Base de datos : MedCarib
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Fotocópia
Id: 18065
Autor: Noël, TP(aut); David, K(aut); Fields, PJ(aut); Macpherson, CNL(aut).
Título: Attitude, behavior and practice of primary school students with regard to soil transmitted helminths in Grenada
Fuente: en: Caribbean Public Health Agency. Caribbean Public Health Agency: 60th Annual Scientific Meeting. Kingston, The University of the West Indies. Faculty of Medical Sciences, 2015. p.[1-75]. (West Indian Medical Journal Supplement).
Idioma: en.
Resumen: OBJECTIVE: To identify the attitude, behaviour and practice of parents, guardians and adolescents associated with Soil Transmitted HelminthÆs (STHÆs). DESIGN AND METHODS: A questionnaire was completed by 811 parents /guardians. The questionnaire posed questions on the socio economic, attitudes, behavior and practices of primary school students with regard to factors that could contribute to the transmission of STHÆs in Grenada. RESULTS: 534 (66%) parents/guardian reported that their children regularly washed their hands before eating, 690 (85%) had an inside water supply, 465 (57%) had indoor toilets. Also, 579 (71%) said that their children never played around outdoor latrines and 326 (40%) said their children always wore shoes outdoors. 732 (90%) of the parents/guardians reported that vegetables and fruits were always washed before cooking and 662 (82%) said that their children had previously received de-worming medication. CONCLUSION: Practical recommendations such as in-house sanitation facilities and hand washing programs can be made. This will enable limited resources to be used more efficiently to combat the problem of transmission of STHÆs.
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  2 / 317 MedCarib  
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Fotocópia
Id: 18062
Autor: Bally, K(aut); Hosein, A(aut); Ali, A(aut); Jogie, A(aut); Mahabir, A(aut); Gajadhar, A(aut); Raghoonath, A(aut); Ramlogan, R(aut); Pooransingh, S(aut); Seemungal, T(aut).
Título: Tuberculosis û patientsÆ knowledge, attitudes and practices regarding their illness
Fuente: en: Caribbean Public Health Agency. Caribbean Public Health Agency: 60th Annual Scientific Meeting. Kingston, The University of the West Indies. Faculty of Medical Sciences, 2015. p.[1-75]. (West Indian Medical Journal Supplement).
Idioma: en.
Resumen: OBJECTIVE: To determine tuberculosis (TB) patientsÆ knowledge, attitudes and practices with respect to their illness. DESIGN AND METHODS: A cross sectional study was conducted. 208 tuberculosis patients > 18 years of age who were currently receiving treatment were included. The study sample was selected from two major regional chest clinics in Trinidad. A pilot tested questionnaire was interviewer administered to each patient. RESULTS: Out of the 208 patients interviewed (response rate 65.0%), 129 were male, and 79 were female. The majority of patients had either secondary or tertiary level of education (54.8%), whereas only 43.8% had either primary level of education or none at all. Analysis revealed that TB knowledge was affected by a patientÆs level of education, where persons with secondary/tertiary levels of education had a greater knowledge about TB (p<0.005). The majority (78.4%) of patients believed that they were not stigmatized; however, 191 (91.8%) patients urged for increased public awareness about TB in order to change perceptions toward the disease. The majority of patients were compliant towards their management advice, as well as taking their prescribed medications, however non- compliance was noted to be more likely in the under 50 year age group (9.8%), rather than the over 50 year age group (1.1%). CONCLUSION: Patients with at least secondary level education had better knowledge about tuberculosis than those with primary level education. Patients indicated the need for more public awareness about TB. Compliance with management (medication and attendance at clinics) was good among the majority of the patients.
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  3 / 317 MedCarib  
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Fotocópia
Id: 18061
Autor: Mohammed, N(aut); Maharaj, N(aut); Mohammed, A(aut); Mohammed, S(aut); Ramadhar, C(aut); Rambalack, T(aut); Roopnarine, A(aut); Singh, D(aut); Rao, AVC(aut); Pooransingh, S(aut).
Título: Leprosy - knowledge, attitudes and practices among clinic attenders
Fuente: en: Caribbean Public Health Agency. Caribbean Public Health Agency: 60th Annual Scientific Meeting. Kingston, The University of the West Indies. Faculty of Medical Sciences, 2015. p.[1-75]. (West Indian Medical Journal Supplement).
Idioma: en.
Resumen: OBJECTIVE: To investigate the knowledge, attitudes and practices among leprosy clinic attendees and to review the epidemiology of leprosy in Trinidad. DESIGN AND METHODS: A cross-sectional study was undertaken utilizing an interviewer administered structured questionnaire. All leprosy clinic attendees over the age of 18 years who attend 3 of the 5 leprosy clinics in Trinidad were included. Data were collected from April to July 2014. RESULTS: All 21 responders who were invited to participate agreed, giving a response rate of 100%. Fifty-two percent (52%) were unaware of how the disease is contracted. Most patients (81%) believed that educating the public would help eradicate leprosy-related stigma. Ninety percent (90%) reported that they were compliant with taking their medication and 86% reported that they attended all clinic appointments. The majority (76%) felt self-conscious about their disease and 50% have experienced negative feelings after diagnosis. CONCLUSION: Patients appear to be aware of signs and symptoms of leprosy but less so about transmission. There appears to be a need for educating patients about their illness as well as the public to reduce stigma associated with the illness. There was also a need for counselling of patients to minimize the reported distress, sadness and worry they experience after being diagnosed.
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  4 / 317 MedCarib  
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Fotocópia
Id: 18059
Autor: Alsaran, S(aut); Browne, A(aut); Maharaj, B(aut); Mahabir, A(aut); Manoo, J(aut); Maraj, A(aut); Sonnilal, M(aut); Tang, C(aut); Parasram, R(aut); Pooransingh, S(aut).
Título: Investigation of dengue related knowledge, attitudes and practices among form three secondary school students in the seven counties of Trinidad
Fuente: en: Caribbean Public Health Agency. Caribbean Public Health Agency: 60th Annual Scientific Meeting. Kingston, The University of the West Indies. Faculty of Medical Sciences, 2015. p.[1-75]. (West Indian Medical Journal Supplement).
Idioma: en.
Resumen: OBJECTIVE: To investigate dengue related knowledge, attitudes and practices among secondary school students in Trinidad. DESIGN AND METHODS: A cross-sectional study was undertaken. All counties were included; one school from each county was randomly selected. Form Three students of the 7 schools were invited to participate. Data collection was conducted using a questionnaire. RESULTS: Almost three-quarters of respondents (73.1%) demonstrated sufficient knowledge about dengue. There appeared to be a link with preventative practices among households and adequate knowledge. Moreover, students associated with persons who had been previously diagnosed with dengue demonstrated a greater level of knowledge than those without. In fact, the school with highest knowledge levels also had the greatest proportion who reported a relative with a past diagnosis of dengue. Furthermore, 53.3% agreed that dengue was a community concern, while 59.6% believed that control and eradication of the dengue vector was primarily the responsibility of Health Authorities. CONCLUSION: It appears that students with greater knowledge engaged in preventative measures and vice versa. Knowledge, attitudes and practices may be influenced by several rather than a single factor. With a greater proportion stating that vector control was the responsibility of the health authorities, the findings, though encouraging in parts, highlighted a need for further targeted health education measures.
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  5 / 317 MedCarib  
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Fotocópia
Id: 18040
Autor: Rouchou, B(aut); Forde, M(aut).
Título: Infertility knowledge, attitudes, and beliefs of college students in Grenada
Fuente: en: Caribbean Public Health Agency. Caribbean Public Health Agency: 60th Annual Scientific Meeting. Kingston, The University of the West Indies. Faculty of Medical Sciences, 2015. p.[1-75]. (West Indian Medical Journal Supplement).
Idioma: en.
Resumen: OBJECTIVE: To assess attitudes and extent of knowledge college students in Grenada have towards infertility. DESIGN AND METHODS: Hand-administered survey using a convenient sample. The sole college located on the island of Grenada: T.A. Marryshow Community College. Five hundred and eight college students over the age of 16 participated in this study with females comprising 65.7% (n = 334). The main outcome measure was the level of knowledge on the causes and treatment options of infertility. RESULTS: There was a moderate level of knowledge among males and females with regards to the risk factors that may cause infertility. The majority of participants believed that GodÆs will and the power of prayer can cause and treat infertility. Overall, a greater proportion of female students answered more questions correctly in comparison to the male students. CONCLUSIONS: There is a notable lack of basic knowledge among Grenadian college students about the causes of infertility. Additionally, among these students, there is the perception that women are more susceptible to infertility than men. Education programs and community support groups are recommended to increase knowledge on the causes of infertility as well as decrease the stigma of this condition.
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  6 / 317 MedCarib  
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Fotocópia
Id: 18032
Autor: Maraj, PD(aut); Maraj, S(aut); Jagrup, E(aut); Balchan, C(aut); Dubay, S(aut); Seepersad, D(aut); Pope, RA(aut); Dookhie, D(aut); Legall, G(aut); Sealy, PI(aut).
Título: Knowledge, awareness and attitudes of guardians in the community towards distribution of the HPV vaccine to primary and secondary school children in Trinidad
Fuente: en: Caribbean Public Health Agency. Caribbean Public Health Agency: 60th Annual Scientific Meeting. Kingston, The University of the West Indies. Faculty of Medical Sciences, 2015. p.[1-75]. (West Indian Medical Journal Supplement).
Idioma: en.
Resumen: OBJECTIVE: To investigate the knowledge, awareness and attitudes of guardians towards the distribution of Gardasil to school children in the North Central Regional Health Authority jurisdiction of Trinidad. DESIGN AND METHODS: A cross sectional study utilizing a questionnaire was employed to collect data from 368 participants who reside in the North Central division of Trinidad. The statistical analysis included chi square tests and logistical regression. RESULTS: There was an increase in the approval rate of Human Papillomavirus (HPV) vaccine (32.4%) after the participants received further education. Guardians preferred the 12-14 (24.2%) and 9-11 (23.1%) age groups for vaccination. Religion did not influence the decision to vaccinate. About half (49.2%) of parents believed vaccination would not cause promiscuity. Women were more likely to approve of the vaccine (p=0.023). Most participants did not talk to a doctor about the vaccine (70.7%). The general opinion (44.9%) was that insufficient information was imparted for an informed decision to be made. CONCLUSION: There was approval of the HPV vaccine despite risks and lack of knowledge. A more effective vaccination program requires prolonged sensitization of the public on the HPV vaccine.
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Fotocópia
Id: 18029
Autor: Boston, C(aut); Joseph, T(aut); Singh, R(aut).
Título: Survey of the knowledge, attitudes and practices of male staff members of the University of Guyana, Turkeyen Campus towards prostate cancer screening
Fuente: en: Caribbean Public Health Agency. Caribbean Public Health Agency: 60th Annual Scientific Meeting. Kingston, The University of the West Indies. Faculty of Medical Sciences, 2015. p.[1-75]. (West Indian Medical Journal Supplement).
Idioma: en.
Resumen: OBJECTIVE: This study assessed the knowledge, attitudes and practices of prostate cancer screening among male staff of the University of Guyana, Turkeyen Campus. DESIGN AND METHODS: A cross-sectional descriptive study using self-administered questionnaires was carried out among randomly selected male staff members of the University of Guyana, Turkeyen Campus aged 20 to >70 years. Variables were grouped and given a weighting. Data was analyzed using SPSS version 20 and Microsoft Excel. RESULTS: Of the 240 questionnaire distributed a total of 164 were returned. The mean age of the respondents was 34.4 ± 6 years. Overall, 41% were aware of prostate cancer and 29% were screened for prostate cancer by various methods. The most common method of screening known by respondents was serum Prostate Specific Antigen (PSA) testing. Male Academic staff showed 65% good knowledge as opposed to the Non- teaching staff which showed 26%. All Male Academic staff as compared to 65% Non-teaching staff indicated a willingness to undergo a Digital Rectal Exam (DRE) if the physician requested it. CONCLUSION: This study revealed that although the respondents were aware of prostate cancer screening, few had taken the test. Most were ignorant of the importance of prostate cancer screening hence felt no need to be tested. Many who were knowledgeable but not tested indicated a time constraint. More awareness is needed by means of sufficient health education and health promotion by various mediums so to be inclusive of all educational levels.
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  8 / 317 MedCarib  
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Fotocópia
Id: 18023
Autor: Graham, M(aut); Cunningham Myrie, C(aut).
Título: The chronic disease passport: an assessment of its effectiveness in improving hypertension control in Jamaicans
Fuente: en: Caribbean Public Health Agency. Caribbean Public Health Agency: 60th Annual Scientific Meeting. Kingston, The University of the West Indies. Faculty of Medical Sciences, 2015. p.[1-75]. (West Indian Medical Journal Supplement).
Idioma: en.
Resumen: OBJECTIVE: To assess whether the Chronic Disease Passport (CDP) was effective in improving blood pressure control in patients in Montego Bay, Jamaica. DESIGN AND METHODS: A retrospective cohort study was conducted on a convenient sample of 264 patients aged 18-74 years with hypertension (HPT) who attended the Type 5 Health Centre in Montego Bay between May and July 2014. Blood pressure control was assessed at baseline and one year post exposure, using data from medical records. Knowledge, attitude and behaviour towards HPT and the CDP were gathered through an interviewer-administered questionnaire. In-depth semi-structured interviews were conducted with 6 persons who had received the CDP. RESULTS: Seventy-seven percent of respondents (n=204) were exposed to the CDP. At baseline HPT control was significantly better in the exposed group (20.7%), versus the non-exposed group (5.0%) (p<0.01). At the one year follow-up endpoint, there was no significant association between exposure to the CDP and HPT control with the relative risk of having a controlled SBP being significantly lower in the exposed group (RR = 0.44, 95% CI: 0.24, 0.81). Control of HPT among the exposed group also worsened by 17.3% (p<0.001), but remained unchanged for the non-exposed group. Participants cited medication supply as an issue of concern. CONCLUSION: Exposure to the CDP was not associated with better control of HPT. More research is needed to explore other impacting factors, including issues surrounding medication supply.
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  9 / 317 MedCarib  
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Fotocópia
Id: 17985
Autor: Smith, KC(aut); Chambers, CL(aut); Pinder Butler, S(aut); Frankson, MA(aut).
Título: Epidemiological risk factors, knowledge and attitudes concerning osteoporosis among women in a primary care setting in Nassau, Bahamas
Fuente: en: Caribbean Public Health Agency. Caribbean Public Health Agency: 60th Annual Scientific Meeting. Kingston, The University of the West Indies. Faculty of Medical Sciences, 2015. p.[1-75]. (West Indian Medical Journal Supplement).
Idioma: en.
Resumen: OBJECTIVE: To determine perimenopausal and post menopausal womenÆs epidemiological risk factors (including the calculated ten year fracture probability of obtaining an osteoporotic fracture), knowledge and attitudes toward osteoporosis in the Bahamas, in a specialist Family Medicine practice setting. DESIGN AND METHODS: Using a cross-sectional survey design, researchers determined epidemiological risk factors, knowledge and attitudes concerning osteoporosis among Bahamian perimenopausal and postmenopausal women and calculated their Fracture Risk Assessment Tool (FRAX) scores for a major osteoporotic and hip fracture. Informed consent was obtained from all participants. The study took place in the Family Medicine clinic of the Public Hospital Authority and selected Public Health Clinics. Data was collected using questionnaires and analyzed using the Statistical Package for the Social Sciences (SPSS). RESULTS: The 347 enrolled female participants mean age was 57.91 (± 8.98) years and 76.9% knew what osteoporosis was but had less accurate knowledge about the risk factors. 47.6% was not sure menopause was a contributing factor. 93.1% did not know the recommended daily calcium amount and 34% consumed calcium rich meals daily. 88.3% knew and practiced walking as a preventative method. Attitudes were mainly positive as 82% thought it should be discussed with their physician. FRAX scores were relatively low with only 20% requiring a bone density scan. CONCLUSION: Overall, low FRAX scores indicated low fracture risk among Bahamian women. However, limited knowledge about related risk factors was also evident. Increasing awareness through public education campaigns, addressing modifiable risk factor and involving younger women as well can avoid major complications from osteoporosis in the future.
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  10 / 317 MedCarib  
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Fotocópia
Id: 17983
Autor: Barton Gooden, A(aut); Grindley, M(aut); Knight Madden, J(aut); Asnani, M(aut).
Título: Short- term impact of educational interventions on disease knowledge, illness perception and quality of life among Jamaican adolescents with sickle cell disease
Fuente: en: Caribbean Public Health Agency. Caribbean Public Health Agency: 60th Annual Scientific Meeting. Kingston, The University of the West Indies. Faculty of Medical Sciences, 2015. p.[1-75]. (West Indian Medical Journal Supplement).
Idioma: en.
Resumen: OBJECTIVES: To assess the effect of educational interventions on disease knowledge, illness perception (IP) and quality of life (QOL) of adolescents with sickle cell disease (SCD) in Kingston, Jamaica. METHODS: A randomized controlled intervention study was conducted among 150 adolescents (ages 13-19 years) attending for routine visits. Baseline disease knowledge, IP and QOL were assessed prior to randomization to 3 groups (Group A: routine care; B: educational booklet; C: booklet + formal counselling) and all measures were repeated 3 months later. Changes in outcomes were analysed using random effects analysis of variance models. RESULTS: There were 76 girls and 74 boys (Mean age 16.1±1.9 years; 77% had homozygous SS disease), of whom 63.3% were reviewed at three months. Baseline knowledge was higher: with age (p value: 0.007) and in girls (p value: 0.024). Teen QOL was lower in girls (p value: 0.038) and lower in severe disease (p value< 0.001). Post-intervention knowledge scores were significantly higher within all 3 groups (increase of 1.68 in group A, 2.03 in B and 2.88 in C), but there was nil effect of interventions. There were no changes in QOL or IPs either. Adolescents who had higher knowledge scores had better understanding that their illness was long lasting (Coef: 0.22; p value: 0.008), and they perceived better personal control (Coef: 0.30; p value<0.001), as well as the effect of treatment (Coef: 0.12; p value: 0.01), in managing their illness. CONCLUSIONS: Participation in the study was associated with improved knowledge scores, but interventions per say appeared to have no effects.
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