face of the global COVID-19 outbreak, the Trinidad and Tobago, Ministry of Health continues to provide up-to-date information of the country's response to this situation.


Assuntos
Humanos , Masculino , Feminino , Trinidad e Tobago , Coronavirus , Região do Caribe , Meios de Comunicação
15.
Port of Spain; Ministry of Health; May 3, 2020. 2 p.
Monografia em Inglês | MedCarib | ID: biblio-1096686

RESUMO

In its response to safeguard the country in face of the global COVID-19 outbreak, the Trinidad and Tobago, Ministry of Health continues to provide up-to-date information of the country's response to this situation.


Assuntos
Humanos , Masculino , Feminino , Trinidad e Tobago , Coronavirus , Região do Caribe , Meios de Comunicação
16.
Port of Spain; Ministry of Health; May 4, 2020. 2 p.
Monografia em Inglês | MedCarib | ID: biblio-1097096

RESUMO

In its response to safeguard the country in the face of the global COVID-19 outbreak, the Trinidad and Tobago, Ministry of Health continues to provide up-to-date information of the country's response to this situation.


Assuntos
Humanos , Masculino , Feminino , Trinidad e Tobago , Coronavirus , Região do Caribe , Meios de Comunicação
17.
Port of Spain; Ministry of Health; May 5, 2020. 2 p.
Monografia em Inglês | MedCarib | ID: biblio-1097097

RESUMO

In its response to safeguard the country in the face of the global COVID-19 outbreak, the Trinidad and Tobago, Ministry of Health continues to provide up-to-date information of the country's response to this situation.


Assuntos
Humanos , Masculino , Feminino , Trinidad e Tobago , Coronavirus , Região do Caribe , Meios de Comunicação
18.
Port of Spain; Ministry of Health; May 5, 2020. 2 p.
Monografia em Inglês | MedCarib | ID: biblio-1097100

RESUMO

In its response to safeguard the country in the face of the global COVID-19 outbreak, the Trinidad and Tobago, Ministry of Health continues to provide up-to-date information of the country's response to this situation.


Assuntos
Humanos , Masculino , Feminino , Trinidad e Tobago , Coronavirus , Região do Caribe , Meios de Comunicação
19.
Port of Spain; Ministry of Health; May 5, 2020. 2 p.
Monografia em Inglês | MedCarib | ID: biblio-1097104

RESUMO

In its response to safeguard the country in the face of the global COVID-19 outbreak, the Trinidad and Tobago, Ministry of Health continues to provide up-to-date information of the country's response to this situation.


Assuntos
Humanos , Masculino , Feminino , Trinidad e Tobago , Coronavirus , Região do Caribe , Meios de Comunicação
20.
Port of Spain; Ministry of Health; May 6, 2020. 2 p.
Monografia em Inglês | MedCarib | ID: biblio-1097106

RESUMO

In its response to safeguard the country in the face of the global COVID-19 outbreak, the Trinidad and Tobago, Ministry of Health continues to provide up-to-date information of the country's response to this situation.


Assuntos
Humanos , Masculino , Feminino , Trinidad e Tobago , Coronavirus , Região do Caribe , Meios de Comunicação
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